Skip to Content
Be ready for a severe allergy emergency. Read more >>

Azelastine/ fluticasone spray

Generic Name: azelastine/fluticasone (AY-ze-LAS-teen/floo-TIK-a-sone)
Brand Name: Dymista

Azelastine/ fluticasone spray is used for:

Treating allergy symptoms (eg, sneezing, itching, stuffy or runny nose) in certain patients.

Azelastine/fluticasone spray is an antihistamine and corticosteroid nasal spray combination. The antihistamine works by blocking the action of histamine, which reduces allergy symptoms. The corticosteroid works by reducing nasal inflammation caused by allergens in the air.

Do NOT use azelastine/ fluticasone spray if:

  • you are allergic to any ingredient in azelastine/fluticasone spray

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

Before using azelastine/ fluticasone spray:

Some medical conditions may interact with azelastine/fluticasone 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 or other substances
  • if you have recently had nasal sores, nasal surgery, or nasal injury
  • if you have any type of infection (eg, bacterial, fungal, parasitic, viral), including measles, chickenpox, herpes simplex in or around the eye, or active or inactive tuberculosis (TB), or if you have ever had a positive TB skin test
  • if you have recently received a vaccination
  • if you have not had chickenpox or measles and you have not been vaccinated against them
  • if you have a history of glaucoma, increased pressure in the eye, cataracts, or vision problems
  • if you have a medical condition that requires you to take corticosteroids (eg, prednisone)

Some MEDICINES MAY INTERACT with azelastine/fluticasone spray. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Azole antifungals (eg, fluconazole, itraconazole, ketoconazole), delavirdine, or protease inhibitors (eg, boceprevir, ritonavir) because they may increase the risk of azelastine/fluticasone spray's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if azelastine/fluticasone 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 azelastine/ fluticasone spray:

Use azelastine/fluticasone spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with azelastine/fluticasone spray. Talk to your pharmacist if you have questions about this information.
  • Azelastine/fluticasone spray is for the nose only. Do not spray it in your eyes or mouth. If you spray azelastine/fluticasone spray in your eyes, flush your eyes with large amounts of water for at least 10 minutes and then call your doctor.
  • Avoid spraying azelastine/fluticasone spray directly onto the nasal septum (the wall between your nostrils).
  • Shake gently before each use.
  • Before using azelastine/fluticasone spray for the first time, you must prime the pump. Do this by gently shaking the bottle, pointing it away from you and others, and pressing down on the pump 6 times or until a fine mist appears.
  • To use a nose spray, gently blow your nose. Sit down and tilt your head forward slightly. Keep the bottle upright and place the tip of the spray container 1/4 to 1/2 inch into the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breathe gently through the open nostril and squeeze the spray container. After using the medicine, wipe the tip of the spray unit with a clean tissue or cloth to prevent contamination. Put the dust cap back on the spray pump tip of the bottle.
  • Do not tilt your head back while using azelastine/fluticasone spray.
  • If azelastine/fluticasone spray is not used for 14 or more days in a row, you must reprime the pump. Do this by gently shaking the bottle, then pressing down on the pump 1 time or until a fine mist appears. If you do not see a fine mist, clean the tip of the spray nozzle.
  • Throw the bottle away after 120 sprays (not counting the 6 sprays used to prime the pump). You may no longer receive the correct amount of medicine with each spray. Do not transfer any remaining medicine to another bottle.
  • Clean azelastine/fluticasone spray at least 1 time each week according to the directions in the extra patient leaflet.
  • Use azelastine/fluticasone spray on a regular schedule to get the most benefit from it.
  • Using azelastine/fluticasone spray at the same time each day will help you remember to use it.
  • Continue to use azelastine/fluticasone spray even if you feel well. Do not miss any doses.
  • If you miss a dose of azelastine/fluticasone spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and 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 azelastine/fluticasone spray.

Important safety information:

  • Tell your doctor or dentist that you take azelastine/fluticasone spray before you receive any medical or dental care, emergency care, or surgery.
  • Azelastine/fluticasone spray may cause drowsiness. This effect may be worse if you take it with alcohol or certain medicines. Use azelastine/fluticasone spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using azelastine/fluticasone spray; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Use caution if you switch from an oral steroid (eg, prednisone) to azelastine/fluticasone spray. It may take several months for your body to make enough natural steroids to handle events that cause physical stress. Such events may include injury, surgery, infection, loss of blood electrolytes, or a sudden asthma attack. These may be severe and sometimes fatal. Contact your doctor right away if any of these events occur. You may need to take an oral steroid (eg, prednisone) again. Carry a card at all times that says you may need an oral steroid (eg, prednisone) if any of these events occur.
  • If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections.
  • If a child may have taken azelastine/fluticasone spray by mouth, contact your poison control center or emergency room right away.
  • Azelastine/fluticasone spray may increase the risk of cataracts or glaucoma. Have an eye exam as you have been told by your doctor. Discuss any questions or concerns with your doctor.
  • Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use azelastine/fluticasone spray.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using azelastine/fluticasone spray while you are pregnant. It is not known if this medicine is found in breast milk. Do not breast-feed while taking azelastine/fluticasone spray.

Possible side effects of azelastine/ fluticasone 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:

Headache; mild nosebleeds; nasal irritation; taste changes.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); cough; crusting in the nose; drowsiness; frequent, severe, or persistent nosebleeds; general feeling of being unwell; loss of sense of smell or taste; redness or white patches in the nose, mouth, or throat; runny nose; severe or persistent nose or throat irritation; shortness of breath; sores in the nose; symptoms of infection (eg, fever, chills, aches or pains, unusual tiredness); unusual dizziness, nausea, vomiting, or weakness; vision or voice changes; wheezing; whistling sound when you breathe.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of azelastine/fluticasone spray:

Store azelastine/fluticasone spray at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Protect from freezing. Store the bottle upright with the dust cap in place. Store away from heat, moisture, and light. Do not store in the bathroom. Do not use azelastine/fluticasone spray after the expiration date on the bottle. Keep azelastine/fluticasone spray out of the reach of children and away from pets.

General information:

  • If you have any questions about azelastine/fluticasone spray, please talk with your doctor, pharmacist, or other health care provider.
  • Azelastine/fluticasone 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.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take azelastine/fluticasone spray or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about azelastine/fluticasone spray. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to azelastine/fluticasone spray. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using azelastine/fluticasone spray.

Review Date: August 8, 2016

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

Hide