Who should not use azelastine nasal spray? (2023)

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Who should not take azelastine?

Each spray contains 205.5 micrograms (mcg) of azelastine. Children younger than 6 years of age—Use is not recommended.

Can you use azelastine with high blood pressure?

Conclusions Azelastine nasal spray may increase both systolic and diastolic blood pressures. This information may be particularly useful for patients who have both hypertension and chronic rhinitis.

What can you not take with azelastine?

Don't drink alcohol or take other medications that may cause drowsiness while using azelastine nasal spray. It may make your drowsiness worse.

Can azelastine cause breathing problems?

Adverse reactions reported include: anaphylaxis, application site irritation, atrial fibrillation, chest pain, confusion, dyspnea, facial edema, involuntary muscle contractions, nasal sores, palpitations, paresthesia, parosmia, pruritus, rash, disturbance or loss of sense of smell and/or taste, tolerance, urinary ...

Does azelastine help with sinus pressure?

Unlike oral antihistamines — which only treat sneezing and itch — antihistamine nasal sprays (like Azelastine) also help with nasal congestion and sinus infection. Side effects of Azelastine include an occasional bitter taste and rare cases of drowsiness.

Does azelastine cause thick mucus?

This observation also raises the question that azelastine might predispose to the development of bacterial upper respiratory infection. Possible causes might be irritation to the mucosal barrier, thickening of mucus, and/or interference with normal mucociliary function.

What is a good nasal spray if you have high blood pressure?

Phenylephrine. For those with high blood pressure, phenylephrine is an alternative to pseudoephedrine. They are in the same drug class known as nasal decongestants, which help relieve sinus congestion and pressure. You can buy products containing phenylephrine right off the shelf at the pharmacy.

Which is safer azelastine or Flonase?

Compared with intranasal corticosteroids, azelastine nasal spray has a faster onset of action and a better safety profile, showing at least comparable efficacy with fluticasone propionate (Flonase®; GSK, USA), and a superior efficacy to mometasone furoate (Nasonex®; Schering Plough, USA).

Which is better for congestion Flonase or azelastine?

Flonase (fluticasone) is a good first-choice treatment for allergies of the nose, but long-term use can increase the risk of nosebleeds. Astepro (azelastine) is good for relieving nasal symptoms during allergy season.

Can you use azelastine nasal spray everyday?

Azelastine Nasal Spray is Safe and Effective at a Dosage of 1 Spray per Nostril Twice Daily in Patients with Seasonal Allergic Rhinitis (SAR) RATIONALE: Azelastine (Astelin) nasal spray is approved for treatment of adults with SAR at a dosage of 2 sprays per nostril bid.

Does azelastine weaken immune system?

This medicine may cause the following problems: Weakened immune system that makes it easier to get infections. Slowed growth in children. Vision changes or problems.

Is azelastine safe to use?

Azelastine hydrochloride is a nasally administered antihistamine that is effective and safe for the treatment of perennial and seasonal allergic rhinitis.

Does azelastine affect sleep?

The symptom severity of nasal congestion and daytime somnolence was not significantly different between placebo and azelastine. Subjects considered azelastine effective at improving their sleep (P = . 04), but daytime somnolence (P = . 06) and congestion (P = .

What are the side effects of azelastine?

Rare
  • Blood in the urine.
  • blurred vision or other change in vision.
  • chest tightness.
  • eye pain or redness.
  • hives, itching, or skin rash.
  • rapid heartbeat.
  • sores in the mouth or on the lips.
1 Nov 2022

How much azelastine is too much?

Do not use more than 4 sprays in each nostril per day (24 hour period). Each spray contains 205.5 micrograms (mcg) of azelastine. Children 6 to 11 years of age—1 spray in each nostril 2 times a day (every 12 hours). Do not use more than 2 sprays in each nostril per day (24 hour period).

Can azelastine cause stuffy nose?

A bitter taste in the mouth, drowsiness, tiredness, nasal discomfort, sneezing fits, cough, nose bleeds, runny nose, dry mouth, headache, or red eyes may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Does azelastine cause inflammation?

Azelastine reduces mediators of inflammation in patients with nasal polyps. Allergy Asthma Proc.

How long does it take for azelastine to start working?

Azelastine (nasal) starts working in about 15 minutes. Before using azelastine (nasal) for the first time and when you haven't used it in 3 days, spray it into the air until you see a fine mist. This is called priming and it helps make sure enough medicine comes out. Blow your nose before using the spray.

What causes nasal mucus to be thick and sticky?

An infection can make mucus thicker and stickier. Infections also lead to inflammation in the mucous membranes that line the nose and the rest of your airway. This can cause certain airway glands to make more mucus. That mucus can get thick with bacteria and cells that arrive to fight the infection.

Does azelastine stop post nasal drip?

Nasal antihistamines — A prescription nasal antihistamine spray, such as azelastine (eg, Astelin, Astepro) or Patanase, can relieve symptoms of postnasal drip, congestion, and sneezing. These sprays start to work within minutes after use and can be used to treat symptoms after they develop.

What medicine thins mucus in nose?

Mucolytics. Mucolytics, such as guaifenesin, are chemical compounds that can help loosen and clear mucus from the nasal passages, sinuses, and lungs. They dissolve chemical bonds in mucus, making it thinner and helping it to drain more easily. Mucolytics are taken by mouth.

Is there a nasal spray that doesn't raise blood pressure?

Coricidin ® HBP is the #1 selling brand of powerful cold medicine specially formulated for those with high blood pressure. Nasal decongestants in common cold medications may raise one's blood pressure.

What nasal spray does not raise blood pressure?

Therefore, due to the risks associated with nasal decongestants and corticosteroids for people with high blood pressure, you should use antihistamines or saline-based nasal sprays. However, it's always important to double-check that your OTC antihistamine spray doesn't contain decongestants.

What nasal spray can heart patients use?

Alternatives to oral decongestants are available. In the drug realm, antihistamines such as diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton), cetirizine (Zyrtec), and loratadine (Claritin) can help with a stuffy nose are safe for the heart. Nasal sprays deliver a decongestant right where you need it.

How often can you use azelastine nasal spray?

Adults and children 12 years of age and older—2 sprays in each nostril once a day or 1 or 2 sprays in each nostril 2 times a day (every 12 hours). Do not use more than 4 sprays in each nostril per day (24 hour period). Each spray contains 205.5 micrograms (mcg) of azelastine.

How does azelastine cause weight gain?

Why do anti-histamines cause weight gain? Histamine decreases our hunger by in part affecting the appetite control center in our brains[2], and it makes sense an anti-histamine would have the opposite effect. These drugs can interfere with the “I'm full” signal coming from the rest of our bodies and lead to overeating.

Does azelastine cause fatigue?

This medicine 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.

What is the best sinus nasal spray?

Some of the most common over-the-counter (OTC) nasal sprays include Flonase (fluticasone propionate), Nasacort (triamcinolone), and Afrin (oxymetazoline). Experts usually recommend steroid nasal sprays as go-to options for allergies because they are highly effective in lessening nasal symptoms.

What nasal spray is similar to azelastine?

Dymista (azelastine hydrochloride and fluticasone propionate) Nasal Spray and Flonase (fluticasone) are used to relieve symptoms of seasonal allergic rhinitis. Flonase is also used to control of symptoms of non-allergic rhinitis. Both Dymista and Flonase contain a corticosteroid. Dymista also contains an antihistamine.

What is the best nasal spray for sinus allergies?

Experts say that over-the-counter (OTC) anti-inflammatory nasal sprays—such as FLONASE nasal sprays or Nasacort® 24 Hour—are the most effective form of nasal allergy symptom relief.

Does azelastine protect against COVID?

Abstract. A recent study have reported that pre-use of azelastine is associated with a decrease in COVID-19 positive test results among susceptible elderly people. Besides, it has been reported that antihistamine drugs could prevent viruses from entering cells.

Can you get addicted to azelastine nasal spray?

Over-the-counter nasal sprays don't cause the physiological cravings that mark an addiction. To prevent rebound congestion, use over-the-counter decongestant nasal sprays for no more than three days in a row, with as few doses as possible each day.

Does azelastine cross blood brain barrier?

First-generation antihistamines readily cross the blood-brain barrier and cause sedation and other adverse central nervous system (CNS) effects (e.g. nervousness and insomnia).

Is azelastine safe for seniors?

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of Astepro® nasal spray in the elderly.

Can you become dependent on azelastine?

Antihistamines block a chemical in your body that is responsible for allergy symptoms and like steroid sprays, they can also cause less side effects than pills for some people. Addictive? No, antihistamine sprays are not habit-forming.

Is azelastine an antihistamine or a steroid?

Azelastine is an antihistamine. It works by preventing the effects of a substance called histamine, which is produced by the body. Histamine can cause itching, sneezing, runny nose, and watery eyes. Fluticasone is a steroid (cortisone-like medicine).

What happens if I take too much azelastine?

What happens if I overdose? Using too much azelastine nasal spray may cause drowsiness. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medicine. Swallowing azelastine nasal could cause serious harm to a child.

Is azelastine safer than Flonase?

Compared with intranasal corticosteroids, azelastine nasal spray has a faster onset of action and a better safety profile, showing at least comparable efficacy with fluticasone propionate (Flonase®; GSK, USA), and a superior efficacy to mometasone furoate (Nasonex®; Schering Plough, USA).

Which is better for allergies Flonase or azelastine?

Flonase (fluticasone) is a good first-choice treatment for allergies of the nose, but long-term use can increase the risk of nosebleeds. Astepro (azelastine) is good for relieving nasal symptoms during allergy season.

Can I use azelastine daily?

For treatment of allergic rhinitis or other upper respiratory allergies: Adults and children 12 years of age and older—2 sprays in each nostril once a day or 1 or 2 sprays in each nostril 2 times a day (every 12 hours).

What is azelastine side effects?

Rare
  • Blood in the urine.
  • blurred vision or other change in vision.
  • chest tightness.
  • eye pain or redness.
  • hives, itching, or skin rash.
  • rapid heartbeat.
  • sores in the mouth or on the lips.
1 Nov 2022

Which is better azelastine or Zyrtec?

Treats allergy symptoms.

Zyrtec (cetirizine) can help you with some allergy symptoms without making you very drowsy. Astepro (azelastine) is good for relieving nasal symptoms during allergy season. Since Astepro (azelastine) goes in the nose, it's unlikely you'll get side effects anywhere else in your body.

Why does azelastine cause weight gain?

Why do anti-histamines cause weight gain? Histamine decreases our hunger by in part affecting the appetite control center in our brains[2], and it makes sense an anti-histamine would have the opposite effect. These drugs can interfere with the “I'm full” signal coming from the rest of our bodies and lead to overeating.

Can azelastine nasal spray cause eye problems?

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

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