Astepro

(azelastine)

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Relieves nasal allergy symptoms.

Skip Upsides & Downsides section. Skip to side effects section.

Our bottom line

Astepro (azelastine) is an antihistamine nasal spray that can help with allergy or nasal symptoms.

Quick facts about Astepro
  • Drug class: Respiratory
  • Rx status: Prescription only
  • Generic status: Lower-cost generic available (azelastine)

Upsides

  • Astepro (azelastine) is good for relieving nasal symptoms during allergy season.
  • Since Astepro (azelastine) goes in the nose, it's unlikely you'll get side effects anywhere else in your body.
  • Astepro (azelastine) works faster than steroid nasal sprays and can be used as needed.
  • People usually tolerate Astepro (azelastine) well since there are few side effects.
Tried Astepro? Write a review!

Downsides

  • Astepro (azelastine) has 200 sprays, but no counter to help keep track of sprays.
  • It can cause a bitter taste in your mouth.
How it works

Astepro (azelastine) works directly in your nose to block histamine, a compound that causes runny nose, itching, and sneezing.

Quick facts about Astepro
  • Drug class: Respiratory
  • Rx status: Prescription only
  • Generic status: Lower-cost generic available (azelastine)

Used for

  • Allergies

Dosage forms

  • Nasal spray
Tried Astepro? Write a review!

Prices and coupons

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What to expect when you take Astepro (azelastine) for Allergies

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  • First few hoursHours
    First few daysDays
    First few weeksWeeks
    First few monthsMonths
  • Effectiveness
  • Starts to kick in
    Full effects
  • First few hoursHours
    First few daysDays
    First few weeksWeeks
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  • Possible side effects
  • Bitter taste
  • Headache
  • Nose discomfort
  • Nosebleeds
  • Sleepiness
  • Abnormal taste sensation
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Side effect rates for Astepro (azelastine)

From 275 clinical trials of Astepro when taken for seasonal allergies in 12 years of age and older (2 sprays twice daily)
  • Bitter Taste
    8%8%
    2%2%
  • Nose discomfort
    4%4%
  • Nosebleeds
    2%2%
  • Headache
    2%2%
  • Fatigue
    2%2%
    1%1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Where we got our data »

The placebo bar shows how common a side effect was for people taking a sugar pill instead of Astepro.

Astepro (azelastine)
Placebo

People taking Astepro felt side effect more

People taking Astepro felt side effect less

No difference

Risks and Warnings for Astepro (azelastine)

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

    There's a chance that 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.