What is 4 Way Saline?
There are many brands and forms of 4 Way Saline available. Not all brands are listed on this leaflet.
4 Way Saline (for use in the nose) is used to treat stuffy nose, post-nasal drip, dryness inside your nose and nasal passages, or nasal irritation caused by colds, flu, allergies, or pollutants.
This product contains a purified gentle salt solution (also called saline). It does not contain any active drug or medicine.
4 Way Saline may also be used for purposes not listed in this medication guide.
4 Way Saline indications
For the treatment of occasional constipation (irregularity). This product should be used for 7 days or less or as directed by a physician.
How should I use 4 Way Saline?
Use exactly as directed on the label, or as prescribed by your doctor.
Always follow directions on the product label about giving this product to a child.
Do not take by mouth. Nasal products are for use only in the nose.
4 Way Saline is available in many different forms such as a spray, gel, swab, or powder to be mixed with water and used as a nasal rinse.
Read and carefully follow any Instructions for Use provided with the product you use. Ask your doctor or pharmacist if you do not understand these instructions.
You may need to gently blow your nose before using this product.
If you have inserted the spray bottle tip inside your nose, rinse the tip with hot water and dry with a clean tissue after use.
Some nasal sprays bottles will deliver the product as a spray when used with the bottle upright or as a drop when you turn the bottle upside down.
If directed on the product label, wipe the tip of the bottle or nozzle with a clean tissue after each use.
Call your doctor if the condition you are treating with 4 Way Saline does not improve, or if it gets worse while using this product.
Follow all directions on the label about when to replace 4 Way Saline. You may need to throw away the container after a certain amount of time has passed, even if some of the product is still left inside.
Store at room temperature away from moisture and heat.
If your nasal product comes in a spray canister, keep the can away from open flame or high heat. The canister may explode if it gets too hot. Do not puncture or burn an empty nasal spray canister.
Uses of 4 Way Saline in details
This product is used to treat dryness inside the nose (nasal passages). It helps add moisture inside the nose to dissolve and soften thick or crusty mucus. In babies and young children with stuffy noses who cannot blow their noses, using this product helps to make the mucus easier to remove with a nasal bulb syringe. This helps relieve stuffiness and makes breathing easier.
This product contains a purified gentle salt solution (also called saline or sodium chloride solution). It does not contain any medication.
How to use 4 Way Saline nasal
Spray this product into each nostril as needed or as directed by your doctor. This product may also be given into the nose as drops or a stream. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
Try not to touch the container tip to the inside of your nose. If this happens, rinse the tip with hot water and dry with a clean tissue before recapping the container.
If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.
4 Way Saline description
A benzoic-sulfonamide-furan. It is a diuretic with fast onset and short duration that is used for edema and chronic renal insufficiency.
4 Way Saline dosage
4 Way Saline Dosage
Applies to the following strengths: 0.65%; buffered 0.9%; 0.4%; 3%; 0.2%; 0.9%; 2.1%; 0.5%
Usual Adult Dose for:
- Nasal Congestion
Usual Pediatric Dose for:
- Nasal Congestion
Additional dosage information:
- Renal Dose Adjustments
- Liver Dose Adjustments
- Dialysis
Usual Adult Dose for Nasal Congestion
4 Way Saline buffered 0.9% powder for reconstitution:
Nasally once or twice daily.
4 Way Saline 0.2% spray:
1 or 2 sprays in each nostril every 4 hours as needed.
Usual Pediatric Dose for Nasal Congestion
4 Way Saline buffered 0.9% powder for reconstitution:
5 years or older: Nasally once or twice daily.
4 Way Saline 0.2% spray:
2 years or older: 1 spray in each nostril every 4 hours as needed.
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Dialysis
Data not available
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Medical Disclaimer
More about 4 Way Saline
- 4 Way Saline Side Effects
- 19 Reviews
- Drug class: nasal lubricants and irrigations
Consumer resources
- 4 Way Saline
Other brands: 4 Way Saline, 4 Way Saline, Ayr Saline Nasal, Deep Sea Nasal Spray,... +14 more
Related treatment guides
- Nasal Congestion
4 Way Saline interactions
See also:
What other drugs will affect 4 Way Saline?
4 Way Saline may increase the ototoxic potential of aminoglycoside antibiotics, especially in the presence of impaired renal function. Except in life-threatening situations, avoid this combination.
4 Way Saline should not be used concomitantly with ethacrynic acid because of the possibility of ototoxicity. Patients receiving high doses of salicylates concomitantly with furosemide, as in rheumatic disease, may experience salicylate toxicity at lower doses because of competitive renal excretory sites.
4 Way Saline has a tendency to antagonize the skeletal muscle relaxing effect of tubocurarine and may potentiate the action of succinylcholine.
Lithium generally should not be given with diuretics because they reduce lithiums renal clearance and add a high risk of lithium toxicity.
4 Way Saline may add to or potentiate the therapeutic effect of other antihypertensive drugs. Potentiation occurs with ganglionic or peripheral adrenergic blocking drugs.
4 Way Saline may decrease arterial responsiveness to norepinephrine. However, norepinephrine may still be used effectively.
Tablets
Simultaneous administration of sucralfate and furosemide tablets may reduce the natriuretic and antihypertensive effects of furosemide. Patients receiving both drugs should be observed closely to determine if the desired diuretic and/or antihypertensive effect of furosemide is achieved. The intake of furosemide and sucralfate should be separated by at least two hours.
Tablets, Injection, and
Oral Solution
One study in six subjects demonstrated that the combination of furosemide and acetylsalicylic acid temporarily reduced creatinine clearance in patients with chronic renal insufficiency. There are case reports of patients who developed increased BUN, serum creatinine and serum potassium levels, and weight gain when furosemide was used in conjunction with NSAIDs.
Literature reports indicate that coadministration of indomethacin may reduce the natriuretic and antihypertensive effects of furosemide in some patients by inhibiting prostaglandin synthesis. Indomethacin may also affect plasma renin levels, aldosterone excretion, and renin profile evaluation. Patients receiving both indomethacin and furosemide should be observed closely to determine if the desired diuretic and/or antihypertensive effect of furosemide is achieved.
4 Way Saline side effects
See also:
What are the possible side effects of 4 Way Saline?
Side effects usually do not occur with use of this product. However, if the inside of your nose is very dry and irritated, stinging may occur. If this effect persists or worsens, tell your doctor or pharmacist promptly.
If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
4 Way Saline contraindications
See also:
What is the most important information I should know about 4 Way Saline?
4 Way Saline is contraindicated in patients with anuria and in patients with a history of hypersensitivity to furosemide.
Active ingredient matches for 4 Way Saline:
References
- DailyMed. "AMINO ACIDS; CALCIUM ACETATE; GLYCERIN; MAGNESIUM ACETATE; PHOSPHORIC ACID; POTASSIUM CHLORIDE; SODIUM ACETATE; SODIUM CHLORIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
- PubChem. "sodium chloride". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
- DrugBank. "Sodium Chloride". http://www.drugbank.ca/drugs/DB09153 (accessed September 17, 2018).
Reviews
The results of a survey conducted on ndrugs.com for 4 Way Saline are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking 4 Way Saline. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.User reports
Consumer reported useful
No survey data has been collected yetConsumer reported price estimates
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Information checked by Dr. Sachin Kumar, MD Pharmacology
