Iliadin Aloe 1,0 ml Nasal spray, solution

iliadin Aloe is indicated for the relief of nasal congestion due to the common cold (acute rhinitis), sinusitis, allergic rhinitis. Indicated as adjunctive treatment in middle ear infection.

Posology

Adults: 1-2 sprays into each nostril 2 u2013 3 times a day.

Paediatric population

Children over 6 years: 1 spray into each nostril 2 - 3 times a day.

Not intended for children below the age of 6 years.

The single dose given for iliadin Aloe must not be administered more than 3 times a day. Do not administer for longer than 5 days. Do not exceed the recommended dosage. If symptoms persist, consult a health care provider.

Method of Administration

Metered Nose Spray for nasal use.

For best results keep both the head and spray bottle in an upright position. Remove cap by pulling and insert the nozzle of the spray loosely into the nostril with the middle and forefinger around the bottom of the nozzle and the thumb on the base of the bottle. Depress the spray mechanism (as shown in the diagram) thus producing a fine mist. Sniff in to ensure an even distribution of the spray. Withdraw from nostril and release the spray mechanism. Repeat for the other nostril.

• Hypersensitivity to the active ingredient, benzalkonium chloride or any of the other ingredients listed in section 6.1.
• Rhinitis sicca (inflammation of the skin and mucosa of the nasal vestibule and encrustation).
• Children below six years of age.
• In patients following a trans-sphenoidal hypophysectomy.

In the following cases, iliadin Aloe may only be used after carefully weighing the risk-to-benefit ratio:

• Patients treated with monoamine oxidase inhibitors or, have taken MAOIs in the previous two weeks or, tricyclic antidepressants, and other medicines such as stated in 4.5.
• Medicines potentially increasing blood pressure.
• Increased intraocular pressure, especially narrow-angle glaucoma.
• Severe cardiovascular diseases (e.g. coronary heart disease, angina, hypertension, cardiac asthma).
• Phaeochromocytoma.
• Metabolic disorders (e.g. hyperthyroidism, diabetes mellitus, porphyria).
• Hyperplasia of the prostate.
• Do not exceed the recommended dose.
• If symptoms worsen or do not improve after 3 days, physician should re-evaluate clinical situations.
• iliadin Aloe should be used for a maximum of 5 consecutive days to avoid a rebound-effect and drug-induced rhinitis.
• Long-term use and overdosage of iliadin Aloe should be avoided. The efficacy iliadin Aloe may be reduced (tachyphylaxis) with long-term use or overdose. This may lead to use of higher doses or to more frequent usage which, in turn, can result in permanent use. If long term use or overdose occurs, treatment should be discontinued immediately.
• Continuous use may cause nasal congestion due to reactive hyperaemia of the nasal mucosa (rebound effect) and chronic swelling of the nasal mucosa (rhinitis medicamentosa) as well as mucosal atrophy or rhinitis sicca. Rebound effects and tachyphylaxis should stop once use of iliadin Aloe is discontinued.
• Medical supervision is indicated in patients with chronic rhinitis.
• Dosages higher than recommended may only be used under medical supervision.

The concomitant use of iliadin Aloe and certain mood-stimulating medicines with hypertensive effect (e.g. MAO inhibitors and tricyclic antidepressants) may lead to an increase in blood pressure or hypertensive crisis due to their cardiovascular activity.

The efficacy of beta-blocking drugs such as methyldopa, bethanidine, debrisoquine and guanethidine or other anti-hypertensive drugs may be reduced with concomitant use of iliadin Aloe.

Possible additive cardiovascular toxicity may occur when sympathomimetics are given with antiparkinsonian drugs such as bromocriptine.

Pregnancy and lactation

iliadin Aloe should only be used after the consultation with a medical practitioner during pregnancy and lactation. The recommended dosage must not be exceeded.

Fertility

No data are available on the effects of iliadin Aloe on human fertility.

No impairment is to be expected if used as recommended. Systemic effects with involvement of the cardiovascular or central nervous system cannot be excluded after prolonged administration of iliadin Aloe or intake of oxymetazoline containing cold remedies in doses higher than recommended. In these cases, the ability to drive a vehicle or operate machinery can be impaired.

Immune system disorders:

Frequency unknown: Hypersensitivity reactions (angioedema, rash, pruritus).

Psychiatric disorders:

Frequency unknown: Insomnia, restlessness.

Nervous system disorders:

Less frequent: Headache or light-headedness, nervousness, anxiety, irritability.

Frequency unknown: Somnolence, sedation, hallucinations, convulsions.

Cardiac disorders:

Frequency unknown: Palpitations, tachycardia.

Vascular disorders:

Frequency unknown: Hypertension (increased blood pressure).

Respiratory, thoracic and mediastinal disorders:

Frequent: Aqueous nasal secretions.

Frequent: Crusted nose.

Less frequent: Rebound congestion (increase in runny or stuffy nose).

Frequency unknown: Nasal discomfort (burning of the nasal mucosa), nasal dryness, sneezing, after the effect has worn off increased swelling of the mucosa (reactive hyperaemia), epistaxis.

General disorders and administration site conditions:

Frequency unknown: Fatigue, tachyphylaxis (associated with long-term use or overdose).

Systemic effects have occurred after local administration. If unexpected side effects appear, a medical practitioner should be consulted immediately.

Overdosage may occur after nasal or accidental oral administration. The efficacy of iliadin Aloe may be reduced (tachyphylaxis) with long-term use or overdose. This may lead to use of higher doses or to more frequent usage which, in turn, can result in permanent use. If long term use or overdose occurs, treatment should be discontinued immediately.

The clinical picture following intoxication with imidazol-derivatives may be unclear due to the occurrence of episodes of hyperactivity alternated with episodes of depression of the central nervous system and of the cardiovascular and pulmonary system.

Symptoms

Symptoms of an overdose may be: Hypertension, tachycardia, palpitations, cardiac dysrhythmia, cardiac arrest, sweating, agitation, convulsion, mydriasis, nausea, vomiting, cyanosis, fever, spasms, circulatory collapse, pulmonary oedema, respiratory disorders, psychic disorders, drowsiness, paleness, miosis, decrease in body temperature, bradycardia, shock-like hypotension, apnoea, loss of consciousness and coma.

In children above 6 years, in particular, overdose often causes dominating central nervous effects with convulsions and coma, bradycardia, apnoea as well as hypertension possibly followed by hypotension.

Therapeutic measures after overdosage

In-house intensive-care therapy is indicated in cases of severe overdose. Administration of medicinal charcoal (absorbent) or sodium sulfate (laxative) should be performed rapidly. A non-selective alpha-blocker can be given as antidote. If required, initiate fever lowering measures, anticonvulsive therapy and oxygen ventilation. Vasopressors are contraindicated.