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Doctor insights on: Azelastine

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Dr. Oscar Novick
47 Doctors shared insights

Azelastine (Overview)

Azelastine is a nasal preparation which is a kind of ears, nose, throat agents.


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What are azelastine and fluticasone?

What are azelastine and fluticasone?

Nasal sprays: 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

Dr. Oscar Novick
47 Doctors shared insights

Azelastine (Overview)

Azelastine is a nasal preparation which is a kind of ears, nose, throat agents.


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The dr. Prescribed azelastine and fluticasone nasal sprays. 1. Can I use both at the same time? 2. If not, how long do I wait between each?

The dr. Prescribed azelastine and fluticasone nasal sprays. 1. Can I use both at the same time? 2. If not, how long do I wait between each?

Yes!: I generally use the Astelin (azelastine) first, as it is a decongestant. Inhale gently, it tastes yucky, but works well! Then do the fluticasone at night or a couple minutes after the astelin (azelastine). ...Read more

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Is azelastine and fluticasone effective for post nasal drip?

Is azelastine and fluticasone effective for post nasal drip?

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

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Can you take nasonex (mometasone) and azelastine safely?

Can you take nasonex (mometasone) and azelastine safely?

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

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Please describe the medication: astelin (azelastine)?

Please describe the medication: astelin (azelastine)?

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

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Is azelastine addictive?

Is azelastine addictive?

Azalastine: Its a nasal spray
One can and, not only to this nasal spray
but other sprays as well want to have every night ...Read more

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Is there a cheaper substitute/alternative to Astelin (azelastine)? Even with my insurance coverage, Astelin (azelastine) costs $60/bottle which lasts about a month.

Is there a cheaper substitute/alternative to Astelin (azelastine)? Even with my insurance coverage, Astelin (azelastine) costs $60/bottle which lasts about a month.

Cheaper substititue: Have you tried OTC Neti Pot Normal Saline nasal rinse, or oral antihistamine like Allegra, Claritin and Zyrtec? Flonase inhaler is cheaper, but it is steroid and may takes 1-2 weeks to get maximum effect. ...Read more

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What are azelastine and fluticasone?

Nasal sprays: 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

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Will azelastine flush out my sinuses?

Will azelastine flush out my sinuses?

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

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Which is stronger: astelin (azelastine) or patanase?

Which is stronger: astelin (azelastine) or patanase?

Have to try: Both are antihistamine nasal sprays, and both are effective. However, many people find that one works better than the other for them. The only way to tell which works best for you is to try each one for a month and compare. ...Read more

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Can you take nasonex (mometasone) and azelastine safely?

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

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What are the differences between patanase and astelin (azelastine)? Is one considered more effective than another?

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

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Can I take loratadine before taking azelastine and flonase?

Can I take loratadine before taking azelastine and flonase?

Unnecessary.: Azelastine is an antihistamine, just like Loratidine. So I don't think you'd need the both. The two nasal sprays should be sufficient to control your symptoms. ...Read more

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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...

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

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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?

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?

Certainly: It is worth trying and you may also consider adding a nasal steroid to it at the same time as well. It should start working in 15 minutes but may take several days to provide optimal results. Do note that reflux can at times lead to a sensation of PND. ...Read more

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Is astelin (azelastine) allergy spray addictive or not?

Is astelin (azelastine) allergy spray addictive or not?

No: Astelin nasal spray is not addictive like some other medications. It is a topical antihistamine spray that can provide relief for patients with symptoms of chronic rhinitis, such as sneezing, runny nose, postnasal drip, and nasal congestion. ...Read more

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Is it safe to take astelin (azelastine) pregnant or breastfeeding?

Is it safe to take astelin (azelastine) pregnant or breastfeeding?

Yes: It is a pregnancy category b drug, meaning generally considered safe in pregnancy. However, it is listed as possibly unsafe for lactation. ...Read more

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Can you tell me about post nasal drip and azelastine and fluticasone?

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

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Is azelastine and fluticasone effective for post nasal drip?

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

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Can azelastine Hcl nasal solution be used at the same time as ipratropium bromide nasal solution?

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

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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

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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.?

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

Dr. Sanjiv Kaul
54 Doctors shared insights

Astelin (Definition)

Astelin is a nasal preparation which is a kind of ...Read more