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Astepro Nasal Spray

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

Medically reviewed by P. Thornton, DipPharm. Last updated on Dec 16, 2018.

What is Astepro?

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

Astepro Nasal Spray prevents sneezing, itching, runny nose, and other nasal symptoms of allergies.

Astepro Nasal Spray is used for treating seasonal allergies in adults and children who are at least 2 years old, and for year-round allergies in adults and children as young as 6 months old.

Important Information

Astepro Nasal Spray may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Before using this medicine, 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 Astepro.

Drinking alcohol can increase certain side effects of Astepro. Call your doctor if your symptoms do not improve, or if they get worse while using Astepro. 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.

Before taking this medicine

Before using Astepro tell your doctor about all your medical conditions or allergies.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

Using Astepro while you are breast-feeding may cause your breast milk to taste bitter. If you breast-feed while using this medicine, watch for signs that your baby is not nursing as well. Talk to your doctor about the best way to feed your baby.

How should I use Astepro?

Use Astepro nasal spray exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Avoid getting this medicine in your eyes or mouth.

Do not allow a young child to use Astepro without help from an adult.

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

Store this medicine in an upright position at room temperature. Do not freeze.

Throw away the medicine after you have used 200 sprays, even if there is still medicine left in the bottle.

Astepro dosing information

Usual Adult Dose for Allergic Rhinitis:

0.1% spray: 1 or 2 sprays in each nostril twice a day
0.15% spray: 1 or 2 sprays in each nostril twice a day or 2 sprays in each nostril once a day

Use: Seasonal allergic rhinitis

0.15% spray: 2 sprays in each nostril twice a day

Use: Perennial allergic rhinitis

Usual Pediatric Dose for Allergic Rhinitis:

2 to 5 years:
0.1% spray: 1 spray in each nostril twice a day
6 to 11 years:
0.1% spray and 0.15% spray: 1 spray in each nostril twice a day

Use: Seasonal allergic rhinitis

6 months to 5 years:
0.1% spray: 1 spray in each nostril twice a day
6 to 11 years:
0.1% spray and 0.15% spray: 1 spray in each nostril twice a day

Use: Perennial allergic rhinitis

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

An overdose of azelastine is not expected to be dangerous. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

What should I avoid while taking Astepro?

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

Drinking alcohol with this medicine can increase certain side effects.

Astepro side effects

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

Common Astepro side effects may include:

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.

What other drugs will affect Astepro?

Using Astepro with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

Other drugs may affect azelastine nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Astepro only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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