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Azelastine Nasal Spray

Azelastine is an antihistamine nasal spray for nasal allergy symptoms. Follow the label exactly.

Updated . Edited by: Ilyass Ben Hakim.

Where to buy

In the US, Astepro Allergy is sold over the counter. Some strengths and combinations still need a prescription.

Professional insight

Pharmacists match azelastine products to age and other medicines first.

  • Compare strength: 0.1% and 0.15% versions exist.
  • Store brands may use the same active ingredient.
  • Ask about drowsiness with sedating medicines or alcohol.
  • Check whether the pack is for adults or children.

Check the label

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Azelastine nasal spray at a glance

Drug class
Antihistamine
US OTC switch
2021 (Astepro)
Brand names
Astepro, Astelin

Azelastine is also made as eye drops for allergic conjunctivitis. Those are a different product.

Before you buy

  • Know whether your symptoms are allergy related.
  • List your other allergy and sleep medicines for the pharmacist.
  • Check if your insurance covers the prescription version.
  • Choose a brand or generic with the same strength.

Safe use

  • Prime a new bottle as the leaflet describes.
  • Keep the tip clean and the cap on.
  • Do not share the bottle with others.
  • Common side effects include bitter taste and drowsiness.
  • Stop and get help if breathing becomes hard.

Storage

  • Store upright at room temperature.
  • Keep away from heat and direct sun.
  • Keep the spray bottle where children cannot reach it.
  • Throw away after the expiry date or listed spray count.

Common questions

Is azelastine a steroid?
No. It is an antihistamine, not a corticosteroid.
Why does it taste bitter?
A bitter taste is a known side effect. Some versions add sweetener.
Can children use it?
Only as the label or a doctor allows. Check the age range.
Is a generic as good as the brand?
Generics use the same active ingredient. Ask a pharmacist to compare strength.