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  • With Mayo Clinic emeritus consultant

    Jay L. Hoecker, M.D.

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Question

Vicks VapoRub: An effective nasal decongestant?

When I had a cold as a child, my mother put a little Vicks VapoRub under my nose to help me breathe more easily. Does this really work?

Answer

from Jay L. Hoecker, M.D.

Vicks VapoRub doesn't relieve nasal congestion. But the strong menthol odor of VapoRub tricks your brain. As a result, you feel like you're breathing through an unclogged nose. By contrast, decongestant tablets and nasal sprays sold over-the-counter appear to narrow blood vessels in the lining of your nose, leading to reduced swelling in your nasal passages.

VapoRub has drawbacks other than its ineffectiveness as a nasal decongestant. It's unsafe for any use in children under 2 years of age.

Swallowing a few teaspoons of camphor — one of the main ingredients in VapoRub and other topical medications, such as Campho-Phenique and Bengay — can cause fatal poisoning in toddlers. Topical camphor absorbed through mucous membranes or broken skin also can be toxic. That's why you should never put VapoRub in or around the nostrils — particularly a small child's nostrils. Finally, if VapoRub gets in your eye, it can injure your cornea.

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References
  1. Vicks VapoRub safety and children. Pharmacist's Letter/Prescriber's Letter. 2009;25:Detail-Document 25036. http://www.pharmacistletter.com. Accessed Feb. 11, 2011.
  2. VapoRub topical ointment product information. Vicks Care Center. http://www.vicks.com/products/vapo-family/vaporub-topical-ointment/?gclid=CJ7jzcDrnqcCFYcm3wodTBOVeA. Accessed Feb. 11, 2011.
  3. Westfall T, et al. Adrenergic agonists and antagonists. In: Brunton LL, et al. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 11th ed. New York, N.Y.: The McGraw-Hill Companies, Inc.; 2006. http://www.accessmedicine.com/content.aspx?aID=936636&searchStr=nasal+decongestants#936636. Accessed Feb. 22, 2011.
  4. Isoborneol. Toxicology Data Network. http://toxnet.nlm.nih.gov/cgi-bin/sis/search/a?dbs+hsdb:@term+@DOCNO+2843. Accessed Feb. 11, 2011.
  5. Pediatric poisoning. Pharmacist's Letter/Prescriber's Letter. 2011;27:Detail-Document 270210. http://www.pharmacistletter.com. Accessed Feb. 21, 2011.
AN01551 March 4, 2011

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