Categories: Medicine A-Z

What is Azelastine? – A-Z Medicine

Generic Name:

Only generic. No brand.


What is Azelastine medicine for?

Azelastine is a medicine to relieve nasal symptoms, such as runny nose / itch / stuffiness, sneezing, and runny due to seasonal allergies and other allergic conditions. Azelastine is an antihistamine drug that works by blocking certain natural substances called histamine which cause allergic symptoms.

What are the rules for using Azelastine?

Follow the rules given to prepare the spray pump properly before using the bottle for the first time and if you have not used drugs for 3 days or more. Avoid spraying on the eyes or mouth.

Azelastine is used on the nose and is available in various strengths. Use 1 or 2 sprays on both nostrils, usually 1 or 2 times a day according to doctor's instructions. The dosage is based on your condition, the product you are using and the response to treatment. Use this medicine regularly to get the optimal benefits. To help you remember, use this medicine at the same time every day. This drug usually starts working within 3 hours of use.

Let your doctor know if symptoms don't improve.

How to save Azelastine?

This drug is best stored at room temperature, away from direct light and damp places. Do not store in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules. Observe the storage instructions on the product packaging or ask your pharmacist. Keep all medicines out of the reach of children and pets.

Do not flush medicine in the toilet or in the sewer unless instructed. Discard this product when it has expired or if it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.


The information provided is not a substitute for medical advice. ALWAYS consult a doctor or pharmacist before starting treatment.

What is the dose of Azelastine for adults?

0.1% spray: 1 or 2 sprays on each nostril 2 times a day.
0.15% spray: 2 spray in each nostril 1 time a day.

What is the dose of Azelastine for children?

  • 5-11 years: 1 spray in each nostril 2 times a day.
  • 12 years and over: 1 or 2 sprays on each nostril 2 times a day.

In what dosages and preparations is Azelastine available?

Azelastine available in the following dosages:

Spray, nose: 137 ug.

Side effects

What side effects might occur due to Azelastine?

Seek immediate medical attention if you experience any of the following signs of an allergic reaction: hives, difficulty breathing, swelling of the face, lips, tongue, or throat.

Stop using azelastine and contact your doctor immediately if you experience the following serious side effects:

  • Bronchospasm (shortness of breath, tightness in the chest, wheezing)
  • Rapid or irregular heartbeat

Less serious side effects can include:

  • Bitter taste in the mouth
  • Headache
  • Drowsiness or dizziness
  • Dry mouth, sore throat
  • Sores or sore on the nose
  • Weight gain
  • Nausea
  • Nosebleed
  • Coughing, sneezing, runny nose, sore throat
  • Red eye.

Not everyone experiences the following side effects. There may be some side effects not mentioned above. If you have concerns about certain side effects, consult your doctor or pharmacist.

Prevention & Warnings

What must be known before using Azelastine?

Before using azelastine,

  • Tell your doctor and pharmacist if you are allergic to azelastine or other drugs.
  • Tell your doctor and pharmacist what medicines are with or without a prescription, especially products for fever and allergies, antihistamines and vitamins.
  • Tell your doctor if you are or plan to become pregnant or are breastfeeding. If you become pregnant while using azelastine, call your doctor.
  • If you have surgery, including dental surgery, tell your doctor or dentist that you are using azelastine.
  • This medicine can cause drowsiness. Don't drive a car or operate a machine before you know how this drug affects you.
  • Alcohol can increase the drowsiness caused by this drug.

Is Azelastine safe for pregnant or breastfeeding women?

There is no adequate research on the risks of using this drug in pregnant or nursing women. Always consult your doctor to consider the potential benefits and risks before using this medicine. This drug is included in the risk of pregnancy category C according to the US Food and Drugs Administration (FDA).

The following are references to pregnancy risk categories according to the FDA:

  • A = No risk,
  • B = No risk in some studies,
  • C = Maybe risky,
  • D = There is positive evidence of risk,
  • X = Contraindications,
  • N = Unknown


What medicines might interact with Azelastine?

Drug interactions can change the performance of your medication or increase the risk of serious side effects. Not all possible drug interactions are listed in this document. Keep a list of all the products you use (including prescription / nonprescription medicines and herbal products) and consult your doctor or pharmacist. Do not start, stop or change the dose of any drug without the doctor's approval.

Before using nasal azelastine, tell your doctor if you regularly use other drugs that cause drowsiness (such as cold or allergy medicines, narcotic painkillers, sleeping pills, muscle relaxers and medications for seizures, depression or anxiety). These drugs can aggravate drowsiness due to nasal azelastine.

Tell your doctor if you use cimetidine (Tagamet).

Can food or alcohol interact with Azelastine?

Certain medicines should not be used when eating or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.

What health conditions can interact with Azelastine?

Other health conditions that you have can affect the use of this drug. Always tell your doctor if you have other health problems, especially kidney disease. Use with care. Side effects can increase due to spending of drugs from the body for longer.


What should I do in an emergency or overdose?

In cases of emergency or overdose, contact your local emergency services provider (119) or immediately to the nearest hospital emergency department.

What should I do if I miss a dose?

If you forget one dose of this medicine, use it as soon as possible. But when it is nearing the next dose, skip the missed dose and return to the usual dosage schedule. Do not double the dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

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