Rhofade

Nasal Intubation, Rhinorrhea, Rhinitis, Allergic + 10 more

Treatment

3 FDA approvals

6 Active Studies for Rhofade

What is Rhofade

Oxymetazoline

The Generic name of this drug

Treatment Summary

Oxymetazoline is a medication that works by stimulating alpha-adrenergic receptors. It is available in various formulations and is used to treat facial redness, nasal congestion, and acquired blepharoptosis (ptosis). OTC intranasal sprays are used to relieve symptoms of the common cold, hay fever, and other upper respiratory allergies. Oxymetazoline is also used for regional anesthesia during dental procedures in both children and adults. In July 2020, the FDA approved the use of an ophthalmic formulation of oxymetazoline for the first time.

Afrin Original Pump Mist

is the brand name

image of different drug pills on a surface

Rhofade Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Afrin Original Pump Mist

Oxymetazoline

1975

7

Approved as Treatment by the FDA

Oxymetazoline, commonly known as Afrin Original Pump Mist, is approved by the FDA for 3 uses including Anesthesia, Conduction and Obesity .

Anesthesia, Conduction

Used to treat induction of Regional Anesthesia in combination with Tetracaine

Obesity

Used to treat weight 40 kg or more in combination with Tetracaine

Anesthesia, Conduction

Used to treat Regional Anesthesia therapy in combination with Tetracaine

Effectiveness

How Rhofade Affects Patients

Oxymetazoline is a medication that helps to narrow the blood vessels, reducing blood flow. It has a strong affinity for two types of adrenergic receptors (α1A- and α2B-adrenoceptors) and has a long-lasting effect when used intranasally to relieve nasal congestion. Studies have also shown that oxymetazoline has antioxidant properties, which helps protect cells from damage caused by oxidants related to inflammation.

How Rhofade works in the body

Oxymetazoline works by activating certain receptors on the cells in the body. This triggers a reaction that causes the muscles to contract, and promotes constriction of the blood vessels. This reduces swelling and inflammation in the area. This drug is commonly used to treat redness on the face due to rosacea, to lift drooping eyelids, and to reduce nasal congestion. It is also often used in combination with other drugs for local anesthesia in dentistry, to counteract the vasodilatory effects of the anesthesia.

When to interrupt dosage

The suggested dosage of Rhofade is contingent upon the determined condition, including Regional Anesthesia, weight 40 kg or more and Hay Fever. The dosage amount is contingent upon the technique of delivery (e.g. Solution - Nasal or Solution) featured in the table beneath.

Condition

Dosage

Administration

Sinus Congestion

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Postoperative Hemorrhage

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Nasal Intubation

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Rhinorrhea

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Rhinitis, Allergic

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Obesity

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Nasal Congestion

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Acquired Blepharoptosis

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Anesthesia, Conduction

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Rosacea

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Anesthesia, Conduction

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Airway visualization

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

persistent facial erythema

, 0.5 mg/mL, 50.0 mg/mL, 0.75 mg/mL, 0.0005 mg/mL, 0.512 mg/mL, 0.5095 mg/mL, 0.5055 mg/mL, 0.000005 mL/mL, 2.0 mg/mL, 0.05 mg/mL, 0.05 %, 0.025 %, 0.05 mg, 0.5 %, 0.25 mg/mL, 0.0005 mg/mg, 0.01 mg/mg, 500.0 mg/mL, 1.0 mg/mL, 5.0 mg/mL, 1.5 mg/mL

, Nasal, Spray, Spray - Nasal, Spray, metered, Spray, metered - Nasal, Topical, Liquid - Topical, Solution - Nasal, Solution, Solution / drops; Spray, Solution / drops; Spray - Nasal, Ophthalmic, Liquid, Liquid - Ophthalmic, Solution / drops - Ophthalmic, Solution / drops, Cream, Cream - Topical, Solution - Ophthalmic, Spray - Topical, Solution / drops - Nasal, Kit, Liquid - Nasal, Nasal; Oral, Kit - Topical, Jelly, Jelly - Nasal, Oral, Spray - Oral

Warnings

Rhofade has one recognized contraindication, so it should not be utilized in conjunction with the conditions given in the following table.

Rhofade Contraindications

Condition

Risk Level

Notes

Severe Hypersensitivity Reactions

Do Not Combine

Oxymetazoline may interact with Pulse Frequency

There are 20 known major drug interactions with Rhofade.

Common Rhofade Drug Interactions

Drug Name

Risk Level

Description

Antazoline

Major

The absorption of Antazoline can be decreased when combined with Oxymetazoline.

Azelastine

Major

The absorption of Azelastine can be decreased when combined with Oxymetazoline.

Beclomethasone dipropionate

Major

The absorption of Beclomethasone dipropionate can be decreased when combined with Oxymetazoline.

Betamethasone

Major

The absorption of Betamethasone can be decreased when combined with Oxymetazoline.

Budesonide

Major

The absorption of Budesonide can be decreased when combined with Oxymetazoline.

Rhofade Toxicity & Overdose Risk

In rats, the toxic dose of oxymetazoline is 680 micrograms/kg when taken orally and 1630 micrograms/kg when taken subcutaneously. In mice, the toxic dose is 4700 micrograms/kg when taken orally, 48 milligrams/kg when taken intraperitoneally, and 34 milligrams/kg when taken subcutaneously. People who overdose on oxymetazoline may experience dizziness, chest pain, headaches, heart attack or stroke, vision problems, abnormal heart rhythm, high or low blood pressure, drowsiness, widening of the pupils, hypothermia,

image of a doctor in a lab doing drug, clinical research

Rhofade Novel Uses: Which Conditions Have a Clinical Trial Featuring Rhofade?

13 active clinical trials are currently examining the potential of Rhofade to alleviate Nasal Congestion, Conduction Anesthesia and Ear Structure.

Condition

Clinical Trials

Trial Phases

Postoperative Hemorrhage

6 Actively Recruiting

Not Applicable, Phase 2, Phase 3

persistent facial erythema

0 Actively Recruiting

Rhinorrhea

0 Actively Recruiting

Anesthesia, Conduction

0 Actively Recruiting

Rosacea

0 Actively Recruiting

Acquired Blepharoptosis

0 Actively Recruiting

Anesthesia, Conduction

0 Actively Recruiting

Airway visualization

0 Actively Recruiting

Nasal Congestion

0 Actively Recruiting

Rhinitis, Allergic

0 Actively Recruiting

Nasal Intubation

0 Actively Recruiting

Obesity

0 Actively Recruiting

Sinus Congestion

0 Actively Recruiting

Rhofade Reviews: What are patients saying about Rhofade?

5

Patient Review

11/10/2019

Rhofade for Acne Rosacea

I had tried a number of topical treatments from my dermotologist, such as Mirvaso, Desonide Lotion, Finacea and Metronidazole cream, before trying Rhofade. This one did the trick; it is amazing. I had terribly hot red skin that would show up after around noon during the day, but one application of Rhofade in the morning after my shower moisturizes and keeps the rosecea redness away from ever appearing ALL DAY. It was a miracle-- though very expensive, it was well worth it.

5

Patient Review

2/2/2022

Rhofade for Acne Rosacea

I've used Mirvaso in the past and had terrible rebound flushing, but Rhofade doesn't have that same problem. In fact, it might have even helped with the redness permanently!
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about rhofade

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does Rhofade help rosacea?

"The drug Rhofade is used to treat rosacea by reducing the size of the blood vessels near the surface of the skin. This helps to reduce the amount of blood flow through these vessels and decreases the facial redness associated with the condition."

Answered by AI

Can Rhofade make rosacea worse?

"The most common side effects when using RHOFADE® cream include dermatitis, worsening of rosacea pimples, itching, redness, and pain."

Answered by AI

How long does it take Rhofade to work?

"Rhofade works to reduce facial redness within 3 hours of first use for up to 11.6% of patients. With regular use over the course of one year, 36.7% of patients have a 2-grade or greater improvement in their redness score when measured 3 hours after Rhofade has been applied."

Answered by AI

What does Rhofade do for your face?

"The medication oxymetazoline is used to treat the skin disorder rosacea by narrowing the blood vessels in the face. Oxymetazoline belongs to a class of drugs known as a sympathomimetic (alpha receptor agonist), which may help to decrease facial redness caused by rosacea."

Answered by AI

Clinical Trials for Rhofade

Image of St. Mary's Hospital Center in Montreal, Canada.

Tranexamic Acid for Postoperative Hemorrhage

18+
All Sexes
Montreal, Canada

Tranexamic acid (TXA) is an anti-fibrinolytic agent developed in the 1960s that has been safely used to reduce blood loss, transfusion rates and bleeding-associated mortality in trauma, obstetrics and orthopedic surgery, including hip fracture care and arthroplasty. The efficacy and safety profile of TXA has been extensively studied in numerous clinical trials and observational studies. Its wide range of applications, combined with its favourable risk-benefit ratio, has led to the incorporation of TXA into clinical guidelines and protocols worldwide. This RCT aims to compare the current standard dosing for TXA to additional TXA doses given orally post-operatively for THA and TKA patients. The goal is to compare the following between study groups: visible bleeding on post-operative dressing, mobilization (steps, amount of time moving around), pain (visual analog scale), function (Oxford hip and knee scales) and ROM at four to six weeks.

Recruiting
Has No Placebo

St. Mary's Hospital Center

Jennifer Mutch, MDCM, FRCSC

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