Otrivin 0.05% Pediatric Metered Dose Spray Contains Xylometazoline Hydrochloride. It Rapidly Relieves Nasal Congestion By Locally Constricting Blood Vessels In The Nasal Mucosa, Reducing The Swelling And Opening The Airways. It Also Facilitates Drainage Of The Openings That Connect The Sinuses To The Nasal Cavity To Ensure They Remain Open.