Azelastine is a drug that comes in the form of nasal spray or eye drops to treat conditions such as allergy. It belongs to the class of drugs known as antihistamines.
Antihistamines are usually effective against allergies and runny nose.

This article will specifically cover the nasal spray.


Azelastine is prescribed to treat nasal allergies and conditions such as hay fever. It treats the symptoms such as runny or blocked nose and sometimes to cure irritation caused in the nose due to allergies.
It is a histamine blocker which is a naturally present substance that causes nasal symptoms.

The medicine is administered by spraying into both the nostrils one after another.
It is important to check the pump before using it.
Spray a little quantity in the air to see if the pump is correctly working or not.
This checking of the spray for proper spraying is known as priming.
When you’re using the spray for the first time, shake the bottle well and pump the bottle six times until you see a mist clearly coming out of the bottle.
Do this exact procedure if you’re using the medicine after 14 days.

The usual adult dosage for the Azelastine nasal spray is pumping twice in both the nostrils for conditions such as seasonal allergic rhinitis and vasomotor rhinitis.

The child dosage for the ages from 5-12 years is one spray per nostril for the same conditions.

Side Effects:
The common side effects to Azelastine include bitter taste in the mouth, irritation of the insides of the nose, nosebleeds, dry mouth, headaches, dizziness, drowsiness, headache, sneezing and in some cases weight gain.
The unusual side effects that need immediate medical help include hives, problems in breathing and swelling of the face, tongue, lips and throat.

Visit your doctor to get checked for the effectiveness of the medicine to decide if it should be continued or not. In case of the worsening of symptoms, meet your doctor immediately.
If you see anything such as sores in the nose, abnormal nose bleeds, bloody mucus in the nose or a wheezing sound on breathing, immediately see your doctor.
When going through a nasal condition, avoid contacting people who have other infections such as measles or chickenpox.
In some cases, this medicine can cause a fungal infection in the nose and throat, so if you see any white patches with pain in the nose, see your doctor.
A possible side effect of this medication is drowsiness so make sure to avoid driving while using this medicine. Try to avoid lifting heavy objects to avoid any injury.
If you have any symptoms such as darkening of the skin or diarrhea, check with your doctor.

A possible side effect of this medicine is slowed growth in children. You may notice a slow weight gain or height growth if your kid uses this medicine.
Never take another OTC with this medicine without your doctor’s advice because it can cause serious side effects.