Compare Olopatadine vs. Astepro

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Pataday
(Olopatadine)

Astepro
(Azelastine)

Coming soon.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.
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Reviews & ratings
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Have you used Pataday (Olopatadine)?
Worth itNot sureNot worth it

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Have you used Astepro (Azelastine)?
Worth itNot sureNot worth it
Side effects
OlopatadineAstepro

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

FDA side effect reports for Olopatadine »
  • Bitter taste 19%
  • Headache 2%
  • Drowsiness 7%
  • Sore throat 1%
  • Nasal burning 2%
  • Nasal discomfort 4%
  • Paroxysmal sneezing 2%
  • Dry mouth 1%
  • Nausea 2%
More Astepro side effects »
How it works
OlopatadineAstepro
Coming soon.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.
Type of medication
OlopatadineAstepro
Prescription only
Available as
OlopatadineAstepro
  • Eye drops
  • Nasal spray
  • Nasal spray
Used for
OlopatadineAstepro
  • Allergic Conjunctivitis Seasonal Allergic Rhinitis
Risk factors for serious side effects
OlopatadineAstepro
Coming soon.
  • Taking with alcohol
  • Taking other medicines that make you less alert
Detailed Astepro (Azelastine) risks & warnings »
Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Sleep
OlopatadineAstepro
No sleep related info.
  • Won't make you feel sleepy.
Upsides and benefits
OlopatadineAstepro
Coming soon
  • 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.
Downsides and risks
OlopatadineAstepro
Coming soon
  • 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.
Tips from our pharmacists for people taking the medication
OlopatadineAstepro
Coming soon
  • 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.
Learn more
More about OlopatadineSide effectsReviews & ratingsFDA package insert
Have you used Pataday (Olopatadine)?
Worth itNot sureNot worth it
More about AsteproSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Astepro (Azelastine)?
Worth itNot sureNot worth it