Generic Name: azelastine nasal (a ZEL uh steen)
Brand Names: Astelin, Astepro

What is Astelin?

Astelin Nasal Spray (azelastine) is an antihistamine spray that reduces the effects of natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Astelin prevents sneezing, itching, runny nose, and other nasal symptoms of allergies.

Astelin may also be used for purposes not listed in this medication guide.

Important information

Before using Astelin Nasal Spray, tell your doctor about all of your medical conditions.

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Before using Astelin, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by Astelin. Drinking alcohol can increase certain side effects of Astelin. Call your doctor if your symptoms do not improve, or if they get worse while using Astelin. Stop using this medicine and call your doctor at once if you have fast or uneven heartbeats, tightness in your chest, or if you feel short of breath.

Slideshow: 2014 Update - First Time Brand-to-Generic Switches

Before using Astelin

You should not use Astelin Nasal Spray if you are allergic to azelastine.

To make sure you can safely use Astelin, tell your doctor about all of your medical conditions.

FDA pregnancy category C. It is not known whether Astelin will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether azelastine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Astelin should not be given to a child younger than 5 years old.

See also: Pregnancy and breastfeeding warnings (in more detail)

How should I use Astelin?

Use Astelin Nasal Spray exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

To use the Astelin spray:

  • The first time you use a new bottle, screw the pump device onto the bottle. Prime the unit by pumping 4 sprays into the air, away from your face, until a fine mist appears. Prime the spray pump any time it has been longer than 3 days since you last used it.

  • Gently blow your nose before using the nasal spray.

  • Insert the spray tip into your nostril, pointing it straight up into your nose. Press your other nostril closed with your finger and keep your head upright. Pump the spray and gently inhale at the same time.

  • Use only the number of sprays prescribed by your doctor.

  • Clean the pump nozzle with a clean, damp tissue and recap it.

Try not to sneeze or blow your nose just after using the spray.

Call your doctor if your symptoms do not improve, or if they get worse while using Astelin.

Store Astelin at room temperature in an upright position, away from moisture and heat. Keep the dust cover on the spray nozzle when not in use. Do not allow this medicine to freeze.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include extreme sleepiness.

What should I avoid?

This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of Astelin.

Astelin side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Astelin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using Astelin Nasal Spray and call your doctor at once if you have any of these serious side effects:

  • bronchospasm (shortness of breath, tightness in chest, wheezing); or

  • fast or uneven heartbeats.

Less serious Astelin side effects may include:

  • a bitter taste in your mouth;

  • headache;

  • drowsiness or dizziness;

  • dry mouth, sore throat;

  • sores or burning in your nose;

  • weight gain;

  • nausea;

  • nosebleed;

  • cough, sneezing, runny nose, sore throat; or

  • eye redness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Astelin?

Before using Astelin, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by Astelin.

Also tell your doctor if you are using cimetidine (Tagamet).

This list is not complete and other drugs may interact with Astelin. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Astelin.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 8.03. Revision Date: 2012-04-06, 4:29:40 PM.

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