Why is this medication prescribed?

Azelastine Nasal Spray is prescribed primarily to treat symptoms of allergic rhinitis and non-allergic (vasomotor) rhinitis. Allergic rhinitis is an allergic reaction that occurs in the nasal passages, typically caused by allergens such as pollen, dust mites, or pet dander. Non-allergic rhinitis involves chronic sneezing or a congested, drippy nose with no apparent cause.

The symptoms Azelastine Nasal Spray helps alleviate include:

• Runny Nose: Reducing nasal discharge.
• Nasal Congestion: Relieving stuffiness in the nasal passages.
• Sneezing: Decreasing the frequency of sneezing.
• Itchy Nose: Easing the sensation of itching in the nose.

Azelastine works as an antihistamine, blocking histamine receptors in the body, which helps to reduce allergic reactions and inflammation in the nasal passages. This medication is particularly useful for people who suffer from seasonal allergies or those who have year-round (perennial) allergic rhinitis.

How should this medicine be used?

Azelastine Nasal Spray should be used as follows:

• Preparation:
  • Shake the bottle gently.
  • Prime the spray by pumping a few times (usually 4 sprays) into the air until a fine mist appears. This step is essential for the first use or if the spray hasn’t been used for a few days.
• Administration:
  • Blow your nose gently to clear the nasal passages.
  • Tilt your head slightly forward.
  • Close one nostril by pressing it with your finger.
  • Insert the spray tip into the other nostril.
  • Breathe in gently and spray the medication into your nose. Avoid spraying directly onto the nasal septum (the wall between the two nostrils).
  • Repeat the process for the other nostril if needed.
• Post-Use:
  • Wipe the spray tip with a clean tissue or cloth.
  • Replace the cap on the bottle.
• Dosage:
  • Follow your doctor’s instructions regarding dosage and frequency. Typically, adults and children over a certain age (usually 5 or 6 years old) are advised to use one or two sprays in each nostril twice daily, but the exact dosage can vary.
• Precautions:
  • Avoid contact with the eyes. If the spray gets into your eyes, rinse them with water.
  • Do not share the nasal spray with others to prevent the spread of infection.

Using Azelastine Nasal Spray correctly ensures the medication is delivered effectively and helps manage the symptoms of rhinitis more efficiently. Always consult your healthcare provider if you have any questions or concerns about using this medication.

Other uses for this medicine

• Relief of Nasal Symptoms: From other types of nasal inflammations or irritations not specifically classified under allergic or non-allergic rhinitis.
• Treatment of Nasal Polyps: Though not a primary indication, it may help reduce symptoms associated with nasal polyps.
• Adjunct Therapy: In conjunction with other medications to manage symptoms of asthma or other respiratory conditions.

What special precautions should I follow?

When using Azelastine Nasal Spray, it is important to follow these special precautions:

• Allergies: Inform your doctor if you have any allergies to Azelastine or other medications.
• Medical History: Disclose your medical history, especially any history of kidney disease, liver disease, or nasal conditions.
• Pregnancy and Breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Use during pregnancy and breastfeeding should be only if clearly needed and prescribed by a doctor.
• Drug Interactions: Discuss all medications you are currently taking, including prescription, over-the-counter, vitamins, and herbal supplements, to avoid potential interactions. Be cautious when using other nasal medications concurrently.
• Alcohol and CNS Depressants: Avoid alcohol and central nervous system (CNS) depressants (e.g., sleeping pills, sedatives) as they can enhance the drowsiness effect.
• Operating Machinery and Driving: Azelastine can cause drowsiness. Avoid driving, operating heavy machinery, or engaging in activities that require alertness until you know how the medication affects you.
• Eye Contact: Avoid getting the spray in your eyes. If contact occurs, rinse thoroughly with water.
• Storage: Store the spray at room temperature away from moisture and heat. Keep the cap tightly closed when not in use. Keep out of reach of children.
• Side Effects: Common side effects include a bitter taste, headache, drowsiness, nasal irritation, or nosebleeds. Report any severe side effects such as difficulty breathing, severe dizziness, or rash to your healthcare provider immediately.
• Use as Directed: Use the medication exactly as prescribed. Do not increase your dose or use it more frequently than directed.

Following these precautions helps ensure the safe and effective use of Azelastine Nasal Spray and minimizes potential risks or side effects. Always consult your healthcare provider for personalized advice and instructions.

What special dietary instructions should I follow?

There are no specific dietary restrictions or instructions for using Azelastine Nasal Spray. However, maintaining a healthy diet can support overall health and may help manage symptoms of allergies or rhinitis. It’s always a good idea to discuss your diet with your healthcare provider, especially if you have any specific dietary concerns or conditions.

What should I do if I forget a dose?

• Take it as soon as you remember: If it’s close to the time for your next dose, skip the missed dose.
• Do not double the dose: Do not take two doses at once to make up for the missed dose.
• Continue with your regular schedule: Resume your usual dosing schedule.

What side effects can this medication cause?

Azelastine nasal spray, used for treating symptoms of allergic rhinitis and vasomotor rhinitis, can cause several side effects. Common side effects include:

• Bitter taste: Many users report experiencing a bitter taste after using the spray.
• Nasal discomfort: This can include symptoms like burning, itching, or stinging in the nose.
• Sneezing: Some individuals may experience increased sneezing.
• Epistaxis (nosebleeds): Nosebleeds are a potential side effect.
• Headache: Users might experience headaches after using the spray.
• Drowsiness: Azelastine can cause drowsiness in some individuals.
• Dry mouth: A dry mouth sensation is another potential side effect.
• Cough: Some people may develop a cough.

Less common but more serious side effects include:

• Anaphylaxis: Though rare, severe allergic reactions can occur, requiring immediate medical attention.
• Signs of infection: Symptoms like fever, chills, and persistent sore throat may indicate an infection.

It’s important for users to consult with a healthcare provider if they experience severe or persistent side effects.

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

When it comes to the storage and disposal of Azelastine Nasal Spray:

• Storage: Keep the nasal spray container tightly closed and store it at room temperature, away from moisture and heat. Avoid freezing the medication. Also, keep it out of reach of children and pets.
• Disposal: Dispose of the nasal spray properly according to your local regulations or guidelines. Do not flush it down the toilet or pour it down the drain unless instructed to do so. Consult with your pharmacist or healthcare provider on the proper disposal method.

In case of emergency/overdose

If you suspect an overdose or experience severe symptoms such as difficulty breathing, severe dizziness, or loss of consciousness, seek immediate medical attention by calling emergency services or going to the nearest emergency room.

What other information should I know?

• Administration: Follow the instructions provided by your healthcare provider or pharmacist regarding the correct usage and dosage of the nasal spray. Do not exceed the prescribed dose.
• Avoiding Contamination: Do not share your nasal spray with others to avoid the risk of spreading infection. Also, do not allow the tip of the nasal spray container to come into contact with any surfaces, including your hands or nasal tissues, to prevent contamination.
• Regular Usage: Use the nasal spray regularly as prescribed, even if you are not experiencing symptoms. It may take some time for the medication to provide full relief of your symptoms.
• Medical History: Inform your healthcare provider about any medical conditions you have, especially if you have a history of certain conditions like glaucoma, urinary retention, or nasal surgery.
• Drug Interactions: Inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements, as Azelastine Nasal Spray may interact with certain medications.
• Pregnancy and Breastfeeding: Consult with your healthcare provider before using Azelastine Nasal Spray if you are pregnant, planning to become pregnant, or breastfeeding, as the safety of the medication during pregnancy and breastfeeding has not been fully established.

Always follow the advice and instructions of your healthcare provider or pharmacist when using Azelastine Nasal Spray to ensure its safe and effective use.