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

Last Reviewed: Apr 21, 2023

Drug Details

Common Brands:

Astepro Allergy Nasal Spray and Children’s Astepro Allergy (intranasal azelastine), Optivar (ophthalmic solution)


Prescription and over-the-counter

Therapeutic Class:



Nasal spray, ophthalmic solution


By application to the nose (azelastine nasal spray) or eyes (azelastine ophthalmic solution)

Therapeutic Uses:

  • To relieve nasal symptoms of seasonal allergic rhinitis (hay fever) and perennial allergic rhinitis such as sneezing, itchy nose, runny nose, and nasal congestion
  • For treatment of allergic conjunctivitis symptoms such as watery eyes, itchy eyes
  • To relieve symptoms of nonallergic rhinitis (prescription nasal spray only)

Controlled Status:

Not a controlled substance

Azelastine Drug Class

Azelastine (ah-zel-ahs-teen) belongs to a group of medications called antihistamines.

Azelastine Age Range

Azelastine (Astepro Allergy Nasal Spray) is approved for use in adults and children 12 years of age and older. Children’s Astepro Allergy is approved for children 6 years of age and older. The safety and efficacy of this medication in children younger than 6 years have not been established. The ophthalmic solution is for children 3 years of age and older.