Astelin Spray

Astelin Spray is used for:

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Treating allergy symptoms such as sneezing and itchy, runny nose. It is also used to treat symptoms of nasal passage inflammation such as runny nose, stuffy nose, and postnasal drip. It may also be used for other conditions as determined by your doctor.

Astelin Spray is an antihistamine nasal spray. It works by blocking the action of histamine, which reduces allergy symptoms.

Do NOT use Astelin Spray if:

• you are allergic to any ingredient in Astelin Spray

Contact your doctor or health care provider right away if any of these apply to you.

Before using Astelin Spray:

Some medical conditions may interact with Astelin Spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with Astelin Spray. Because little, if any, of Astelin Spray is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if Astelin Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Astelin Spray:

Use Astelin Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with Astelin Spray. Talk to your pharmacist if you have questions about this information.
• Astelin Spray is for the nose only. Do not get it in your eyes or mouth. If you get Astelin Spray in your eyes, rinse with cool tap water at once.
• Prime the spray pump before the first use of a new bottle. Remove the screw cap from the bottle and replace it with the pump unit. To prime the pump, point the spray pump away from you and others. Spray rapidly and firmly several times until a fine mist appears (4 sprays or less).
• Gently blow your nose to clear your nostrils.
• Keep your head tilted downward. Place the spray tip ¼ to ½ inch into the nostril. Hold bottle upright, allowing spray tip to aim toward the back of the nose. Close the other nostril with one finger.
• Spray rapidly and firmly once and sniff gently at the same time. Repeat in the other nostril as directed.
• Breathe in gently. Do not tilt your head back after using Astelin Spray. This will help you to avoid the bitter taste that may be caused by Astelin Spray.
• Keep the dust cover and safety clip on the bottle when it is not in use.
• If 3 or more days have passed since the last use of this bottle, reprime the pump with 2 sprays or until a fine mist appears.
• If the nozzle becomes clogged, do NOT clean it by using a pointed object. Remove the spray pump from the bottle. Soak it in warm water, squirting it several times while under water. Dry the spray pump completely. Attach the spray pump to the bottle and reprime.
• If you miss a dose of Astelin Spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose. Go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Astelin Spray.

Important safety information:

• Astelin Spray may cause drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Astelin Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Astelin Spray; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• The medicine has a antihistamine in it. Before you start any new medicine, check the label to see if it has an antihistamine (eg, diphenhydramine) in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• Astelin Spray may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.
• Astelin Spray should be used with extreme caution in CHILDREN younger than 5 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Astelin Spray while you are pregnant. It is not known if Astelin Spray is found in breast milk. If you are or will be breast-feeding while you use Astelin Spray, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Astelin Spray:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bitter taste; brief burning or stinging sensation; cough; dizziness; drowsiness; dry mouth; headache; mild nosebleed; nasal burning; nausea; sore throat; sudden sneezing attack.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); repeated or persistent nosebleeds; severe nasal irritation.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include increased limp muscles; saliva production; seizures; tremors.

Store Astelin Spray upright at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Protect from freezing. Store with pump tightly closed. Store away from heat, moisture, and light. Keep Astelin Spray out of the reach of children and away from pets.

General information:

• If you have any questions about Astelin Spray, please talk with your doctor, pharmacist, or other health care provider.
• Astelin Spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Astelin Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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