Why is this medication prescribed?

Astelin Nasal Spray is primarily prescribed to relieve symptoms associated with allergic rhinitis, such as sneezing, runny or itchy nose, and nasal congestion. It contains the antihistamine azelastine, which works by blocking histamine, a substance in the body that causes allergic symptoms. In addition to treating allergies, Astelin can sometimes be used for non-allergic rhinitis, including symptoms caused by irritants or other nasal conditions.

How should this medicine be used?

To use Astelin Nasal Spray correctly:

• Shake the Bottle: Before each use, shake the bottle gently.
• Prepare the Spray: If it’s the first time you’re using the spray, you might need to prime it. Hold the bottle upright and press the pump several times until a fine mist is produced.
• Position the Spray: Tilt your head slightly forward. Insert the nozzle into one nostril, keeping the other nostril closed by gently pressing it with your finger.
• Administer the Spray: While breathing in gently through your nose, press down firmly on the pump to release the spray. Avoid spraying it directly onto the nasal septum (the middle part of the nose).
• Repeat if Needed: If your doctor has instructed you to use it in both nostrils, repeat the process for the other nostril.
• Clean the Nozzle: After use, wipe the nozzle with a clean tissue and store the bottle with the cap on.
• Follow Dosage Instructions: Use Astelin Nasal Spray exactly as prescribed by your doctor, usually twice daily. Don’t exceed the recommended dosage.

If you have any questions about using the spray or experience any side effects, consult your healthcare provider.

Other uses for this medicine

Astelin Nasal Spray is mainly used for treating allergic rhinitis symptoms. However, it can sometimes be prescribed off-label for:

• Non-Allergic Rhinitis: For relief from nasal symptoms not caused by allergies, such as those due to irritants or infections.
• Nasal Polyps: In some cases, it may be used as part of a treatment plan for nasal polyps.

What special precautions should I follow?

When using Astelin Nasal Spray, consider the following precautions:

• Avoid Contact with Eyes: Be careful not to get the spray in your eyes. If this happens, rinse your eyes thoroughly with water.
• Do Not Overuse: Follow the prescribed dosage and frequency. Overuse can increase the risk of side effects.
• Consult with Your Doctor if Pregnant or Breastfeeding: If you are pregnant, plan to become pregnant, or are breastfeeding, discuss with your doctor whether Astelin is appropriate for you.
• Inform Your Doctor of Other Medications: Let your doctor know if you are taking other medications, including over-the-counter drugs and supplements, as interactions may occur.
• Avoid Alcohol and Sedatives: These can enhance the sedative effects of the medication, leading to increased drowsiness or dizziness.
• Monitor for Side Effects: Watch for side effects such as drowsiness, dizziness, headache, or nasal irritation. If any severe side effects occur, contact your healthcare provider.
• Nasal Irritation: If you experience severe nasal irritation, bleeding, or other unusual symptoms, discontinue use and consult your doctor.

Always use Astelin Nasal Spray according to your healthcare provider’s instructions to ensure safety and effectiveness.

What special dietary instructions should I follow?

Astelin Nasal Spray does not have specific dietary restrictions. However, maintaining a balanced diet and staying hydrated can support overall health and potentially reduce nasal irritation.

What should I do if I forget a dose?

• Take It as Soon as You Remember: Use the missed dose as soon as you recall it, but only if it is not close to your next scheduled dose.
• Skip the Missed Dose if Necessary: If it’s almost time for your next dose, skip the missed dose and return to your regular dosing schedule.
• Do Not Double Dose: Avoid using two doses at once to make up for a missed dose.
• Consult Your Healthcare Provider: If you frequently forget doses or have concerns about your dosing schedule, talk to your doctor for advice.

What side effects can this medication cause?

Astelin Nasal Spray can cause side effects, though not everyone experiences them. Common side effects include:

• Drowsiness: You might feel unusually sleepy or tired.
• Headache: Some people experience headaches as a side effect.
• Nasal Irritation: This can include dryness, burning, or stinging in the nasal passages.
• Nasal Bleeding: Mild nosebleeds can occur.
• Dizziness: Some users may feel lightheaded or dizzy.
• Altered Taste: A change in taste sensation can happen for some individuals.

Less common but more serious side effects include:

• Severe Allergic Reactions: Symptoms such as rash, itching, swelling, severe dizziness, or trouble breathing.
• Severe Nasal Irritation: Persistent or severe nasal irritation or bleeding.
• Increased Eye Pressure: Rarely, nasal sprays can affect eye pressure.

If you experience any severe or persistent side effects, or if you have concerns about any symptoms, contact your healthcare provider for further evaluation and guidance.

What should I know about storage and disposal of this medication?

Storage and Disposal of Astelin Nasal Spray:

Storage:

• Store the nasal spray at room temperature, away from heat and moisture.
• Store the bottle in an upright position to prevent leakage and maintain effectiveness.
• Ensure the medication is kept out of the reach of children and pets.

Disposal:

• Dispose of the nasal spray according to local regulations or pharmacy guidelines. Many areas have specific disposal programs for medications.
• Avoid flushing the spray down the toilet or pouring it down the drain unless directed to do so by your pharmacist or local waste disposal guidelines.
• Consider using a drug take-back program if available in your area.

In case of emergency/overdose

• Seek Medical Attention: If you or someone else has used more Astelin Nasal Spray than prescribed, seek immediate medical attention or contact a poison control center.
• Symptoms of Overdose: Symptoms of an overdose might include severe drowsiness, dizziness, or other unusual symptoms. However, nasal sprays generally have a lower risk of overdose compared to other forms of medication.
• Call Emergency Services: In severe cases, call emergency services for help.
• Provide Information: Be ready to provide information about the medication and the amount used when seeking help.

What other information should I know?

• Consult Your Healthcare Provider: Always consult your healthcare provider for personalized advice and any concerns about side effects or interactions with other medications.
• Regular Check-ups: Regular check-ups with your doctor can help ensure that the medication is working as intended and to address any issues.
• Report Side Effects: Report any unusual or severe side effects to your healthcare provider or to the FDA’s MedWatch program if applicable.

By following these guidelines, you can help ensure the safe use and effective management of Astelin Nasal Spray.