What is 4-Way Fast Acting: Uses, Warnings & Interactions

Updated May 6, 2025  •  Published Dec 30, 2020

4-Way Fast Acting overview

BRAND NAMES:

  • TopCare Nose Drops, 4-Way Fast Acting, 4 Way Menthol, 4-Way No Drip, Good Neighbor Pharmacy Nose Drops, Good Neighbor Pharmacy Nasal Spray, Leader Nose Drops, Good Sense Nasal Four, Neo-Synephrine, Little Noses Decongestant Nose Drops, TopCare Nasal Four

Generic Names:

  • 4-Way Fast Acting

Uses:

  • Treats stuffy nose due to colds, hay fever, and allergies.

Therapeutic Classes:

  • Decongestant

Forms:

  • Drop, Gel/Jelly, Spray

How it’s taken:

  • Into the nose

What is 4-Way Fast Acting used for?

What form(s) does 4-Way Fast Acting come in

  • Drop

  • Gel/Jelly

  • Spray

What are common 4-Way Fast Acting doses?

  • Bottle 29.600000381469727ML of 1%

Common 4-Way Fast Acting prescriptions

  • 4-Way Fast Acting
    14.8ml of 1% bottle

  • 4-Way Fast Acting
    29.6ml of 1% bottle

How to take 4-Way Fast Acting

  • Keep the medicine container clean and tightly closed. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Jelly: Wash your hands with soap and water. Place jelly in each nostril. Sniff deeply.

  • Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

  • Drops: Tilt your head back, and squeeze drops into each nostril. Keep your head tilted back for a few minutes.

  • Spray: With your head upright, spray the medicine once into each nostril, sniffing while you squeeze the bottle quickly and firmly. Repeat for 2 or 3 sprays, or as directed by your doctor. Do not use the spray more often than every 4 hours.

  • To prevent the spread of infection, each medicine container should be used by only 1 person.

  • Blow your nose before you use this medicine.

  • Follow the instructions on the medicine label if you are using this medicine without a prescription.

  • Your doctor will tell you how much medicine to use. Do not use more than directed.

  • Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

  • Your doctor will tell you how much medicine to use. Do not use more than directed.

  • Follow the instructions on the medicine label if you are using this medicine without a prescription.

  • Spray: With your head upright, spray the medicine once into each nostril, sniffing while you squeeze the bottle quickly and firmly. Repeat for 2 or 3 sprays, or as directed by your doctor. Do not use the spray more often than every 4 hours.

  • Drops: Tilt your head back, and squeeze drops into each nostril. Keep your head tilted back for a few minutes.

  • To prevent the spread of infection, each medicine container should be used by only 1 person.

  • Keep the medicine container clean and tightly closed. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Blow your nose before you use this medicine.

  • Jelly: Wash your hands with soap and water. Place jelly in each nostril. Sniff deeply.

What to do if you miss a dose of 4-Way Fast Acting

4-Way Fast Acting contraindications

  • This medicine is not right for everyone. Do not use it if you had an allergic reaction to phenylephrine or another nasal decongestant.

4-Way Fast Acting warnings

  • Tingling in the hands or feet

  • Do not give this medicine to a child younger than 12 years unless your doctor tells you to.

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Tell your doctor if you are pregnant or breastfeeding, or if you have high blood pressure, heart disease, diabetes, thyroid disease, or trouble urinating due to an enlarged prostate.

  • Stop using this medicine and call your doctor if your symptoms last longer than 3 days. This medicine may worsen your stuffy nose if you use it for a longer time.

4-Way Fast Acting interactions

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Do not give this medicine to a child younger than 12 years unless your doctor tells you to.

  • Some medicines can affect how phenylephrine works. Tell your doctor if you are using an antidepressant, or any other medicine that you inhale through your nose or mouth.

  • Do not use phenylephrine if you are taking an MAO inhibitor (MAOI).

4-Way Fast Acting side effects

Serious Side Effects

  • Trouble breathing

  • Tingling in the hands or feet

  • Fast, pounding, or irregular heartbeat

  • Chest pain

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

Less Serious Side Effects

  • Sneezing, burning, or stinging inside your nose

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