Pivalone neomycin

By Medically reviewed by Hello Doktor Medical Panel


What is pivalone neomycin used for?

Pivalone neomycin is commonly used for treating allergic rhinitis, seasonal rhinitis, acute congestive rhinitis, chronic congestive rhinitis, and vasomotor rhinitis.

How should I take pivalone neomycin?

This drug may be taken on a full or empty stomach.

How do I store pivalone neomycin?

Pivalone neomycin is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store pivalone neomycin in the bathroom or the freezer. There may be different brands of pivalone neomycin that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush pivalone neomycin down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using pivalone neomycin?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of pivalone neomycin or other medications.
  • You have any other illnesses, disorders, or medical conditions.
  • You have epistaxis.

To be used after carefully blowing or cleaning the nose.

In the event of systemic signs of bacterial infection, treatment with a systemic antibiotic must be considered.

Events of epidural lipomatosis, central serous chorioretinopathy and pheochromocytoma crisis have been associated with systemic administration of corticosteroids. Long-term administration of inhaled or topical corticosteroid formulations may also be associated with these potential systemic effects.

Pivalone neomycin would not be expected to impair the ability to drive or use machines.
Existence of viral or fungal infections during treatment and existence of significant local superinfection.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using pivalone neomycin during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking pivalone neomycin. Pivalone neomycin is pregnancy risk category D, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from pivalone neomycin?

Reactions of local intolerance (tingling sensations) can occur early in treatment.

A few local reactions, either type of dry nasal mucosa, or allergic-type (cutaneous edema of the face, exceptionally angioedema) have been reported.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.


What drugs may interact with pivalone neomycin?

Pivalone neomycin may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with pivalone neomycin?

Pivalone neomycin may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with pivalone neomycin?

Pivalone neomycin may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.


The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using pivalone neomycin.

What is the dose of pivalone neomycin for an adult?

1 to 2 pulverizations in each nostril 2 to 4 times a day. Do not exceed the prescribed dose.

What is the dose of pivalone neomycin for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is pivalone neomycin available?

Pivalone neomycin is available in the following dosage forms and strengths:

  • Pivalone neomycin nasal suspension (100-mg doses) 10 mL. Each mL contains tixocortol pivalate 1 g and N-cetylpyridinium chloride 0.02 g.

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.                                                 

What should I do if I miss a dose?

If you miss a dose of pivalone neomycin, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Share now :

Review Date: April 18, 2017 | Last Modified: December 19, 2019

You might also like