Azelastine

Medically Reviewed by Dr. Harshi Dhingra, M.D.

Last Reviewed: Apr 21, 2023

Directions


How To Use Azelastine

Azelastine nasal spray should be sprayed into the nostrils 1-2 times a day. The eye drops are instilled in the affected eye(s) twice a day.

Read the package instructions or prescription label carefully and use azelastine as exactly directed. Do not use a higher or lower dose of this medicine or use it more frequently than your doctor tells you. 

Be careful not to spray the nasal spray into your eyes or mouth. Do not share your bottle of azelastine nasal spray or eye drops with anyone else, as this can lead to the spread of germs. 

Each bottle of azelastine nasal spray contains a fixed number of pumps. After you have used them up, throw the bottle away even if there is some remaining liquid because this liquid may not contain enough medicine.

Azelastine will control symptoms of seasonal allergic rhinitis but will not cure your condition.

Here are some tips on intranasal administration of azelastine:

  • Remove the pump’s cap and safety clip.
  • Prime the pump if you are using it for the first time. Hold it away from your face and pump it 4 times until you see a fine mist. Pump it 2 times if you are using it after more than 3 days.
  • To use the medicine, keep your head tilted forward, close one nostril with a finger, and insert the spray tip into the other nostril, making sure you keep the bottle upright.
  • Spray the medicine and breathe through your nose to prevent the medicine from going to your throat.
  • Repeat on the other side.
  • Keep the pump tightly closed between doses.

Here are some tips on the proper use of azelastine eye drops:

  • Wash your hands with soap and water.
  • Avoid touching the dropper tip against your eye, finger, or anything else.
  • Tilt your head back and form a pocket in your lower eyelid using a finger.
  • Hold the dropper tip close to the pocket without touching it and squeeze so that one drop falls into the pocket.
  • Close your eyes for 2-3 minutes and apply gentle pressure with a finger to allow the medicine to be absorbed.
  • Wipe excess liquid on your face using a tissue. 
  • Wait 5 minutes before applying any other eye drops.

Missed dose: If you forget to use azelastine, do it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not use extra azelastine to make up for a missed dose.

Storage: Store azelastine at room temperature (between 15-30° C or 59-86° F) away from moisture, heat, and direct light in its original container, tightly closed. Do not store medications in the bathroom where they can be exposed to moisture and heat. Keep all medications safely out of reach of children and pets.

Unused medicine: Unused azelastine should be disposed of in a way that children, other people, and pets cannot get to them. Do not throw azelastine in the trash or flush it down the toilet. The best way to dispose of expired or unneeded azelastine is through a drug take-back program. Learn more about proper medication disposal

NOTEThis medication guide is a summary and may not contain all possible drug information on azelastine. The information contained here may not be up-to-date. This sheet is for information purposes only. If you have questions about azelastine, talk to your doctor or health system pharmacists for medical advice.


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