Ive used Astelin 8 yrs or more, recently generic azelastine... hydrochloride. It works great for me. 2X each nostril 2X/day, 365. I feel dependent on it and seldom skip doses. For the same time I am using Advair 1 puff 2x/day.

For a two or three years I have had persistent itching inside the outer nostrils. I pinch nose all day and lose sleep at night. Also persistent eczema inside one outer ear canal. I don't know if this is fungal or what. I trim and pull nostril hairs but this does not help.

Could nose or ear itch be related to long term azelastine hydrochloride use? Could not find this symptom in the literature. Did not see much on long term side effects at all