Compare Astepro vs. Elestat

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Relieves nasal allergy symptoms. Astepro (Azelastine) is a prescription-only antihistamine nasal spray that can help with your allergy or nasal symptoms without exposing the rest of your body to the medicine.Coming soon.
How it works
Astepro (Azelastine) is an antihistamine nasal spray. It works directly in your nose to block histamine, a chemical that causes runny nose, itching, and sneezing.Coming soon.
Type of medication
2nd generation
Prescription only
Coming soon.
Available as
  • Nasal spray
  • Eye drops
Used for (click to learn more)
  • Allergic conjunctivitis
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Reviews & ratings
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Side effects
  • Bitter taste 19%
  • Inflammation inside the nose 7%
  • Drowsiness 7%
  • Nosebleed 4%
  • Pink eye 3%
  • Cough 3%
  • Nasal burning 2%
  • Sneezing 2%
  • Nausea 2%
  • Paroxysmal sneezing 2%
More Astepro side effects »

We haven’t found good data for Elestat side effects.

FDA side effect reports for Elestat »
Risk factors for serious side effects
  • Taking with alcohol
  • Taking other medicines that make you less alert
Detailed Astepro (Azelastine) risks & warnings »
Coming soon.
Pregnancy category
No specific alcohol-related info.No specific alcohol-related info.
No specific food-related info.No specific food-related info.
Kidneys and liver
No specific kidneys and liver-related info.No specific kidneys and liver-related info.
No specific sex-related info.No specific sex-related info.
No specific sleep-related info.No specific sleep-related info.
No specific weight-related info.No specific weight-related info.
Upsides and benefits
  • Astepro (Azelastine) lowers the number of nasal symptoms you'll get during allergy season.
  • Works faster than steroid nasal sprays and can be used as needed.
  • Most people don't have any side effects since it works in the nose and doesn't affect the rest of your body.
  • Won't make you feel sleepy.
  • Works just as well as steroid nasal sprays.
Coming soon.
Downsides and risks
  • In older versions of the medicine, you can get a bitter taste in your mouth after spraying it into your nose.
  • Can cause nose bleeds if the spray nozzle is inserted into your nose wrongly.
  • Need a prescription to get Astepro (Azelastine).
  • It's good for 200 sprays, but there isn't a counter to help you keep track of sprays.
Coming soon.
Tips from our pharmacists for people taking the medication
  • Starts working in 15 minutes.
  • Check with your doctor or pharmacist to make sure you know how to use this nose spray correctly.
  • Before using the spray for the first time, prime it until you see a fine mist.
  • Clear your nose before using the spray and breathe in slowly as you're spraying. After spraying, wait a few minutes before blowing your nose if needed.
  • Tilt your head forward to avoid getting a bitter taste while spraying the medicine.
  • Some people get a headache or feel drowsy and dizzy after using it.
Coming soon.
Learn more
More about AsteproSide effectsReviews & ratingsAlternativesFDA package insert
More about ElestatSide effectsFDA package insert