Prescription onlyLower-cost generic available

Astepro

(Azelastine)

Prescription onlyLower-cost generic available
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Relieves nasal allergy symptoms.

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Our bottom line

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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Upsides

  • 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

  • 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.
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Side effect rates for Astepro (Azelastine)

176 From clinical trials of Astepro / Allergies (1 spray)
  • Inflammation inside the nose
  • Cough
  • Pink eye
  • Asthma

Risks and Warnings for Astepro (Azelastine)

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    • Higher risk if:
    • Taking with alcohol
    • Taking other medicines that make you less alert

    Astepro (Azelastine) can lower your ability to focus, think, and react quickly. Be careful and avoid activities that require you to be alert, such as driving a car or operating machinery, until you know how this medication affects you.

Common concerns from people taking Astepro (Azelastine)

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Pregnancy
Sleep
  • Won't make you feel sleepy.
  • I get to sleep on my back and both sides not worrying about choking on my sinus drainage