The Navigation Model of Therapy: Why Awareness Changes Everything
November 16, 2025
Brand Name :
Benzedrex
Synonyms :
propylhexedrine
Class :
Decongestants, Intranasal
Dosage Forms & StrengthsÂ
Intranasal inhalerÂ
250mg/actuationÂ
Take 1 to 2 inhalations per nostril every 2 hours as required and not more than for 3 days
Dosage Forms & StrengthsÂ
Intranasal inhalerÂ
250mg/actuationÂ
for <6 years old: Not suggested
for ≥6 years old:
Take 1 to 2 inhalations per nostril every 2 hours as required and not more than for 3 days
Refer to adult dosingÂ
Actions and SpectrumÂ
propylhexedrine works by promoting the release of norepinephrine and dopamine, which are neurotransmitters in the brain. Â
This leads to vasoconstriction in the nasal passages, reducing congestion and promoting airflow.
Frequency not defined Â
StingingÂ
BurningÂ
DrynessÂ
AnxietyÂ
Sweating Â
Rebound congestionÂ
RestlessnessÂ
TremorÂ
Black Box WarningÂ
NoneÂ
Contraindication/Caution:Â
Contraindication:Â
Caution:Â
Pregnancy consideration:Â
Pregnancy category: N/AÂ
Lactation: Excretion into human milk is unknown Â
Pregnancy Categories:        Â
Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.Â
<b>Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. Â
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.Â
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.Â
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.Â
Category N: There is no data available for the drug under this category.Â
Pharmacology Â
propylhexedrine has vasoconstrictive effects. This can lead to an increase in blood pressure and heart rate. Â
The increased release of norepinephrine and the resulting vasoconstriction contribute to cardiovascular stimulation. Â
PharmacodynamicsÂ
Stimulation of alpha-1 adrenergic receptors leads to vasoconstriction and increased blood pressure.Â
Stimulation of beta-1 adrenergic receptors increases heart rate and cardiac output.Â
PharmacokineticsÂ
Absorption  Â
When inhaled, propylhexedrine is absorbed through the mucous membranes of the nasal passages. Â
DistributionÂ
propylhexedrine enters the bloodstream and is distributed throughout the body. Â
MetabolismÂ
propylhexedrine is metabolized by the liver. Â
Elimination and excretionÂ
The metabolites of propylhexedrine are excreted through the urine.
AdministrationÂ
propylhexedrine is administered through nasal route and available in form of inhalers.Â
Patient information leafletÂ
Generic Name: propylhexedrineÂ
Why do we use propylhexedrine?Â
propylhexedrine is widely used for its nasal decongestant properties.  Â
propylhexedrine is used to provide temporary relief from nasal congestion due to allergies, colds, or sinus congestion.