Health information to help you understand symptoms. It isn't a diagnosis.
Check symptoms

Azelastine

Brand names: Astepro, Optivar (eye drops), Dymista (with fluticasone)

Azelastine is an antihistamine nasal spray that quickly relieves sneezing, runny nose, and stuffiness. Eye drops treat itchy allergy eyes.

Brand namesAstepro, Optivar (eye drops), Dymista (with fluticasone)
Type of medicineAntihistamine nasal spray
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It works within minutes, faster than steroid sprays.

What it's used for

  • Seasonal and indoor allergies
  • Nasal symptoms not from allergies
  • Itchy allergy eyes (eye drops)

How to take it

  • Prime the bottle first. Tilt your head down and aim away from the middle of your nose.
  • Don't sniff hard after spraying; that can cause a bitter taste.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Bitter taste
  • Sleepiness
  • Headache
  • Nosebleeds
Call 911Swelling of the face, lips, or throat, hives, or trouble breathing

Warnings

  • Don't drive until you know how it affects you.

Other medicines, foods, and alcohol

  • Alcohol and sedating medicines add to drowsiness.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Ask your provider.

Missed doses, overdose, and storage

If you miss a dose

This medicine is often taken only when needed. If you take it on a schedule, take a missed dose when you remember, unless it's almost time for the next one. Don't double up.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.