Use azelastine just twice a day for adults and adolescents 12 and older, 1 or 2 sprays per nostril,
Clear your nose - Clear your nostrils by blowing your nose.
Look down - Tilt your head down to keep the medicine from going down into your throat.
Sniff gently - Spray once per nostril. Sniff gently. Spray once per nostril again.* Do not spray into your eyes.
Side effects of azelastine are generally mild. Most common side effects reported with use of azelastine are bitter taste, headache, nasal inflammation or burning, and drowsiness.
Some medical conditions may interact with azelastine spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
Some MEDICINES MAY INTERACT with azelastine spray. Because little, if any, of Azelastine Spray is absorbed into the blood, the risk of it interacting with another medicine is low.
Ask your health care provider if Azelastine Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
If Azelastine is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Azelastine with the following:
Drugs that slow the nervous system, including codeine, phenobarbital, and Restoril
Other antihistamines such as Benadryl and Claritin
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
Store at controlled room temperature between 68 and 77 degrees F (20-25 degrees C) away from sunlight and moisture. Protect from freezing. Keep the bottle upright with the pump tightly closed.