Does NyQuil reduce nasal congestion?

Does NyQuil reduce nasal congestion?

No, the original version of NyQuil does not reduce nasal congestion as it does not contain a decongestant. NyQuil usually contains three active ingredients: Dextromethorphan, Acetaminophen, and Doxylamine. (1)

Dextromethorphan helps with your cough as it is an antitussive medication. Acetaminophen is an OTC painkiller which also reduces fever, a common symptom of cold and flu. 

Doxylamine is a sedative antihistamine. It helps reduce a variety of allergy symptoms and helps induce sleep, hence the name NyQuil (the daytime formulation is called DayQuil and it does not contain Doxylamine). 

As none of the active ingredients of the original NyQuil works to reduce nasal congestion, it will not resolve your problem. It is important to note that formulations with similar active ingredients, such as DayQuil and NyQuil, should not be used together.

However, the original NyQuil formulation can be taken with a decongestant, like Sudafed (Pseudoephedrine) or Sudafed PE (Phenylephrine). These medications can be safely taken together for several cold and flu symptoms. However, make sure you use the original version of NyQuil.

It can also be used with expectorants like Mucinex safely.

What medications reduce nasal congestion?

Several medications can help reduce nasal congestion, providing relief from stuffy or blocked noses. Some common medications include (2):

  • Decongestants: These medications work by narrowing the blood vessels in the nasal passages, reducing swelling and congestion. Examples include Sudafed (pseudoephedrine) and phenylephrine (3).
  • Antihistamines: While primarily used to treat allergies, certain antihistamines can also help with nasal congestion by reducing inflammation in the nasal passages. Examples include Zyrtec (Cetirizine) and Claritin (Loratadine). (4)
  • Nasal sprays: Nasal sprays like Afrin (Oxymetazoline) provide quick relief from nasal congestion by directly targeting the swollen blood vessels in the nose. However, they should only be used for a short duration to avoid rebound congestion. (5)
  • Combination products: Some over-the-counter cold and flu medications contain a combination of ingredients to provide relief from multiple symptoms, including nasal congestion. Examples include Dayquil and Nyquil severe.
  • Nasal corticosteroids: These prescription medications, such as Flonase (Fluticasone) and Nasonex (Mometasone), help reduce inflammation in the nasal passages, providing long-term relief from nasal congestion. (5)

Final words

If you want to control your nasal congestion, go for NyQuil Severe. This version of NyQuil contains one additional ingredient – Phenylephrine (6). This ingredient is a nasal decongestant and can actively manage your symptoms. 

If NyQuil Severe is not available where you are, you can take an additional nasal decongestant, like Sudafed (Pseudoephedrine) or Sudafed PE (Phenylephrine) to take with the original formulation of NyQuil. 

Was this helpful?

Thanks for your feedback!

References

1.-

LABEL: VICKS NYQUIL COLD AND FLU- acetaminophen, dextromethorphan hydrobromide, and doxylamine succinate capsule, liquid filled. DailyMed [Internet]. Available from: https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=620bc3dc-099b-40bd-be22-e4c3f9c8e09d&type=pdf

2.-

Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000 Sep;79(9):690-3, 696, 698 passim. PMID: 11011488. https://pubmed.ncbi.nlm.nih.gov/11011488/

3.-

Empey DW, Medder KT. Nasal decongestants. Drugs. 1981 Jun;21(6):438-43. doi: 10.2165/00003495-198121060-00003. PMID: 6166444. https://pubmed.ncbi.nlm.nih.gov/6166444/

4.-

Hore I, Georgalas C, Scadding G. Oral antihistamines for the symptom of nasal obstruction in persistent allergic rhinitis–a systematic review of randomized controlled trials. Clin Exp Allergy. 2005 Feb;35(2):207-12. doi: 10.1111/j.1365-2222.2005.02159.x. Erratum in: Clin Exp Allergy. 2005 Apr;35(4):547. PMID: 15725193. https://pubmed.ncbi.nlm.nih.gov/15725193/

5.-

Benninger M. Diagnosis and management of nasal congestion: the role of intranasal corticosteroids. Postgrad Med. 2009 Jan;121(1):122-31. doi: 10.3810/pgm.2009.01.1961. PMID: 19179820. https://pubmed.ncbi.nlm.nih.gov/19179820/

6.-

LABEL: VICKS NYQUIL SEVERE COLD AND FLU- acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, and phenylephrine hydrochloride solution. DailyMed [Internet]. Available from: https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=d1657403-b953-4db1-9a86-343e9e769a1a&type=pdf