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Azelastine (Into the nose)

Azelastine (ay-ze-LAS-teen)

There may be other brand names for this medicine.

This medicine is not right for everyone. Do not use if you had an allergic reaction to azelastine.

Your doctor will tell you how much medicine to use. Do not use more than directed.
This medicine is for use only in the nose. Do not get any of it in your eyes or on your skin. If it does get on these areas, rinse it off right away.
You will need to prime the nasal spray before you use it for the first time. To do this, pump the bottle 6 times or until some of the medicine sprays out. Prime the spray after each time you clean the pump, or if you have not used the medicine for 3 days or longer, by spraying the medicine 2 times or until a fine spray comes out.
Before using the medicine, gently blow your nose to clear the nostrils.
Tilt your head downward while spraying to avoid a bitter taste in the mouth.
After using the nasal spray, wipe the tip of the bottle with a clean tissue and put the cap back on.
Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.
Follow the instructions on the medicine label if you are using this medicine without a prescription.
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.
Keep the bottle tightly closed when not using it. Store at room temperature, away from heat and direct light. Throw this medicine away after you use 200 sprays.

Some foods and medicines can affect how azelastine works. Tell your doctor if you are using cimetidine or ketoconazole.
Do not drink alcohol while you are using this medicine.
Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.

Tell your doctor you are pregnant or breastfeeding, or if you have kidney disease or any other nose problems (including ulcers or surgery, or injury that has not healed).
This medicine may make you drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
Keep all medicine out of the reach of children. Never share your medicine with anyone.

Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Burning, redness, swelling, or irritation around or inside your nose
Fever, chills, cough, sore throat, body aches
Heavy nosebleeds

Last Updated: 12/4/2023