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Equate

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Active ingredient
Oxymetazoline Hydrochloride 0.05 g/100 mL
Other brand names
Drug class
Vasoconstrictor
Dosage form
Spray
Route
Nasal
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2023
Label revision date
October 8, 2025
Active ingredient
Oxymetazoline Hydrochloride 0.05 g/100 mL
Other brand names
Drug class
Vasoconstrictor
Dosage form
Spray
Route
Nasal
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2023
Label revision date
October 8, 2025
Manufacturer
Walmart Inc
Registration number
M012
NDC root
79903-195

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Drug Overview

Equate Nasal Spray is a medication designed to temporarily relieve nasal congestion caused by colds, hay fever, or other upper respiratory allergies, as well as sinus congestion and pressure. If you're experiencing discomfort from these conditions, this nasal spray can help clear your nasal passages and make breathing easier.

This product has been effective since August 2, 2023, providing you with a reliable option for managing your symptoms.

Uses

If you're dealing with nasal congestion from a cold, hay fever, or other upper respiratory allergies, this medication can help provide temporary relief. It works by easing the swelling in your nasal passages, making it easier for you to breathe.

Additionally, if you're experiencing sinus congestion and pressure, this medication can also help alleviate those symptoms. It's designed to make you feel more comfortable when you're suffering from these common issues.

Dosage and Administration

Before using the medication for the first time, you need to prepare the spray. Start by removing the protective cap and priming the pump. To do this, firmly press down on the rim several times. Once primed, hold the container with your thumb at the base and the nozzle between your first and second fingers. Keep your head upright, insert the nozzle into one nostril, and press down on the rim with a firm, even stroke while inhaling deeply.

For adults and children aged 6 years and older (with adult supervision), you can use 2 or 3 sprays in each nostril. Make sure to wait at least 10 to 12 hours before using it again, and do not exceed 2 doses in a 24-hour period. If you have a child between 2 and 6 years old, consult a doctor before use. This medication is not recommended for children under 2 years old.

What to Avoid

It's important to use this product safely to ensure your well-being. You should never exceed the recommended dosage, as doing so can lead to unwanted effects. Additionally, avoid using this product for more than three days. Using it longer than directed may cause your nasal congestion to come back or even worsen.

Always follow the instructions provided and use the product only as directed to minimize any potential risks. Your health is a priority, so please take care to adhere to these guidelines.

Side Effects

When using this product, you may experience some temporary discomfort, such as burning, stinging, sneezing, or increased nasal discharge. It's important to follow the recommended dosage and not use the product for more than three days, as doing so may worsen nasal congestion. Remember, this product is for external use only—avoid contact with your eyes, and do not use it in your mouth, nostrils, or on wounds or damaged skin.

If you accidentally swallow the product, seek medical help or contact a Poison Control Center immediately. If your symptoms persist, please stop using the product and consult a doctor. Additionally, sharing this container with others can lead to the spread of infection, so it's best to use it alone.

Warnings and Precautions

This product is for external use only, so please avoid contact with your eyes. Do not use it by mouth, in your nostrils, on wounds or damaged skin, or with tight bandages.

Before using this product, it's important to consult your doctor if you have any of the following conditions: heart disease, high blood pressure, thyroid disease, diabetes, or difficulty urinating due to an enlarged prostate gland. If you accidentally swallow the product, seek medical help or contact a Poison Control Center immediately.

If your symptoms do not improve, stop using the product and reach out to your doctor for further advice.

Overdose

If you or someone else has swallowed too much of a medication, it’s important to seek medical help immediately. You can do this by contacting a Poison Control Center or going to the nearest emergency room. Acting quickly can make a significant difference in the outcome.

Signs of an overdose can vary, but they may include unusual drowsiness, confusion, or difficulty breathing. If you notice any of these symptoms, don’t hesitate to get help right away. Remember, it’s always better to be safe and seek assistance if you suspect an overdose.

Pregnancy Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using this medication. They can provide guidance on whether it’s safe for you and your baby. Always prioritize your health and the health of your child by seeking expert advice.

Lactation Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using any medication. This ensures that you understand any potential risks and can make informed decisions about your health and the health of your baby. Always prioritize open communication with your doctor regarding your breastfeeding journey and any medications you may consider.

Pediatric Use

If you have a child aged 2 to under 6 years, it's important to consult with a doctor before using this medication. For children under 2 years old, you should not use this product at all.

For children aged 6 years and older, you can administer 2 or 3 sprays in each nostril, but make sure to do this no more than every 10 to 12 hours. It's crucial not to exceed 2 doses within a 24-hour period, and adult supervision is recommended during use. Always prioritize your child's safety by following these guidelines.

Geriatric Use

When it comes to using this medication in older adults, there is no specific information available about dosage adjustments, safety concerns, or special precautions. This means that if you or a loved one is an older adult, it’s important to consult with a healthcare provider before starting the medication. They can help determine the best approach based on individual health needs and any other medications being taken. Always prioritize open communication with your healthcare team to ensure safe and effective treatment.

Renal Impairment

If you have kidney problems, it's important to know that the drug insert does not provide specific information about dosage adjustments, special monitoring, or safety considerations for your condition. This means that there are no tailored guidelines for how this medication may affect you if your kidneys are not functioning properly.

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your kidney health. They can help monitor your condition and make any necessary adjustments to your treatment plan.

Hepatic Impairment

If you have liver problems, it's important to know that the drug insert does not provide specific information about dosage adjustments, special monitoring, or precautions for your condition. This means that there are no tailored guidelines for how this medication should be used if you have hepatic impairment (liver issues).

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your liver health. They can help you understand how to manage your treatment effectively.

Drug Interactions

It's important to have open conversations with your healthcare provider about any medications or tests you may be taking. While there are no specific drug interactions or laboratory test interactions noted for this medication, your healthcare provider can help ensure that everything you are taking works well together and is safe for you. Always share your complete list of medications and any health conditions you have to receive the best care possible.

Storage and Handling

To ensure the safety and effectiveness of your product, it’s important to store it at a temperature that does not exceed 25°C (77°F). Keeping it within this temperature range helps maintain its quality and performance.

When handling the product, always do so with care to avoid any damage. Make sure to follow any specific instructions provided for use and disposal to ensure safety. Proper storage and handling are key to getting the best results from your product.

Additional Information

No further information is available.

FAQ

What is Equate Nasal Spray used for?

Equate Nasal Spray temporarily relieves nasal congestion due to a cold, hay fever, or other upper respiratory allergies, as well as sinus congestion and pressure.

What is the recommended dosage for adults and children over 6?

Adults and children 6 years and older should use 2 or 3 sprays in each nostril, not more often than every 10 to 12 hours, and should not exceed 2 doses in 24 hours.

Can children under 2 years use this product?

No, children under 2 years should not use Equate Nasal Spray.

What should I do if symptoms persist?

If symptoms persist, you should stop using the product and ask a doctor for advice.

Are there any side effects associated with this nasal spray?

Temporary discomfort such as burning, stinging, sneezing, or increased nasal discharge may occur.

What precautions should I take when using this product?

Avoid contact with eyes, do not use by mouth or on wounds, and do not exceed the recommended dosage or use for more than 3 days.

What should I do if I accidentally swallow the spray?

If swallowed, get medical help or contact a Poison Control Center right away.

Is it safe to use Equate Nasal Spray during pregnancy or breastfeeding?

If you are pregnant or breastfeeding, you should ask a health professional before using this product.

Packaging Info

Below are the non-prescription pack sizes of Equate (oxymetazoline hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Equate.
Details

Drug Information (PDF)

This file contains official product information for Equate, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Description

No description information is available for the drug.

Uses and Indications

This drug is indicated for the temporary relief of nasal congestion associated with colds, hay fever, or other upper respiratory allergies. Additionally, it provides temporary relief from sinus congestion and pressure.

There are no teratogenic or nonteratogenic effects associated with this drug.

Dosage and Administration

Before administration, the protective cap must be removed. For first-time use, the pump should be primed by firmly depressing its rim several times. The container should be held with the thumb at the base and the nozzle positioned between the first and second fingers. The nozzle should be inserted into the nostril without tilting the head. The rim should be fully depressed with a firm, even stroke while inhaling deeply.

For adults and children aged 6 years and older (with adult supervision), the recommended dosage is 2 to 3 sprays in each nostril, not to be administered more frequently than every 10 to 12 hours. The maximum allowable dosage is 2 doses within a 24-hour period.

For children aged 2 to under 6 years, consultation with a physician is advised prior to use. The product is contraindicated for children under 2 years of age.

Contraindications

There are no specific contraindications identified for this product. However, it is essential to adhere to the following guidelines to ensure safe use:

  • Do not exceed the recommended dosage, as this may lead to adverse effects.

  • Do not use this product for more than 3 days. Prolonged or frequent use may result in the recurrence or worsening of nasal congestion. Use only as directed.

Warnings and Precautions

For external use only; contact with eyes should be avoided. This product must not be ingested, applied in the nostrils, used on wounds or damaged skin, or covered with tight bandages.

Healthcare professionals should advise patients to consult a physician prior to use if they have any of the following conditions: heart disease, high blood pressure, thyroid disease, diabetes, or difficulty urinating due to an enlarged prostate gland.

In the event of accidental ingestion, immediate medical assistance should be sought, or the local Poison Control Center should be contacted without delay.

Patients are instructed to discontinue use and consult a healthcare provider if symptoms persist.

Side Effects

Patients using this product may experience temporary discomfort, including burning, stinging, sneezing, or increased nasal discharge. These reactions are generally mild and transient.

Serious adverse reactions are not commonly reported; however, it is important to adhere to the warnings associated with this product. It is for external use only and should not come into contact with the eyes. Patients are advised against using the product by mouth, in nostrils, on wounds or damaged skin, or with tight bandages.

Patients should not exceed the recommended dosage or use the product for more than three days, as frequent or prolonged use may lead to a recurrence or worsening of nasal congestion. Additionally, the use of this container by more than one person may pose a risk of spreading infection.

If symptoms persist, patients are advised to stop use and consult a doctor. In the event of accidental ingestion, immediate medical assistance should be sought, or contact with a Poison Control Center is recommended.

Drug Interactions

There are currently no documented drug interactions associated with this medication. Additionally, there are no known interactions with laboratory tests. As such, no specific recommendations for dosage adjustments or monitoring are necessary at this time.

Packaging & NDC

Below are the non-prescription pack sizes of Equate (oxymetazoline hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Equate.
Details

Pediatric Use

Pediatric patients aged 2 to under 6 years should consult a healthcare professional before use. The product is contraindicated in children under 2 years of age. For children aged 6 years and older, the recommended dosage is 2 or 3 sprays in each nostril, administered no more frequently than every 10 to 12 hours, with a maximum of 2 doses within a 24-hour period. Adult supervision is advised for this age group.

Geriatric Use

There is no specific information available regarding the use of this medication in geriatric patients, including dosage adjustments, safety concerns, or special precautions. Healthcare providers should exercise caution when prescribing this medication to elderly patients, as individual responses may vary. It is advisable to monitor these patients closely for any adverse effects or changes in efficacy, given the lack of targeted data for this population.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional prior to using this medication. The potential risks and benefits must be carefully weighed, as the effects on fetal outcomes and lactation are not fully established. It is essential for women of childbearing potential to seek medical advice to ensure safe use during pregnancy and lactation.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is currently no available data on the excretion of this drug in human breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating individuals.

Renal Impairment

Patients with renal impairment have no specific information regarding dosage adjustments, special monitoring, or safety considerations provided in the drug insert. Therefore, healthcare professionals should exercise caution when prescribing this medication to individuals with reduced kidney function, as the lack of data may impact the drug's efficacy and safety profile in this population. Regular monitoring of renal function is advisable to ensure patient safety.

Hepatic Impairment

Patients with hepatic impairment have not been specifically studied in relation to this medication. Consequently, there are no dosage adjustments, special monitoring requirements, or precautions outlined for individuals with compromised liver function. It is recommended that healthcare providers exercise caution when prescribing this medication to patients with hepatic impairment, given the lack of data on its safety and efficacy in this population. Regular monitoring of liver function may be prudent in these cases, although specific parameters are not defined in the prescribing information.

Overdosage

In the event of an overdosage, immediate medical intervention is crucial. If the substance is ingested, it is imperative to seek medical assistance or contact a Poison Control Center without delay.

Healthcare professionals should be aware that prompt action can significantly influence the outcome of an overdosage situation. Symptoms of overdosage may vary depending on the specific substance involved; therefore, a thorough assessment and monitoring of the patient are essential.

Management procedures may include supportive care and symptomatic treatment, tailored to the individual patient's needs. Continuous evaluation and appropriate interventions should be implemented based on the clinical presentation and severity of symptoms.

Nonclinical Toxicology

If pregnant or breastfeeding, it is advised to consult a health professional prior to use. Temporary discomfort may occur, including symptoms such as burning, stinging, sneezing, or increased nasal discharge. No relevant information regarding nonclinical toxicology or animal pharmacology and toxicology is available in the insert.

Postmarketing Experience

Postmarketing experience has indicated that the use of this product may be associated with temporary discomfort, including symptoms such as burning, stinging, sneezing, or increased nasal discharge. Additionally, it has been observed that frequent or prolonged use may lead to a recurrence or worsening of nasal congestion.

Patient Counseling

Healthcare providers should advise patients to keep this product out of reach of children to prevent accidental ingestion. Instruct patients that if the product is swallowed, they should seek medical help or contact a Poison Control Center immediately.

Patients should be informed to stop using the product and consult a doctor if symptoms persist. It is important to emphasize that they should not exceed the recommended dosage while using this product. Additionally, patients should be cautioned against using the product for more than three days, as frequent or prolonged use may lead to a recurrence or worsening of nasal congestion.

Patients may experience temporary discomfort, including burning, stinging, sneezing, or increased nasal discharge. It is crucial to inform patients that using this container by more than one person may increase the risk of spreading infection.

Healthcare providers should encourage patients to consult a doctor before using this product if they have any of the following conditions: heart disease, high blood pressure, thyroid disease, diabetes, or difficulty urinating due to an enlarged prostate gland.

Storage and Handling

The product is supplied in various package configurations, with specific NDC numbers available for identification. It is essential to store the product at a temperature not exceeding 25°C to maintain its integrity and efficacy. Proper storage conditions should be ensured to prevent any degradation or compromise of the product's quality.

Additional Clinical Information

No further data are available.

Drug Information (PDF)

This file contains official product information for Equate, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Data Generation & Sources

This page was automatically generated and is maintained by the AllDrugs AI Data-Science Team. It was built from the FDA Structured Product Label (DailyMed) for Equate, retrieved by a validated AI data-extraction workflow.

All FDA-listed dosage forms and strengths are shown in the Packaging & NDC Codes section above. Regulatory status appears in the Summary Information panel above and was verified in the FDA National Drug Code directory and the NSDE NDC Directory daily file.

Note: an automated daemon monitors NSDE checksums; when the record for this NDC changes, the new file is pulled instantly and this page is refreshed.

No human clinician has reviewed this version.

Learn more in our Editorial Policy

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Primary FDA sources:

Orange Book data shown on this page are limited to Regulatory Status (Rx), Established Pharmacologic Class (EPC), and Mechanism of Action (MoA).

Regulatory data notice: Information on this page is reproduced verbatim from FDA public databases (NSDE, Orange Book, Purple Book, DailyMed SPL). NDA/ANDA drugs are FDA-approved, BLA biologics are FDA-licensed. Inclusion alone does not guarantee current market availability or imply FDA endorsement.

Medical disclaimer: This AI-generated content is provided for educational purposes only and does not constitute medical advice. Always consult a licensed healthcare professional for diagnosis or treatment decisions.