Not medical advice. This information is for educational purposes only. Always consult a qualified doctor or pharmacist before taking any medicine.
Azelastine
Generic Name: AZELASTINE HYDROCHLORIDE
Azelastine hydrochloride nasal solution 0.1% (nasal spray), 137 micrograms (mcg) per spray, is an antihistamine formulated as a metered-spray solution for intranasal administration .
Data last updated: 30 March 2026 · Source: openFDA.gov, DailyMed (NLM/NIH)
Common Brand Names in India:
How Does It Work?
In vitro studies with human plasma indicate that the plasma protein binding of azelastine and its metabolite, desmethylazelastine, are approximately 88% and 97%, respectively.
Side Effects
Common Side Effects
Serious Side Effects (seek immediate medical attention)
Warnings & Precautions
- Patients should be cautioned against engaging in hazardous occupations requiring complete mental alertness and motor coordination such as operating machinery or driving a motor vehicle after administration of azelastine hydrochloride nasal spray.
- Concurrent use of azelastine hydrochloride nasal spray with alcohol or other central nervous system depressants should be avoided because additional reductions in alertness and additional impairment of central nervous system performance may occur [see Drug Interactions ] .
Who Should NOT Take This?
- None.
Drug Interactions
Azelastine may interact with the following medicines. Always inform your doctor about all medications you are taking.
Storage Instructions
Store at room temperature, away from moisture and heat.
Speak to a general physician on Zospital
Consult a general physician on Zospital before starting Azelastine. Verified Indian specialists available for in-clinic and online consultations.
Other Antihistamines & Allergy Medicines
Sources: openFDA.gov · dailymed.nlm.nih.gov · nlm.nih.gov (RxNorm). Information is for educational purposes only. Consult a doctor before use.
FAQS
Azelastine – Frequently Asked Questions
Common questions about Azelastine, its uses, dosage and safety.
Azelastine is sold in India under brand names such as Dymista, Astepro, Azelastine Hydrochloride. You can also find it on online pharmacies like 1mg, Pharmeasy and Apollo Pharmacy.
Azelastine is generally available over the counter (OTC) at Indian pharmacies. Even so, it is safer to consult a doctor before starting any new medicine, especially if you have other ongoing conditions.
Common side effects of Azelastine can include: Nausea, Vomiting, Diarrhea, Constipation, Headache, Dizziness, Fatigue, Dry mouth. Less common but serious side effects can include: Anaphylaxis. Stop the medicine and contact your doctor immediately if any of these appear.
In vitro studies with human plasma indicate that the plasma protein binding of azelastine and its metabolite, desmethylazelastine, are approximately 88% and 97%, respectively.
Azelastine can interact with: Central. Tell your doctor about every medicine, supplement and herbal product you take — including ayurvedic and homeopathy preparations — before starting Azelastine.
Indian guidelines often recommend lower starting doses of Azelastine for patients above 60-65, since kidney and liver function decline with age. A doctor should review the dose, especially if the patient already takes BP, sugar or heart medicines.
Even though Azelastine is OTC, it should not be self-prescribed during pregnancy. Discuss it with your gynaecologist or family physician first.
Prices in India typically range from ₹10 – ₹120 per strip of 10 tablets depending on brand. Generic versions tend to cost 30-60% less than branded ones, and Jan Aushadhi outlets often stock the lowest-priced equivalents. Check 1mg or Pharmeasy for live MRP.
If you remember within a few hours of the missed dose, take it. If it is nearly time for the next dose, skip the missed one — never double up. Frequent missed doses reduce Azelastine's effectiveness, so consider setting a reminder or speaking to your doctor about a simpler schedule.
You can book an in-person or online consultation with a verified Indian specialist on Zospital — visit the doctor directory at https://zospital.com/doctor to find one near you.
Medical Disclaimer
The content provided on Zospital is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. If you think you may have a medical emergency, call your doctor or emergency services immediately.