Drug intelligence / Profile preview

xylometazoline + dexamethasone

Development stage
Unknown
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules
Administration
Intranasal, Topical
01

Overview

Xylometazoline + dexamethasone is a fixed-dose combination nasal preparation used primarily for the symptomatic relief of nasal congestion and inflammation associated with allergic rhinitis, sinusitis, or upper respiratory tract infections. Xylometazoline is an imidazoline derivative and direct-acting alpha-adrenergic agonist that causes vasoconstriction of the nasal mucosa by stimulating alpha-adrenoceptors, leading to reduced swelling and improved airflow[2][7]. Dexamethasone is a potent synthetic corticosteroid that binds to glucocorticoid receptors to inhibit pro-inflammatory signals and suppress immune responses[3][5]. The combination leverages the rapid decongestant effect of xylometazoline with the anti-inflammatory action of dexamethasone for enhanced symptomatic relief in conditions where both congestion and inflammation are present.

Brand names
Otrivin-DXyloDexa
Other names
xylomethazoline + dexamethasone
02

Targets

ADRA1A (α1A)GR (Glucocorticoid receptor)ADRA2A (α2A)

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