Azelastine Nasal Solution, Spray

Name: Azelastine Nasal Solution, Spray

Important warnings

  • Drowsiness: Azelastine nasal spray causes drowsiness. Don’t drive, use machinery, or do other dangerous activities until you know how azelastine affects you. Also, don’t drink alcohol or take other medications that may make you feel drowsy while using this drug. It may make your drowsiness worse.

What is azelastine?

Azelastine nasal spray is a prescription drug. It’s available as the brand-name drug Astepro. It’s also available as a generic drug. Generic drugs usually cost less. In some cases, they may not be available in all strengths or forms as the brand-name version.

Azelastine nasal spray may be used as part of a combination therapy. This means you may need to take it with other medications.

Why it's used

Azelastine nasal spray is used to provide relief from allergy symptoms. These can include sneezing and runny nose.

How it works

Azelastine belongs to a class of drugs called antihistamines. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.

Azelastine works by inhibiting the release of a chemical called histamine from the cells in your body. This helps relieve allergic symptoms such as sneezing or runny nose.

How to take azelastine

All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:

  • your age
  • the condition being treated
  • how severe your condition is
  • other medical conditions you have
  • how you react to the first dose

Forms and strengths

Generic: Azelastine

  • Form: nasal spray
  • Strengths: 0.15%, 0.1%

Brand: Astepro

  • Form: nasal spray
  • Strengths: 0.15%

Dosage for seasonal allergic rhinitis (nasal allergies)

Adult dosage (ages 18 years and older)

  • Typical dosage for 0.1% or 0.15%: 1 or 2 sprays per nostril, 2 times per day, OR
  • Typical dosage for 0.15%: 2 sprays per nostril, once per day.

Child dosage (ages 12–17 years)

  • Typical dosage for 0.1% or 0.15%: 1 or 2 sprays per nostril, 2 times per day, OR
  • Typical dosage for 0.15%: 2 sprays per nostril, once per day.

Child dosage (ages 6–11 years)

  • Typical dosage for 0.1% or 0.15%: 1 spray per nostril, 2 times per day.

Child dosage (ages 2–5 years)

  • Typical dosage for 0.1%: 1 spray per nostril, 2 times per day.

Child dosage (ages 0–1 years)

Azelastine nasal spray should not be used to treat seasonal allergies in children younger than 2 years of age.

Dosage for year-round allergic rhinitis (nasal allergies)

Adult dosage (ages 18 years and older)

  • Typical dosage for 0.15%: 2 sprays per nostril, 2 times per day.

Child dosage (ages 12–17 years)

  • Typical dosage for 0.15%: 2 sprays per nostril, 2 times per day.

Child dosage (ages 6–11 years)

  • Typical dosage for 0.1% or 0.15%: 1 spray per nostril, 2 times per day.

Child dosage (ages 6 months–5 years)

  • Typical dosage for 0.1%: 1 spray per nostril, 2 times per day.

Child dosage (ages 0–6 months)

It hasn’t been confirmed that azelastine nasal spray is safe and effective for use in children younger than 6 months in the treatment of year-round allergies.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we can not guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always to speak with your doctor or pharmacist about dosages that are right for you.

Important considerations for taking azelastine

Keep these considerations in mind if your doctor prescribes azelastine for you.

General

Take this drug at the time(s) recommended by your doctor.

Storage

  • Keep azelastine nasal spray at a temperature between 68°F and 77°F (20°C to 25°C).
  • Store the azelastine bottle in an upright position.
  • Don’t freeze azelastine.

Refills

A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription.

Travel

When traveling with your medication:

  • Always carry your medication with you. When flying, never put it into a checked bag. Keep it in your carry-on bag.
  • Don’t worry about airport x-ray machines. They can’t hurt your medication.
  • You may need to show airport staff the pharmacy label for your medication. Always carry the original prescription-labeled box with you.
  • Don’t put this medication in your car’s glove compartment or leave it in the car. Be sure to avoid doing this when the weather is very hot or very cold.

Self-management

  • Your doctor or pharmacist will show you how to use the nasal spray correctly.
  • Spray azelastine into your nose only. Don’t spray it into your eyes or mouth.

Availability

Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead to make sure they carry it.

Insurance

Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription.

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