Doctor insights on:
Nasal Allergy Spray: Astelin (azelastine nasal) is indicated for treatment of seasonal allergies (allergic rhinitis) as a nasal spray, twice/day. It helps with treatment of post nasal drip. It is non-habit forming and approved for long term use. It is in most insurance plan's formulary and I commonly use it for treatment of allergies, congestion and cough. ...Read more
Saline nasal allergy spray called asteoto. It's main ingredient is azelastine hcl. Could that show up on my drug test?
No, but sedating: Tons of meds cause false-positive results in drug tests. It depends on the actual testing reagents. Here's just one ex: http://www. Pharmacologyweekly. Com/articles/drug-classes-cause-false-positive-urine-drug-screen. Be honest reporting all meds, even if they won't show. Your antihistamine drops are considered sedating, so may be prohibited if you are a pilot/ATC. Consider montelukast. Works well. ...Read more
Is there a cheaper substitute/alternative to Astelin (azelastine)? Even with my insurance coverage, Astelin (azelastine) costs $60/bottle which lasts about a month.
Azelastine- a nasal antihistamine spray. This is like claritin/fexofenadine and should not make one sleepy
fluticasone- a nasal steroid spray. This is usually intended to decrease the symptoms of nasal allergies.
While the main indications for both relate to nasal congestion related to allergies, sometimes docs give them for things like ear dysfunction. ...Read more
Nasal antihistamine: No, that medication is not meant to flush out of the sinuses. It is used to treat allergies and is sprayed onto the nasal mucosa which limits running nose, sneezing, and congestion. If you want to flush out your nose and sinuses, use nasal saline, Neto Pot or a commercial rinse kit. ...Read more
Yes: Nasonex (mometasone) is a topical nasal steroid and azelastine is an antihistamine and as a matter of fact, there is now a topical nasal spray that possesses both of these types of medications in a single nasal spray. It is therefore safe to take these together particularly if you have allergic rhinitis. ...Read more
Yes: Should be effectiveGet a more detailed answer ›
Depends on what…: …symptoms you're treating. Astelin is an antihistamine used for seasonal allergic rhinitis & for vasomotor rhinitis. Side effects may include drowsiness, nasal irritation, sneezing, headache, nausea, fatigue, nosebleed, & more. Oral non-sedating antihistamines may control your symptoms just as well. ...Read more
What are the differences between patanase and astelin (azelastine)? Is one considered more effective than another?
Similar: They are similar medications, both being nasal antihistamine sprays. Both are used twice daily, so there really is no advantage of one over the other. A lot of times, it just depends on the individual which one works better. My advice if you haven't tried either one: pick whichever one is cheaper and try it first! ...Read more
See below: I believe they are the same thing ...Read more
Ok: Do you have a question about it? ...Read more
Can Azelastine drops cause eyes to dilate? I have had problems with this before with different drops and just want to make sure before I try these...
Possible sideeffects: Azelastine may cause many side effects including eye burning or stinging, bitter taste, headaches, bitter taste, blurred vision, eye pain, excessive tiredness, sore throat and difficulty breathing. Other side effects are also possible. If you have any persistent and serious side effects you should call a doctor or go to a clinic immediately when using these drops. ...Read more
See Below: Post nasal drip is most often caused by allergies, although there is a syndrome called non-allergic rhinitis that can sometimes cause it. Flonase treats allergic inflammation which will reduce stuffiness and drainage. Azelastine will treat drainage, sneezing, itching, and it treats the non-allergic rhinitis if it's there as well. ...Read more
Chronic rhinitis for 2 years. Tried everything. Worst symptom = thick mucus PND. Would Azelastine spray be worth a go? How long to test it for?
What is the most effective, treatment for non-allergic rhinitis (NANIPER, more specifically), as of 2017? Astelin and Patanese didn't help much.
Combination: Try a combination of nasal steroid and Astelin. Another question I have is whether your symptoms are seasonal since some people may actually have locally produced IgE to specific allergens in the absence of positive skin or blood tests (especially in the elderly). If your symptoms are primarily a runny nose. an anticholinergic agent may be more effective. ...Read more
One or the other: Depending on the cause of post nasal drip, either azelastine or fluticasone can be beneficial for allergic or non-allergic rhinitis, vasomotor rhinitis. All can cause post nasal drip, as can a cold. Saline nasal spray or rinses are also beneficial to improve post nasal drip. ...Read more
Can azelastine Hcl nasal solution be used at the same time as ipratropium bromide nasal solution?
It depends: What are you treating? They each act in different ways, and sometimes both are used simultaneously. You may want to separate the usage of each one during the day, to ensure you don't end up with too much solution in your nose that simply drips away. Using them at separate times can ensure proper absorption into your nose. ...Read more
I use astelin (azelastine) and flonase. Which should I spray into my nose first for best results?
No difference: Neither one, when used first, will add to the effect of the second; in fact, there is one product on the market that includes both of these medications in a single nose spray. To maximize the effect of the medications, though, you can spray nasal saline into your nose 10-15 minutes before you use the medications, in order to remove any secretions that would interfere with the meds being absorbed. ...Read more
I have bad post nasal drip. I started using azelastine as two sprays in the morning and Veramyst as two sprays in the evening. But no improvement.?
See allergist: If your symptoms have not responded to Veramyst and Azelastine, you should consult an allergist (who has also completed training in internal medicine and/or pediatrics) to find out whether the problem is an allergic one. If so, help you out on avoidance measures and guide you on the treatment. Reflux disease can also lead to a sensation and sinus infection the presence of post-nasal drips. ...Read more
Inhale regularly: You can just breathe regularly when you are administering the spray. And, be sure to prime pump the spray until a fine mist appears, if you haven't used it in 3 days or if it's your first time using it. Best wishes! ...Read more