Spray-Tish contains the active ingredient tramazoline hydrochloride. Spray-Tish is a nasal decongestant. It works by clearing a stuffy or blocked nose
               by shrinking the inflamed and swollen blood vessels in the lining of the nose.
            
            
               Spray-Tish is used to relieve a stuffy or blocked nose (nasal congestion) associated
                  with the common cold, hayfever and rhinitis. A runny nose, nasal congestion, itching
                  and sneezing, are typical symptoms of a condition known as rhinitis.
               
             
         
            
            
2.	What should I know before I use Spray-Tish?
            
         
            
            
Warnings
            
         
            
            Do not use Spray-Tish if:
            
            
            you are allergic to tramazoline hydrochloride, or any of the ingredients listed at
               the end of this leaflet. Always check the ingredients to make sure you can use this
               medicine
            
            the lining of your nose is dry and has formed crusts or scabs. For example, a condition
               called “rhinitis sicca”
            
            you have had brain surgery via the nasal cavity
            
            you have an eye problem called “narrow-angle glaucoma”
            
             
         
            
            Check with your doctor or pharmacist if you:
            
            
            have any other medical conditions, including those listed below: 
               
               
arterial hypertension
               
               heart disease
               
               an enlarged prostate
               
               a rare condition called “porphyria” (a disorder of blood pigment metabolism)
               
               phaechromocytoma (a tumour on the adrenal gland near the kidney which gives rise to
                  hypertension)
               
               an eye problem called “glaucoma”
               
               high blood pressure
               
               hyperthyroidism (an overactive thyroid gland)
               
               diabetes mellitus.
               
               take any medicines for any other condition
            
            
            Only use Spray-Tish if it has been prescribed for you by a doctor or recommended by
               your pharmacist.
            
            Never give it to someone else even if their symptoms seem to be the same as yours.
            
            You should not use Spray-Tish if the packaging is torn or shows signs of tampering.
            
            During treatment, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects?
 
         
            
            Pregnancy and breastfeeding
            
            Check with your doctor or pharmacist if you are pregnant or intend to become pregnant.
            
            Spray-Tish should not be used in the first trimester of pregnancy. In the second and
               third trimesters of pregnancy, special care is recommended and the benefits of Spray-Tish
               must be assessed against any risks. Your doctor will discuss the risks and benefits
               of using Spray-Tish while you are pregnant.
            
            Talk to your doctor or pharmacist if you are breastfeeding or intend to breastfeed.
               Special care is recommended if you are breastfeeding.
             
         
            
            Use in children
            
            Children under six years of age should not use Spray-Tish.
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Tell your doctor or pharmacist if you are taking any other medicines, including any
               medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
               supermarket or health food shop. 
            
            
               Some medicines may interfere with Spray-Tish and affect how it works. These include:
               
            
            
            medicines used to treat depression such as monoamine oxidase inhibitors (MAOIs) or
               tricyclic antidepressants
            
            medicines used to lower blood pressure
            
            medicines containing tramazoline hydrochloride
            
            other medicines for a stuffy or blocked nose
            
            
            It is important to discuss this with your doctor or pharmacist because Spray-Tish
               may in the presence of some medicines, increase side effects including changes to
               the heart rate or other changes to the cardiovascular system.
            
            Before using Spray-Tish you should also tell your doctor or pharmacist when you last
               used Spray-Tish or other medicines for a stuffy or blocked nose.
            
            This is important as long-term use of Spray-Tish or other medicines used to treat
               a blocked or stuffy nose, may cause a chronic stuffy or blocked nose and damage the
               lining of your nose.
            
            A condition called ‘rebound congestion’, which causes a chronic stuffy or blocked
               nose may also occur. This condition may occur when you stop using Spray-Tish, if you
               have used it for a longer period of time than recommended.
            
            Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
               or supplements you are taking and if these affect Spray-Tish.
             
         
            
            
4.	How do I use Spray-Tish? 
            
         
            
            How much to use
            
            
            The recommended dose for adults and children six years of age and over is 1 to 2 sprays
               into each nostril up to four times daily as required. If your doctor or pharmacist
               has changed this dose you should ask for further information from your doctor or pharmacist.
               
            
            Do not use Spray-Tish for more than 3 days without medical advice. 
            
            Frequent or prolonged use may cause nasal congestion to recur or worsen.
            
            Follow the instructions provided with the medicine.
            
            If congestion persists, consult your doctor or pharmacist.
            
            Do not exceed the recommended dosage.
            
             
         
            
            How to use Spray-Tish
            
            Read complete directions carefully and use only as directed.
            
            
               Do not spray in or around your eyes. It may cause irritation.
            
            Do not pierce the nozzle or attempt to enlarge the hole. The hole in the nozzle is
               a special size to allow the correct dose of Spray-Tish to enter your nostril when
               you depress the spray pump.
            
            
            
               1. Remove protective cap.
             
            
            
               2. Before using the spray pump for the first time, rapidly depress the spray pump until an even spray mist is released (see Figure
                     1). Your Spray-Tish is now primed and ready for use.
             
            
            
            
            
            
            
            (Figure 1)
            
            
            
            With subsequent use, the spray pump is immediately functional. However, if used infrequently,
               it may require repriming.
            
            
            
               3. Blow nose thoroughly before using the nasal spray.
             
            
            
               4. Insert the spray adaptor into the nostril and depress the spray pump while breathing
                     in gently through the nose (see Figure 2). Administer 1 to 2 sprays and then repeat
                     in the other nostril.
             
            
            
            
            
            
            
            (Figure 2)
            
            
            
            
            
               5. Replace protective cap after use.
             
            
            
            It is recommended that the spray adaptor be cleaned after use.
            
            Ask your doctor or pharmacist for advice if you have any problems with using this
               medicine.
             
         
            
            If you use too much Spray-Tish
            
            If you think that you have used too much Spray-Tish, or if you have accidentally swallowed
               some or all of the contents, you may need urgent medical attention.
            
            
               You should immediately:
               
            
            
            phone the Poisons Information Centre 
(by calling
               13 11 26), or
            
            contact your doctor, or
            
            go to the Emergency Department at your nearest hospital.
            
            
            
               You should do this even if there are no signs of discomfort or poisoning.
               
            
            Signs of overdose expected may include tiredness, occasionally insomnia, dizziness
               and nausea. An increase in blood pressure and heart rate may, especially in children,
               be followed by a fall in body temperature, drop in blood pressure, shock and slowing
               of the heart. In addition, other symptoms of overdose not mentioned above may also
               occur.
             
         
            
            
5.	What should I know while using Spray-Tish?
            
         
            
            Things you should do
            
            Remind any doctor, dentist or pharmacist you visit that you are using Spray-Tish.
             
         
            
            Things you should not do
            
            
            Spray-Tish is for short-term use only. Spray-Tish should not be used for more than
               3 days at a time unless advised by a doctor or pharmacist.
            
            Do not use Spray-Tish when the medicine is running out and it is no longer possible
               to obtain a firm spray.
            
             
         
            
            Driving or using machines
            
            
               Be careful before you drive or use any machines or tools until you know how Spray-Tish
                  affects you.
               
            
            Spray-Tish may cause drowsiness, dizziness, fatigue or hallucinations in some people.
               Make sure you know how you react to it before you drive a car, operate machinery,
               or do anything else that could be dangerous if you feel dizzy.
             
         
            
            Looking after your medicine
            
            
            It is recommended that the spray adaptor be cleaned after use.
            
            Store below 30°C.
            
            Do not freeze.
            
            
            Follow the instructions in the carton on how to take care of your medicine properly.
            
            Store it in a cool dry place away from moisture, heat or sunlight; for example, do
               not store it:
            
            
            in the bathroom or near a sink, or
            
            in the car or on window sills.
            
            
            
               Keep it where young children cannot reach it.
               
             
         
            
            Getting rid of any unwanted medicine
            
            If you no longer need to use this medicine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            Do not use this medicine after the expiry date.
             
         
            
            
6.	Are there any side effects?
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
               
            
            See the information below and, if you need to, ask your doctor or pharmacist if you
               have any further questions.
             
         
            
            Less serious side effects
            
            
            
             
             
         
            
            Serious side effects
            
            
            
            
               Tell your doctor or pharmacist if you notice anything else that may be making you
                  feel unwell. 
               
            
            Other side effects not listed here may occur in some people.
             
         
            
            Reporting side effects
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
               this medicine.
 
         
            
            
7.	Product details
            
         
            
            This medicine is available over-the-counter without a doctor's prescription.
             
         
            
            What Spray-Tish contains
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Active ingredient 
                            
                           (main ingredient)
                            | Each spray contains 82 micrograms (µg) of tramazoline hydrochloride | 
                  
                     | 
                           Other ingredients
                            
                           (inactive ingredients)
                            | benzalkonium chloride as a preservative dibasic sodium phosphate dihydrate sodium chloride  sorbitol solution 70% (non-crystallising)
 citric acid monohydrate  purified water | 
               
            
            
            
            
            
               Do not take this medicine if you are allergic to any of these ingredients.
               
             
         
            
            What Spray-Tish looks like
            
            Spray-Tish is the brand name of your medicine. It is a clear, colourless solution
               in amber glass bottles. Each bottle contains 10 mL of solution which provides 120
               metered doses. 
            
            Aust R 42391. 
             
         
            
            Who distributes Spray-Tish
            
            Spray-Tish is made in Italy and supplied in Australia by:
            
            Sanofi Consumer Healthcare, 
            
            87 Yarraman Place, Virginia, 
            
            Qld 4014 Australia. 
            
            Toll-free: 1800 818 806
            
            
            
            This leaflet was prepared in September 2024.
            
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