Shinallerg Special Precautions

This product should be used with caution in elderly patients with severe cardiovascular disease, including arrhythmia, poorly controlled hypertension or diabetes.
Sympathomimetic drugs should be used with caution in patients with diabetes, hypertension, hyperthyroidism, and elevated thyroid hormone concentration, arrhythmias or tachycardia and phaeochromocytomas.
Care should be taken in patients at risk of or with angle closure glaucoma, unless iridectomy (or iridotomy) has been performed. Patients should be informed that overuse of vasoconstrictors may produce rebound hyperaemia.
This product is not suitable for patients suffering from dry eyes without first seeking medical advice. Patients experiencing symptoms of dry eyes should discontinue the use of this product and seek the advice of their medical practitioner. Eye infections may be masked by the use of this product.
Patients with rhinitis sicca should take special care to perform nasolacrimal occlusion correctly to prevent this product from reaching the nasal mucosa.
Patients should consult their doctor if symptoms persist for more than 3 to 4 days, if the symptoms become more severe, or if they experience ocular pain and blurred vision while using this product.
If the patient wears contact lenses, these should be removed before instillation and not reinserted for at least 15 minutes.
The preservative in this product, benzalkonium chloride may cause eye irritation and is known to discolour soft contact lenses.