Why is this medication prescribed?

Azelastine nasal spray is prescribed primarily for the treatment of allergic rhinitis, which includes symptoms such as nasal congestion, runny nose, sneezing, and itchy nose. It’s an antihistamine that helps relieve these symptoms by blocking histamine, a substance in the body that causes allergic reactions. It may also be used for non-allergic rhinitis or to help manage symptoms of other nasal conditions as advised by a healthcare provider.

How should this medicine be used?

Azelastine nasal spray is used for treating allergic rhinitis and other nasal symptoms. Here’s a step-by-step guide on how to use it:

• Prepare the Bottle: Shake the bottle gently before each use. If using a new bottle or if you haven’t used it in a while, prime the spray by pressing the pump several times until a fine mist appears.
• Apply the Spray:
  • Gently blow your nose to clear nasal passages.
  • Hold the bottle upright and insert the nozzle into one nostril.
  • Close the other nostril by pressing it with your finger.
  • Tilt your head slightly forward.
  • Breathe in gently through your nose while pressing down on the pump to release the spray.
  • Avoid sniffing too hard to ensure the medication stays in your nasal passages.
  • Repeat in the other nostril if instructed by your healthcare provider.
• Post-Application: Wipe the nozzle with a clean tissue to prevent contamination. Do not blow your nose immediately after using the spray to allow the medication to work effectively.
• Dosage: Follow your healthcare provider’s instructions on the dosage. Typically, the recommended dose is one or two sprays in each nostril twice daily.
• Storage: Store the spray at room temperature, away from moisture and heat, and keep it tightly closed when not in use.
• Precautions: Avoid using the spray if you have a nasal infection or other nasal issues unless directed by your doctor. Contact your healthcare provider if you experience severe irritation, bleeding, or any other unusual symptoms.

Always follow your healthcare provider’s instructions and the directions on the medication label.

Other uses for this medicine

Other Uses for Azelastine Nasal Spray:

• Non-Allergic Rhinitis: It may be prescribed to help manage nasal symptoms not related to allergies, such as those from environmental irritants.
• Chronic Rhinitis: For long-term nasal congestion and other symptoms not necessarily caused by allergies.

What special precautions should I follow?

Special Precautions for Azelastine Nasal Spray:

• Allergies: Inform your healthcare provider if you have any history of allergic reactions to medications, especially antihistamines.
• Pregnancy and Breastfeeding: Consult your healthcare provider if you are pregnant or breastfeeding. The safety of azelastine in these conditions should be evaluated by your doctor.
• Children: Use in children should be guided by a healthcare provider, as the safety and effectiveness in younger populations might differ.
• Interactions: Be aware of potential interactions with other medications, including over-the-counter drugs and supplements. Always inform your healthcare provider of all the medications you are taking.
• Avoid Contact with Eyes: If the spray gets into your eyes, rinse them with water. Contact your healthcare provider if irritation persists.
• Side Effects: Watch for possible side effects such as drowsiness, headache, or nasal irritation. If you experience severe side effects or signs of an allergic reaction (e.g., rash, itching, swelling), seek medical attention immediately.
• Proper Use: Use the spray only as directed. Avoid using it more frequently than prescribed to reduce the risk of side effects.
• Storage: Store the spray at room temperature and keep it away from direct sunlight and moisture.
• Infection: If you have a nasal or sinus infection, consult your healthcare provider before using the nasal spray, as it may exacerbate some symptoms.

Always follow your healthcare provider’s guidance and refer to the patient information leaflet for specific instructions related to your situation.

What special dietary instructions should I follow?

There are no specific dietary restrictions related to the use of azelastine nasal spray. However, maintaining a balanced diet and staying hydrated can support overall health and may help manage allergy symptoms more effectively.

What should I do if I forget a dose?

• Timing: If you miss a dose, use it as soon as you remember unless it is almost time for your next dose. Do not use two doses at the same time to make up for a missed dose.
• Regular Schedule: Try to take the spray at the same time each day to help remember.

What side effects can this medication cause?

Azelastine nasal spray can cause side effects, though not everyone experiences them. Common side effects include:

• Nasal Irritation: Burning, stinging, or dryness in the nasal passages.
• Drowsiness: Feeling sleepy or tired, though this is less common.
• Headache: A mild to moderate headache.
• Bitter Taste: A lingering bad taste in the mouth.
• Nasal Bleeding: Rarely, nosebleeds may occur.
• Sneezing: Some people may experience sneezing after using the spray.

Less common but more serious side effects might include:

• Severe Allergic Reactions: Symptoms such as rash, itching, swelling, severe dizziness, or trouble breathing.
• Persistent or Severe Nosebleeds: If nosebleeds are severe or do not stop, seek medical attention.
• Severe Drowsiness: If drowsiness becomes severe or affects daily activities, contact your healthcare provider.

If you experience any severe or concerning symptoms, it’s important to seek medical advice promptly. For routine concerns or mild side effects, consult your healthcare provider to discuss whether adjustments to your treatment might be necessary.

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

Storage of Azelastine Nasal Spray:

• Store the nasal spray at room temperature, typically between 68°F to 77°F (20°C to 25°C). Avoid storing it in places that are too hot or too cold.
• Keep the spray away from direct sunlight and moisture. Store it in its original container with the cap tightly closed.
• Ensure that the spray is kept out of reach of children and pets to prevent accidental ingestion or misuse.

Disposal of Azelastine Nasal Spray:

• Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
• Dispose of unused or expired medications at a drug take-back program or a designated medication disposal site. Many pharmacies offer disposal services.
• If no take-back programs are available, you can dispose of the nasal spray in your household trash by safe disposal methods.

In case of emergency/overdose

• Contact Emergency Services: If an overdose is suspected, contact emergency medical services (911) or go to the nearest emergency room immediately.
• Symptoms of Overdose: While serious overdoses are rare, symptoms might include severe drowsiness or nasal irritation. If you experience these or other severe symptoms, seek medical attention promptly.

What other information should I know?

• Regular Monitoring: Regular follow-ups with your healthcare provider are important to monitor the effectiveness of the medication and adjust the dose if necessary.
• Adherence: Use the nasal spray as directed by your healthcare provider to ensure effectiveness and minimize side effects.
• Communication: Inform your healthcare provider of any other health conditions you have or any other medications you are taking to avoid potential interactions.

Always follow your healthcare provider’s instructions and consult them if you have any questions or concerns about your medication or its use.