Azelastine nasal spray is available under a number of brand names. The most commonly prescribed U.S. brands, however, are Astelin, Astelin Ready-Spray, and Astepro.
It is used to treat symptoms associated with rhinitis and other allergy-related disorders, including but not limited to:
Rhinitis is listed as an inflammatory disease of the upper airways. Azelastine nasal spray can help to alleviate the symptoms of this condition. The disorder affects both children and adults. Today, it is estimated that rhinitis affects 58 million Americans.
Seasonal allergic rhinitis (SAR) is a short-term condition. The disorder may be triggered by the following allergens:
Patients who suffer from perennial rhinitis (PR) often experience symptoms for prolonged periods of time. Some common triggers of perennial rhinitis include:
Other irritants that could exacerbate rhinitis include smoke, odors, or even fluctuations in temperature. Fortunately, Azelastine nasal spray can help to alleviate bothersome symptoms of rhinitis in many patients who suffer from this condition.
As an antihistamine, Azelastine nasal spray targets histamines that are naturally produced by the body due to perceived threats. When histamines are released by mast cells, the areas in which these are stored, some of the most common symptoms include:
Patients who exhibit these symptoms may have difficulty getting a full night’s rest or completing normal functions throughout the day.
Azelastine nasal spray effectively treats both seasonal and year-round rhinitis. It cannot be purchased over the counter. You need a doctor’s prescription to obtain this medication.
All medications come with certain risks of negative side effects. Azelastine nasal spray is no different. Doctors generally weigh benefits and risks before deciding to prescribe.
The most widely reported side effect of taking Azelastine nasal spray is drowsiness or lethargy. This adverse reaction could get worse when used in conjunction with other medicines. Therefore, it is important for patients to disclose all medicines to their healthcare provider, including prescription and over-the-counter medications before taking Azelastine nasal spray.
While taking Azelastine nasal spray, you may also experience:
Some of the rare side effects of taking Azelastine nasal spray include:
The following synopsis provides a general idea of the average doses of Azelastine nasal spray. It in no way replaces instructions given to you by your medical provider. Do not use this guide as a reference for personal use. Always consult a healthcare provider before modifying doses of Azelastine nasal spray or any other medication.
In addition, healthcare workers generally weigh the severity of rhinitis under the following criteria:
In other words, some patients suffer from rhinitis year-round, while other patients’ symptoms are triggered by seasonal allergies. In either case, the dosage will be customized based on these classifications as well as some of the above factors.
Follow the steps below for help using the spray. An insert should also be included with your medication showing an illustration of best practices for use:
When the pump is primed but no mist is released, this could be a sign of blockage. Do not attempt to clear the blockage with a needle or pin as these instruments could compromise the sterility of the medicine or damage the tip. Instead, get a clean bowl of warm water and submerge only the pump area for a few minutes. After some time has lapsed, prime the pump under water by pressing several times. Let it air dry and replace the spray pump onto the rest of the bottle for use.
If a dose is missed, take it as soon as you remember. However, if it’s getting close to the time of the next scheduled dose, skip the missed dose and resume the regular schedule. Doses should never be doubled for Azelastine nasal spray.
Several studies have demonstrated that Azelastine nasal spray triggers adverse effects when used in conjunction with certain medications including Bupropion, Cimetidine, and Donepezil. In certain cases, though, it may be necessary to prescribe a combo of medicines even when it’s been proven to trigger a negative reaction. In these events, a primary care physician generally adjusts the dosage of one or both medicines.
Using Azelastine nasal spray in conjunction with certain CNS depressants is proven to cause extreme drowsiness or dizziness. As such, do not drive or operate heavy machinery when taking this drug along with CNS depressants.
You should also tell your doctor if you are taking prescription or over-the-counter medicines for a cold, flu, allergy, or hay fever, for example. Other noteworthy interactions with Azelastine nasal spray include:
Tell your doctor if you drink alcohol or smoke tobacco products. These substances sometimes cause a negative reaction in patients using prescription medicines.
Pay attention to the following precautions when taking Azelastine nasal spray:
Though Azelastine is considered safe in pediatric patients, the following exceptions apply:
In senior patients with certain underlying conditions, the dosage is occasionally modified for the patients’ safety. Specifically, individuals with liver, kidney, or heart issues should be closely monitored after taking adjusted doses of Azelastine nasal spray.
A medical provider will gauge the benefits and risks before prescribing Azelastine nasal spray to expecting or nursing mothers. Patients should consult their primary physician or pharmacist when in doubt about taking any medication while pregnant or breastfeeding, including prescription and non-prescription medications.
Tell your doctor about any recent or past allergic events you’ve experienced. In particular, disclose any adverse reactions to dyes, food, preservatives, or animal by-products.
Patients who are diagnosed with kidney disease should be closely monitored when taking Azelastine nasal spray. The disease delays the normal waste removal process in the body, and as a result, the prescription could possibly exacerbate kidney disease.
Azelastine nasal spray should be stored upright at all times. Place in a cool and dry location and avoid areas with heat, humidity, or direct sunlight to protect the integrity of the medication. After recapping the applicator, double-check that the screwed-on portion is tightly closed.
Azelastine nasal spray should be properly discarded of after about 200 sprays. To dispose of Azelastine nasal spray, ask your pharmacist for help. Take it to the pharmacy and a pharmacologist will discard any unused portions in a safe manner.
As always, keep all medications, including Azelastine nasal spray, out of the reach of pets and children.
Azelastine nasal spray works by regulating histamine, which is the body’s natural response to certain triggers and allergies. As a result, this drug is classified as an antihistamine or histamine blocker.
It is primarily used to treat seasonal and perennial rhinitis in both adults and children – generally over the age of five. Younger patients may also be treated, but only under the directives and supervision of a medical provider. This particular antihistamine blocker is usually well tolerated by geriatric and pediatric populations.
Azelastine nasal spray generally provides quick relief of the symptoms of rhinitis, including, itching, sneezing or a runny nose. It is available by prescription only and dosage is customized by patient’s age, diagnosis, medical history, and other factors. Use only as prescribed.
The application sprayer delivers a metered dose of 137 or 205.5 Micrograms. It is intended for intranasal applications only. Avoid contact with the eyes or mouth as it could lead to burning and other adverse effects.