Azelastine Nasal

Name: Azelastine Nasal

Precautions While Using azelastine

Your doctor should check you or your child at regular visits for any problems or unwanted effects that may be caused by azelastine. If your symptoms do not improve within a few days or if they become worse, check with your doctor.

azelastine will add to the effects of alcohol and other CNS depressants (medicines that makes you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds, sedatives, tranquilizers, or sleeping medicine, prescription pain medicine or narcotics, medicine for seizures, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using azelastine.

azelastine may cause some people to become dizzy, drowsy, or less alert than they are normally. Even if used at bedtime, it may cause some people to feel drowsy or less alert on arising. Make sure you know how you react to azelastine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert.

Keep the spray away from the eyes because azelastine may cause irritation or blurred vision. Closing your eyes while you are using azelastine may help keep it out of your eyes.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

What are some things I need to know or do while I take Azelastine?

  • Tell all of your health care providers that you take azelastine. This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for you to be alert until you see how this medicine affects you.
  • If you have had any recent nose surgery, injury, ulcers, or sores, talk with your doctor.
  • Avoid alcohol or other drugs and natural products that slow your actions.
  • This medicine may cause harm if swallowed. If azelastine is swallowed, call a doctor or poison control center right away.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

How is this medicine (Azelastine) best taken?

Use azelastine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • Follow how to use as you have been told by the doctor or read the package insert.
  • To gain the most benefit, do not miss doses.
  • Use as you have been told, even if your signs get better.
  • Do not take this medicine by mouth. Use in your nose only. Keep out of your mouth and eyes (may burn).
  • Some products may have different ways to prime the pump. Some pumps may also need to be primed if not used for different periods of time. Follow how and when to prime as you have been told.
  • Blow your nose before use.
  • Spray up the nose only. Do not spray onto the wall joining the two nostrils.

What do I do if I miss a dose?

  • Use a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not use 2 doses or extra doses.

If OVERDOSE is suspected

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about azelastine, please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about azelastine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using azelastine.

Review Date: October 4, 2017

Pronunciation

(a ZEL as teen)

Contraindications

There are no contraindications listed in the manufacturer's labeling.

Dosing Adult

Perennial allergic rhinitis: Intranasal: Astepro (0.15% solution): Two sprays in each nostril twice daily.

Seasonal allergic rhinitis: Intranasal:

Astepro (0.1% or 0.15% solution): One or two sprays (0.1% solution) in each nostril twice daily or two sprays (0.15% solution) in each nostril once daily

Azelastine [generic] 0.1% solution: One or two sprays in each nostril twice daily

Vasomotor rhinitis: Intranasal: Azelastine [generic] 0.1% solution: Two sprays in each nostril twice daily.

Dosing Renal Impairment

There are no dosage adjustments provided in the manufacturer’s labeling.

Storage

Store upright at 20°C to 25°C (68°F to 77°F); protect from freezing.

Drug Interactions

Alcohol (Ethyl): May enhance the CNS depressant effect of Azelastine (Nasal). Avoid combination

CNS Depressants: May enhance the CNS depressant effect of Azelastine (Nasal). Avoid combination

Pregnancy Risk Factor C Pregnancy Considerations

Adverse events have been observed in some animal reproduction studies. Azelastine is systemically absorbed following nasal inhalation and may have side effects similar to other antihistamines. However, data related to the use of azelastine in pregnancy is limited; if treatment for rhinitis in a pregnant woman is needed, other agents are preferred (Wallace 2008).

What happens if I overdose?

An overdose of azelastine nasal is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

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