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Azelastine eye drops

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  • Azelastine eye drops are used for relieving the eye symptoms of allergic reactions such as hayfever
  • Azelastine eye drops should be used four times a day or as directed by your doctor

About azelastine eye drops

Type of medicine Antihistamine eye preparation
Used for Relieving the eye symptoms of allergies including hayfever
Also called Optilast
Available as Eye drops

Exposure to irritants such as plant pollens, pet fur or pollution can cause the body to produce a chemical called histamine. The release of histamine can cause allergic symptoms such as red, itchy and watery eyes, often referred to as hayfever.
Azelastine eye drops relieve the eye symptoms of allergies and hayfever by blocking the action of histamine in the body.

Before using azelastine eye drops

Before using azelastine eye drops 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 this or any other medicine
  • if you are taking or using any other medicines, including those available to buy without a prescription, herbal and complementary medicines
  • Azelastine drops are not recommended for children under four years old

How to use azelastine eye drops

  1. Wash your hands well before use
  2. Remove the outer cap
  3. Tilt the head back and pull the lower lid of the eye down to form a pocket
  4. Hold the container between the thumb and middle finger of the other hand, turn the container upside down near to the eye, try not to touch the eye
  5. Apply enough pressure to the container to release one drop
  6. Close the eye and keep it closed for a minute or two. If you think that you have missed the eye, then insert another drop
  7. Repeat in the other eye if you have been told to use azelastine in both eyes
  8. Replace the outer cap of the container, trying not to touch the applicator tip with anything, including the eye or fingers
  9. Wash your hands
  10. Azelastine drops are usually used twice a day. If your symptoms are severe, your doctor may suggest using them up to four times daily. These drops should be used for a maximum period of six weeks.

Getting the most from your treatment

  • Use azelastine drops as directed by your doctor and always read the manufacturer's information leaflet, if possible, before beginning treatment.
  • If your symptoms do not improve within a few days, or if they become worse, check with your doctor.
  • If you are using any other eye drops or ointments, leave at least five minutes between each one.
  • Do not swallow azelastine eye drops. If you or someone else has swallowed azelastine eye drops, contact your doctor or go to the accident and emergency department of your local hospital. Always take the container or bottle with you if possible.
  • These eye drops are for you. Never give them to others even if their condition appears to be the same as yours.
  • You should not wear contact lenses while you are using azelastine eye drops.
  • When first instilled, azelastine eye drops may cause blurred vision. Make sure you can see clearly before you drive, operate machinery or do other jobs which could be dangerous if you were not able to see properly.

Can azelastine eye drops cause problems?

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. The most common problems that people experience when using azelastine eye drops are shown below:

Common side-effects What can I do if I experience this
Irritation of the eye This should soon disappear as your eyes adjust to the new drops
A bitter taste in the mouth This should soon disappear. It may help to have a soft drink
Blurred vision This usually disappears within a few minutes of applying the eye drops. Do not drive or use machinery unless your vision is clear

If any of these effects continue or become severe or if you experience any other worrying or troublesome symptoms, which you think may be due to this medicine, discuss them with your doctor or pharmacist.

How to store azelastine eye drops

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.
  • Discard these eye drops 4 weeks after opening.
  • Never keep out of date or unwanted medicines. Discard them safely out of the reach of children or take them to your local pharmacist who will dispose of unwanted medicines for you.

Important information about all medicines


  • Keep all medicines out of the sight and reach of children.
  • Make sure that the person prescribing this medicine knows about any other medicines that you are using. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to use with your other medicines.
  • Before using this medicine tell your doctor if you have ever had an allergic reaction after taking or using any medicine.
  • Never use more than the prescribed dose. If you suspect that you or someone else has used too much or swallowed any of this medicine go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, 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 using.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • 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.
© EMIS 2007 DocID:
3769
DocRef:
dils3770
Last Updated:
28 Feb 2007
Date of Next Review:
27 Feb 2009
Version:
22

The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.

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