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Azelast (Azelastine)

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Azelast is an antihistamine nasal spray that's good for treating seasonal allergies or nose-related allergy symptoms quickly. Azelast works in your nose to block histamine, a chemical that causes runny nose, itching, and sneezing.

Other names for this medication:
Astepro, Azelast, Azelastine, Azenate, Duonase, Nazomac, Oculast, Optihist, Optivar

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Also known as: Azelastine


Azelastine nasal spray is used to help relieve symptoms (eg, stuffy or runny nose, itching, sneezing) of seasonal (short-term) or perennial (year-round) allergic rhinitis (hay fever), vasomotor rhinitis, or other upper respiratory allergies.

Azelastine is an antihistamine. It works by preventing the effects of a substance called histamine, which is produced by the body. Histamine can cause itching, sneezing, runny nose, and watery eyes.

This medicine is available only with your doctor's prescription.


Follow the directions for using this medicine provided by your doctor. Use Azelast exactly as directed. Azelast can be used by patients as young as 5 years of age, depending on what type of rhinitis they have been diagnosed with. For those with seasonal allergic rhinitis, patients from 5 to 11 years of age should administer 1 spray in each nostril twice daily. Patients 12 years of age and older with seasonal allergic rhinitis should administer 2 sprays of Azelast in each nostril twice daily. For those with nonallergic vasomotor rhinitis, patients 12 years of age and older should administer 2 sprays of Azelast in each nostril twice daily. Before using Azelast for the first time, remove the child-resistant screw cap and replace with the pump unit. Prime the delivery system (pump unit) with four sprays or until a fine mist appears. If 3 days or more have elapsed since your last use of the nasal spray, reprime the pump with two sprays or until a fine mist appears.


If you overdose Azelast and you don't feel good you should visit your doctor or health care provider immediately.


Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

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

Store the bottle upright with the pump tightly closed.

Detailed Azelast dosage information

Side effects

The most common side effects associated with Azelast are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Before using Azelast tell your doctor about all your medical conditions or allergies.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Using Azelast while you are breast-feeding may cause your breast milk to taste bitter. If you breast-feed while using this medicine, watch for signs that your baby is not nursing as well. Talk to your doctor about the best way to feed your baby.

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