Home > Medicines & Drugs > Azelastine nasal spray

Print this page

Azelastine nasal spray


  • If you are using azelastine nasal spray to relieve the symptoms of hayfever, your doctor may recommend that you start using the spray 2-3 weeks before the hayfever season starts.
  • Do not use this spray more often than your doctor recommends as this can increase the risk of side-effects.
  • Azelastine nasal spray is not recommended for use in children under five years old.

About azelastine nasal spray

Type of medicineAntihistamine
Used forTreatment of allergic rhinitis (inflammation of the inside of the nose commonly caused by hayfever and other allergies)
Also calledRhinolast®
Available asNasal spray

Exposure to irritants such as pollen, pet fur, and house dust can cause the body to produce a chemical called histamine. The release of histamine causes allergic symptoms in the nose that can include sneezing, and a running or blocked nose.

Azelastine nasal spray is used to both relieve and prevent these symptoms of hayfever and other allergies by preventing the production of histamine.

Before using azelastine nasal spray

Before using azelastine nasal spray make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have ever had an allergic reaction to azelastine.

How to use azelastine nasal spray

  • Read the manufacturer's printed information leaflet that comes with the spray before you start to use it.
  • This spray is for use in the nose only. Use it exactly as your doctor has told you to.
  • Use one spray in each nostril twice a day (this is usually in the morning and evening).
  • If you forget to use the spray, use it as soon as you remember and then continue as before.

How to use azelastine nasal spray:

  1. Blow your nose gently.
  2. Remove the cap. If this is the first time you have used the spray, press the pump several times (into the air away from your face) until you see a fine spray.
  3. Keep your head upright and insert the nozzle of the spray into one nostril.
  4. Push down firmly on the pump to administer one spray.
  5. Repeat steps 3 and 4 in the other nostril.
  6. Wipe the nozzle with a clean tissue and replace the cap after use.

Getting the most from your treatment

  • Try not to sneeze or blow your nose just after using the spray.
  • Azelastine nasal spray should only be used by one person. This spray is for you, do not give it to others even if their condition appears the same as yours.
  • Do not use this spray more often than your doctor recommends as this can increase the risk of side-effects.
  • If you are using azelastine nasal spray to relieve the symptoms of hayfever, your doctor may recommend that you start using the spray 2-3 weeks before the hayfever season starts.
  • Avoid getting azelastine nasal spray in your eyes. If you do accidentally spray into your eyes, rinse your eyes straight away with plenty of water.

Can azelastine nasal spray cause problems?

Along with their useful effects, all medicines can cause unwanted side-effects although not everyone experiences them. These usually improve as your body adjusts, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Possible side-effectsWhat can I do if I experience this
Irritation, itching, sneezing, nose bleedsThese side-effects are rare and usually mild. They should soon pass
Bitter taste in your mouthMake sure you do not tilt your head backwards as you use the spray as this may allow azelastine to trickle into the back of your mouth causing the bitter taste

If you experience any other symptoms which you think may be due to this nasal spray, ask your doctor or pharmacist for advice.

How to store azelastine nasal spray

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before using this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never use more than the prescribed dose. If you suspect that someone has swallowed some of this medicine go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking or using.
  • Never keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • Manufacturer's PIL, Rhinolast® Nasal Spray, Meda Pharmaceuticals, electronic Medicines Compendium. Dated July 2006, accessed October 2010.
  • British National Formulary; 59th Edition (March 2010) British Medical Association and Royal Pharmaceutical Society of Great Britain, London.
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2010DocID: 3327DocRef: dils2292Last Reviewed: 21 Oct 2010Version: 23
Provide feedback