Azelastine : Drug Information

What is Azelastine?

Azelastine is an antihistamine that can treat runny or stuffy nose, sneezing, itching, and other nasal symptoms due to allergies in adults and teenagers at least five years old.

Azelastine can also treat continuous nasal symptoms such as the runny or stuffy nose, itching, and sneezing caused by some allergies in adults and children at least 12 years old.

Doctors prescribe this medication for purposes not mentioned in this medication guide.

Azelastine belongs to a family of drugs known as antihistamines. A class of medications is a group of drugs that work similarly. These drugs can treat similar diseases.

Azelastine acts by inhibiting the discharge of a chemical known as histamine from the cells in the body. By this, it helps relieve allergic signs such as runny nose or sneezing.

Important Information

Follow all regulations on your prescription label and package. Inform all healthcare providers about all your allergies, current medical conditions, and all medicines you use.

Talk to your health care provider that you are taking this medication. Doing this will help them to provide you a better cure for your problems.

Avoid operating heavy machinery, driving, or doing other jobs or actions that need alertness until you recognize how Azelastine affects your body.

If you have or ever had any injury, ulcers, nose surgery, or sores, talk to your therapist and tell them about this.

Avoid alcohol or any other drugs or natural products that decrease or slow down your actions.

If you take this medication by mouth, get medical guidance, or call a poison control center immediately before using this medication.

Consult your doctor if you are having a pregnancy, planning to get pregnant, or breastfeeding your newborn. You will need to consult your health care provider about all the advantages and disadvantages to you and the baby.

What to know before taking Azelastine?

Tell your health care provider and pharmacist if you are allergic to this medication or any other drugs.

Do not misuse this medication.

Inform your therapist and pharmacist about all your prescription and non-prescription medications you are currently taking, especially antihistamines, other cold and allergy products, or vitamins.

Consult your therapist if you are pregnant or breastfeeding. If you become pregnant while using Azelastine, immediately call your health care provider.

If you have any type of surgery, including dental surgery, tell your surgeon or dentist if you are currently using Azelastine.

You must know that this drug can make you drowsy, so do not operate machinery or drive a car until you know how this medicine influences you.

Remember that alcohol can increase the drowsiness produced by this drug.

How to take Azelastine?

Use Azelastine as directed by your physician. Read all directions that your doctor suggests you do. Follow all instructions carefully.

Do not take Azelastine by mouth. Use this medication in your nose only. Keep out of your eyes and mouth.

Blow your nose before use.

Follow all indications on your medicine label and carefully read all prescription guides and instruction sheets. Use this drug precisely as your therapist directed.

Read and follow any directions for the use of this medication provided with your medication. Ask your physician or druggist if you are unable to understand any recommendations.

Avoid getting touch this medication in your mouth or eyes.

Do not allow a minor to use Azelastine without consulting your therapist.

Consult your health care provider if your symptoms do not remove or if they are getting worse.

Store this medicine in an upward position at room heat. Do not freeze it.

Throw the medicine away and at a safe place after you have used 200 sprays, even if there is still medication left in the container.

What do I do if you miss a dose?

Use a missed dosage as soon as you remember it.

If it is close to your next dosage, skip the missed one and go back to your standard time.

Do not use two dosages at the same time or in excess.

Azelastine dosage

Usual Adult Dose for Allergic Rhinitis

0.1% spray: One or two sprays in each nostril twice a day.

0.15% spray: One or two sprays in each nostril twice every 24 hours or two jets in each nostril once every 24 hours.

0.15% spray: Two sprays in each nostril twice every 24 hours.

Usual Pediatric Dose for Allergic Rhinitis

2 to 5 years:

0.1% spray: One spray in each nostril twice every 24 hours.

6 to 11 years:

0.1% spray and 0.15% spray: One spray in each nostril twice every 24 hours.

Use: Seasonal allergic rhinitis

Six months to 5 years:

0.1% spray: One spray in every nostril twice every 24 hours.

6 to 11 years:

0.1% spray and 0.15% spray: One spray in each nostril twice every 24 hours.


An overdose of Azelastine is not dangerous for your health. Seek an emergency medical cure or call the Poison Help line at 1-800-222-1222 if anyone has unintentionally swallowed the medicine.

What to avoid while using Azelastine?

Avoid heavy machine operation or driving or hazardous activity until you know how Azelastine nasal will affect you. This medication may impair your reactions.

Drinking alcohol with this medication can develop specific side effects.

Azelastine side effects

Get emergency medical care if you have symptoms of an allergic reaction:

  • Difficulty breathing,
  • Hives,
  • Swelling of your lips, tongue, face, or throat

Common side effects of this medicine may include:

  • Drowsiness, tiredness,
  • Bitter taste in your mouth,
  • Headache, dizziness,
  • Nausea, dry mouth,
  • Sneezing, nasal irritation, nosebleeds,
  • Weight gain,
  • Feeling sleepy,
  • Headache,
  • Cough,
  • Sneezing,
  • Change in taste,
  • Nose or throat irritation,
  • Feeling tired or weak,
  • Nosebleed,
  • Dry mouth,
  • Dizziness,
  • Upset stomach,
  • Weight gain,

What drugs can interact with Azelastine?

Using Azelastine with other medicines makes you drowsy or can worsen this effect. Ask your physician before using opioid prescription medication, a muscle relaxer, a sleeping pill, or treatment for seizures or anxiety.

Other medicines may affect Azelastine nasal, including prescription and non-prescription medicines, vitamins, and herbal. Consult your health care provider about all your current treatments and any therapy you start or stop accepting.

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