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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 2025
Label revision date
January 19, 2026
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 2025
Label revision date
January 19, 2026
Manufacturer
Walmart Inc
Registration number
M012
NDC root
79903-346

If you are a healthcare professional or from the pharmaceutical industry please visit this version.

If you are a consumer or patient please visit this version.

Drug Overview

This medication is designed to temporarily relieve nasal congestion caused by colds, hay fever, or other upper respiratory allergies. It also helps alleviate sinus congestion and pressure, making it easier for you to breathe and feel more comfortable. If you're experiencing these symptoms, this drug may provide the relief you need.

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 also works to ease sinus congestion and pressure, making it easier for you to breathe comfortably.

Rest assured, there are no known teratogenic effects (which means it doesn't cause birth defects) associated with this medication, so you can use it with confidence.

Dosage and Administration

Before using your nasal spray for the first time, make sure to remove the protective cap. You’ll need to prime the pump by pressing down on its rim several times until you see a fine mist. To use the spray, hold the container with your thumb at the base and the nozzle between your first and second fingers. Keep your head upright and gently insert the nozzle into one nostril. Then, fully 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, but make sure not to do this more often than every 10 to 12 hours. It’s important not to exceed 2 doses in a 24-hour period. If you’re considering using this spray for children aged 2 to under 6 years, please consult a doctor first. This medication is not recommended for children under 2 years old.

What to Avoid

It's important to use this product safely to avoid potential issues. You should never exceed the recommended dosage, and it's advised not to use it for more than three days. Using it longer than directed can lead to a worsening of nasal congestion. Additionally, to prevent the spread of infection, avoid sharing this container with others.

Always follow the instructions carefully to ensure your safety and well-being. If you have any concerns or questions about using this product, consider consulting a healthcare professional.

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 lead to worsening 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 spread 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.

Pediatric Use

When considering this medication for your child, it's important to follow specific guidelines based on their age. 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, and do not exceed 2 doses in a 24-hour period.

If your child is between 2 and 6 years old, it's best to consult with a doctor before use. For children under 2 years old, this medication should not be used at all. Always prioritize safety and seek professional advice when it comes to your child's health.

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 considering this medication, it’s important to consult with a healthcare provider. 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 should be used if you have renal impairment (kidney issues).

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your health situation. They can help determine the best course of action based on your kidney function and overall health.

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 (issues with liver function).

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 determine the best course of action based on your individual situation.

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 feel free to ask questions and share your complete list of medications and any lab tests you may be undergoing. This way, you can receive the best possible care tailored to your needs.

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, make sure to follow any specific instructions provided to avoid contamination or damage. Always ensure that your hands and any surfaces are clean to maintain a sterile environment. Proper storage and careful handling are key to ensuring the product works as intended.

Additional Information

No further information is available.

FAQ

What does this drug temporarily relieve?

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

What are the dosage instructions for adults and children 6 years and older?

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 drug?

No, this drug should not be used in children under 2 years. For children aged 2 to under 6 years, consult a doctor.

What should I do if symptoms persist?

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

Are there any teratogenic effects associated with this drug?

No teratogenic effects have been mentioned for this drug.

What precautions should I take when using this drug?

Avoid contact with eyes, do not use by mouth, in nostrils, on wounds, or with tight bandages. Use only as directed and do not exceed the recommended dosage.

What should I do if I accidentally swallow this drug?

If swallowed, seek medical help or contact a Poison Control Center immediately.

Is this drug safe to use during pregnancy or breastfeeding?

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

What are the instructions for using the spray?

Remove the protective cap, prime the pump by pressing its rim several times, hold the container with your thumb at the base, insert the nozzle into your nostril, and fully depress the rim while inhaling deeply.

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 specified 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. A firm, even stroke should be used to fully depress the rim 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

The product should not be used in the following situations:

  • Exceeding the recommended dosage is contraindicated due to the potential for adverse effects.

  • Prolonged use beyond 3 days is contraindicated, as it may lead to the recurrence or worsening of nasal congestion.

  • The use of this product by multiple individuals is contraindicated to prevent the spread of infection.

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 warnings are associated with the use of this product. It is intended 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. Exceeding the recommended dosage or using the product for more than three days is not advised, as frequent or prolonged use may lead to a recurrence or worsening of nasal congestion.

In the event of accidental ingestion, patients should seek medical assistance or contact a Poison Control Center immediately. Additionally, if symptoms persist, it is recommended that patients stop use and consult a healthcare professional. It is important to note that the use of this container by more than one person may increase the risk of spreading infection.

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 warranted 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 6 years and older may receive 2 or 3 sprays in each nostril, administered no more frequently than every 10 to 12 hours, with a maximum of 2 doses in a 24-hour period. For children aged 2 to under 6 years, it is advised to consult a physician before use. The product is contraindicated in children under 2 years of age.

Geriatric Use

Elderly patients may not have specific information regarding the use of this medication, including dosage adjustments, safety concerns, or special precautions. Therefore, healthcare providers should exercise caution when prescribing this medication to geriatric patients. It is advisable to monitor these patients closely for any adverse effects or changes in therapeutic response, 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. It is important to assess the potential risks and benefits, as well as any available data regarding fetal outcomes and lactation. Healthcare providers should consider individual circumstances and the specific needs of the patient when making recommendations.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is currently no available data regarding the excretion of this medication 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 not been specifically addressed in the drug insert regarding dosage adjustments, special monitoring, or safety considerations. Therefore, healthcare professionals should exercise caution when prescribing this medication to patients with reduced kidney function, as the absence of detailed guidance necessitates careful clinical judgment. Regular monitoring of renal function may be advisable in these patients to ensure safety and efficacy.

Hepatic Impairment

Patients with hepatic impairment have not been specifically studied in relation to this medication. Consequently, there are no established 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 assistance is crucial. If the substance is ingested, healthcare professionals should advise patients or caregivers to seek medical help or contact a Poison Control Center without delay.

Prompt intervention is essential to mitigate potential adverse effects associated with overdosage. Symptoms may vary depending on the specific substance involved, and healthcare providers should be prepared to assess and manage these symptoms accordingly.

Management procedures may include supportive care and symptomatic treatment, tailored to the individual patient's needs. Continuous monitoring and evaluation are recommended to ensure patient safety and effective resolution of any complications arising from the overdosage.

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 additional relevant information regarding nonclinical toxicology or animal pharmacology and toxicology has been identified.

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 them 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 trouble 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 container requirements must be adhered to, ensuring that the product is kept in a suitable environment. Special handling needs should be observed to prevent any compromise to 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.

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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.