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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


{name} (azelastine) is an antihistamine that reduces the effects of natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

{name} nasal spray is used to treat sneezing, runny or stuffy nose, itching, and other nasal symptoms of allergies, in adults and children who are at least 5 years old.

{name} is also used to treat ongoing nasal symptoms (runny or stuffy nose, sneezing, itching) that are not caused by allergies, in adults and children who are at least 12 years old.


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.


Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and sunlight. Keep in a tightly closed container. Throw away the after the expiration date. Keep out of the reach of children.

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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.


Do not take Azelast if you are allergic to Azelast components. It is not known whether Azelast will harm an unborn baby. Do not use this medicine without your doctor's advice if you are pregnant or breast-feeding. The medicine has a antihistamine in it. Before you start any new medicine, check the label to see if it has an antihistamine (e.g., diphenhydramine) in it too. If it does or if you are not sure, check with your doctor or pharmacist. Azelast may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away. Azelast should be used with extreme caution in children younger than 5 years old; safety and effectiveness in these children have not been confirmed. Do not drink alcohol or use medicines that may cause drowsiness (e.g., sleep aids, muscle relaxers) while you are using Azelast; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Azelast may cause drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Azelast with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Do not stop taking Azelast suddenly.

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