otrivin menthol nasal spray to treat nasal congestion for adults, otrivin menthol nasal decongestant spray contains menthol, which is a fast-acting spray that eliminates nasal congestion and helps relieve the symptoms of sinus pressure and quickly removes nasal congestion that results from sinus allergies. It contains xylometazoline, which is an anticongestant and works by constricting the blood vessels in the passages. Nasal congestion and nasal congestion, hydrochloride and menthol.