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Xylometazoline nasal drops induced anaphylaxis: An atypical perioperative complication


 Department of Anaesthesia, Gian Sagar Medical College, Banur, Patiala, Punjab, India

Correspondence Address:
Rudrashish Haldar,
Department of Anaesthesia, Gian Sagar Medical College, Banur, Patiala - 140 601, Punjab
India
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Source of Support: None, Conflict of Interest: None

Xylometazoline nasal drops used for nasal decongestion can have side-effect in the form of palpitation, hypertension, headache, and tremors. Anaphylaxis to xylometazoline nasal drops is a relatively unrecognized complication. We encountered a patient posted for tonsillectomy who developed serious anaphylaxis upon administration of a commercially available preparation of xylometazoline nasal drops and required aggressive management for stabilization. Further evaluation and literature search indicated toward the preservative (benzylalkonium chloride) as the cause of this adverse event.


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    -  Haldar R
    -  Bajwa SS
    -  Kaur J
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