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User Reviews for Azelastine nasal

Also known as: Astelin, Astepro

Condition Avg. Rating Reviews Compare
Allergic Rhinitis  
7.0
131 reviews 895 medications

Reviews may be moderated or edited before publication to correct grammar and spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest in the medication will not be published. As reviews and ratings are subjective and self-reported, this information should not be used as the basis for any statistical analysis or scientific studies.

Reviews for Azelastine nasal

TTUfan · Taken for less than 1 month May 13, 2021

For Allergic Rhinitis: “I was prescribed this nasal spray today and I honestly can say it’s the absolute worst tasting medicine I have ever tasted. No, I didn’t drink it but the longest lasting chemical bitter taste in my passages will not go away. Gagging on this stuff. So glad it was free through insurance because I’m calling my doctor tomorrow and telling her to never prescribe this awful stuff again. Not to mention it burns!”

1 / 10
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Snot nose brat · Taken for less than 1 month May 3, 2021

For Allergic Rhinitis: “My ENT started me on Azelastine. I started with 1 spray each nostril, and worked up to 2, 2xs daily to see how it was going to effect me. The after taste is horrible. I even had my head bent down spraying towards the direction of my ear, instead of straight into my nose, like the pharmacy instructed me to do, but it's still gross. I decided to continue use anyway to see if it was going to help my sinus issue. I didn't notice any other annoying side effects, until today, when I started having nose bleeds. I haven't had a nose bleed since I was a child, I'm almost 60 now, and I've had 3 nose bleeds already today, so I do think Azelastine is most likely the culprit causing them. My sinus issues seem better on it, but they are a lot more dried out, so I think that's why the nose bleeds have started. I'm going to discuss this with my ENT, and I'll most likely be discontinuing using this nasal spray because of it.”

5 / 10
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E · Taken for less than 1 month April 4, 2021

For Allergic Rhinitis: “Decades of worsening seasonal allergies eight months of the year plus dust allergies. Tried almost everything, and rely on a large cocktail of semi effective drugs to be semi functional. A lot of the time my life is very limited. Allergist gave me a sample nasal spray with azelastine and a corticosteroid and it has dramatically improved my life during the onset of allergy season. She demonstrated how to use it to avoid bitterness: stand up and hang your head towards the floor. But also: spray it on an angle towards the ear, not the centre of your head. Stay down for 30 seconds. Breathe in thru nose, out thru mouth. It's so effective but at the beginning I couldn't imagine long term use because of the taste and don't understand why they don't address it. These tips changed that. Highly recommend at least trying this drug out. All the best in the pollen times!”

9 / 10
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Rx boy · Taken for 1 to 6 months August 30, 2018

Astelin (azelastine) for Allergic Rhinitis: “As a Pharmacist I tried everything I knew for chronic postnatal drip and dry (usually non productive)cough. No oral Meds and/or steroidal products rendered relief. I tried everything from older tried and true decongestant and antihistamine meds to the newer generation antihistamines and steroidal sprays. Antigen skin testing from my Allergist -negative. No itchy eyes or throat. It appeared to be non allergic (vasomotor rhinitis) that is often misdiagnosed by GP’s but common in millions of patients in the U.S. The result was immediate. 2 sprays in each nostril 2 x daily was like a miracle cure. Educate yourself about this condition that exhibits itself in a similar fashion to allergic rhinitis but is treated completely differently due to a completely different mechanism . You may want to see an allergist for the antigen skin tests like I did to rule out allergic rhinitis. Hope this helps. I have absolutely no financial stake in this product.”

9 / 10
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Steph · Taken for 1 to 2 years June 25, 2020

For Allergic Rhinitis: “This stuff has given me back a normal life. I had a chronic cough that lasted year round. Ran a bunch of tests on my lungs and they’re great. Did some long courses of steroids and proton pump inhibitors, thinking it could be acid reflux. None of it helped. I would be coughing through a sentence and sometimes become so exhausted that I would go home from wherever I was at the moment, totally frustrated! Only after I saw an ENT did he suggest I have post nasal drip and gave me the Azelastine! This year is the first year I have been cough free in ages! As soon as I feel that aggravating tickle I just spray twice in each nostril and within minutes the coughing stops! So what that it tastes bad. I don’t even give a darn. I just chase it away with water. The only side effect that can see is the weird little acne like rash on my chin that doesn’t go way unless I stop using it for at least a week. I’ll take pimples over coughing.”

10 / 10
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Howe · Taken for 6 months to 1 year September 20, 2018

Astelin (azelastine) for Allergic Rhinitis: “"Year-round congestion, sneezing, runny nose, and sinus infections lead my complaints. I began Azelastine per my ENT's strong suggestion, and am now in my tenth month of use and feel virtually allergy-free. Most surprising for me has been the dramatically reduced congestion, something no antihistamine has ever done for me. And no side effects for me--a first among the most effective allergy meds I've tried--and no steroid worries. Actually makes me a bit worse for 5-10 minutes right after spraying, then rapidly better and hitting full stride for hours 2 - 10, sometimes longer. Mildly bitter taste until I improved my spray technique. I have rarely thanked a doctor so sincerely for recommending a med. I'll likely be using this spray and technique (1 spray/side, twice daily) every day for many years to come. How nice to breathe fresh air again, without drowsiness."”

10 / 10
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happycamper October 11, 2020

Astelin (azelastine) for Allergic Rhinitis: “I was prescribed this for allergies. I find it works really well and does not make me drowsy. I have used claritin, allegra and zyrtec but find the Astelin works faster and takes care of my seasonal allergies especially the sinus congestion. It works fast and provides me all day relief I was not getting from other medications. I do not use daily only when my symptoms are occurring. The taste is bitter I keep altoid mints with me to get rid of aftertaste.”

9 / 10
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Songbird210 February 4, 2020

For Allergic Rhinitis: “I am 59 years old and can't remember a time I didn't use Afin nasal spray or one of those. I have horrible nasal congestion and will do anything to unstop my nose. I was so tired of that rebound effect. ENT told me to try Astelin. Used a coupon to get It. I am so glad I read the attached paperwork. So I found if you hold your head down and spray you won't get that bad taste. Since starting I feel no more congestion, instantly unstops my nose. The only thing it makes me feel a little like I am hung over in the morning.”

10 / 10
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Krissy · Taken for 1 to 2 years July 21, 2019

For Allergic Rhinitis: “Azelastine has worked at reducing my nagging post nasal drip, congestion and sinus pressure. I have several sinus infections each year and seasonal allergies, both with terrible post nasal drip, but certain OTC and RX oral allergy meds as well as nasal sprays such as Nasonex, nasacort and Flonase all gave me horrible heart palpitations, but thankfully the Azelastine does not. I have no side affects from this med at all, not drowsy, no headaches, it has done wonders for me, I highly recommend trying.”

10 / 10
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Allergy Valley September 11, 2019

Astelin (azelastine) for Allergic Rhinitis: “After the CT SCAN that revealed no internal issues, he knew it was allergies and ordered an allergy test which show severe allergies. He prescribed this! The moment I took this I could breathe within 15 minutes. The taste can take some getting used to, but so what? Your doctor prescribes things because the pros outweigh the cons and you can't judge a medication just because of using it a time or two! I would rather adjust to the unpleasant taste a million times again as long as I never have to deal with sinus misery again. With that being said, I hate relying on meds in general and here's to hoping my 5 years worth of allergy shots he ordered me to will eliminate them all!”

10 / 10
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Dina · Taken for 1 to 6 months November 8, 2020

For Allergic Rhinitis: “I'm a 21 y/o female and I take zyrtec and singulair daily for hives and angioedema as well as seasonal allergies. My doctor added Azelastine to the mix for my sinuses and it is just soooo awful - it makes me itchy on the inside of my nose, gives me hives and dry skin, itchy eyes, it just does nothing good or positive for me. I get very anxious and panicky on it and most recently I'm experiencing shortness of breath and chest pain. I'm 1 day off of Azelastine and the chest pain and anxiety still linger. I feel so sick, I'm never using it again!”

1 / 10
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Bee · Taken for less than 1 month October 23, 2019

For Allergic Rhinitis: “I've had ongoing allergy problems for many years. I am 50. I have taken all of the allergy medicines and used Flonase for a long time, and still had a serious sinus infection almost every two months. I am also a primary school teacher. I currently teach in a school that's quite old, dusty, and mouldy. My doctor recently prescribed Azelastine. I use it at bedtime....only one spray on each side. I use Flonase in the morning before work. I have seen a SIGNIFICANT improvement with congestion and runny nose. I'm used to the the "bitter" taste that everyone mentions with it; However the relief I have is well worth it!”

10 / 10
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Sneezy · Taken for 1 to 2 years January 16, 2020

Astelin (azelastine) for Allergic Rhinitis: “My response to Astelin at first was great. Stopped post nasal drip within hours. I suffer from allergies to trees and grasses and I love the outdoors. For many years I had about 4 sinus infections a year. I lived on steroids and antibiotics and when I was in my 50s I got steroid induced diabetes. This medicine was very helpful and along with a steroid spray, and allergy shots I got better control. Unfortunately in my sixties I am having more side effects to a lot of meds and I can't take it anymore because it's giving me blurred vision and aggravating my asthma. But it was helpful and it's worth a try.”

6 / 10
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frustratedaz · Taken for less than 1 month February 17, 2021

Astelin (azelastine) for Allergic Rhinitis: “I can breathe! No post nasal drip, no sticky eyes and no sinus pressure! An urgent care Dr told me to try it and I am so happy. I've been prescribed everything and frustrated with allergies and sinusitis, but this fixed all the symptoms.”

10 / 10
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Nicole03 · Taken for less than 1 month May 24, 2020

For Allergic Rhinitis: “My seasonal allergies are so severe that I’ve been hiding from society because people will think I have COVID. I’ve had the itchy throat for three months now. Puffy and tender spots around my nose. I get this way every spring. My cough keeps my husband up at night. My dr put me on a cocktail med. Allegra, Flonase, Azelastine. I tried it today for the first time. Two sprays in each nostril. When it trickled down the back of my throat the taste was so horrible I started throwing up. It was traumatizing. Also my food has tasted different all day. My taste is completely different. Is this normal? Even when I drink water it gives it a completely different and gross taste. I just want this out of my system like now!!”

6 / 10
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Jo · Taken for less than 1 month October 6, 2019

For Allergic Rhinitis: “BITTERNESS. Bitter is not even the right word. It's like chewing aspirin that's been soaking in battery acid and letting that linger in the back of your throat for FIVE HOURS. It is effective, however. But the taste is so bad I almost cannot bring myself to use it. Will try standing on my head next time (no kidding), and gargling all day with Listerine. They must fix this -- it's unbearable.”

5 / 10
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K Mayes · Taken for 6 months to 1 year June 7, 2020

For Allergic Rhinitis: “Had a 10 year allergic cough. Had been using Flonase twice a day with Singulair and Zyrtec without relief. Had a blocked nose for as long as I can remember. The effects of azalastine are almost instant. The taste is awful but it is insignificant in relation to opening my sinuses. I have been able to stop using zyrtec all together and only use flonase once a day. Will attempt to ween off singulair next. An amazing med.”

10 / 10
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hollyheart721 · Taken for 1 to 6 months October 4, 2017

For Allergic Rhinitis: “I have been on this medicine for 3+ months now and I am in love! I have a severe allergy to mould and was temporarily working in a home that definitely has mould issues. I started this nasal spray and had instantaneous relief from achy sinus pressure and a sore throat. It's my godsend! The only downfall is the taste in the back of your throat. However if you actually read the directions and follow them, it won't happen. If you lean your head forward and sniff gently ONLY AFTER spraying, you will not get it in the back of your throats and there won't be a bitter taste.”

9 / 10
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Anonymous July 25, 2019

For Allergic Rhinitis: “I have non allergic rhinitis and have anxiety so I can't use steroids so I thought I would give Azelastine hydrochloride a try. Because I've been through months of drugs that made me worse I was very cautious. So I put 2 squirts in my right nostril. Immediately the congestion was worse. So I waited and nothing. It dried my nose out so bad it would get stuck shut. I also woke up with a bad headache and tingling in my arms and dizziness. Probably from not breathing well all night.”

2 / 10
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John · Taken for 1 to 6 months August 6, 2020

For Allergic Rhinitis: “This worked great for post nasal drip and nasal congestion. Actually the first medication that I can ever recall doing such a great job. Two drawbacks for me: One, it makes me extremely tired, so I only take it at night. Two, it dries my throat out, necessitating throat lozenges and is just a general annoyance. I now use it only as needed.”

8 / 10
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Dawny · Taken for less than 1 month October 24, 2019

For Allergic Rhinitis: “You have to tilt your head down when spraying azelastine in your nose, and hold your breath. I've have no after taste, at all. It is helping me day 2, with sinus rinses few times a day. I am a little sleepy though .will probably just use before bed”

9 / 10
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Female Age 52 March 1, 2020

For Allergic Rhinitis: “I have had sinus CT scan, nasal endoscopy, allergy shots, extensive bloodwork, prescribed all sorts of nasal medicines, antibiotics etc and I am still experiencing puffy eyes, extremely dry eyes, sticky clear mucus. Nothing is working. I have seen 2 ENTs, 2 allergy/sinus drs (chronic allergies, slight deviated septum no surgery req'd), neurologists (cervicalgia), ophthalmologist and all I get is you are extremely dry. However, no one has been able to pinpoint the cause. I use to have seasonal allergies. Claritin would work. Past year, this has been ongoing. No relief. The head pressure & the thick sticky mucus not draining! I keep my mouth/nose covered everywhere I go. Recently, I was given Azelastine HCI nasal spray to try. I was dizzy/sleepy all day. The head pressure intensified then next morning when I woke up my face/eyes were swollen, puffy, dry. It seems like it made my symptoms worse. At this point, I will continue the Neilmed Sinugator daily until I see my PCP.”

1 / 10
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Twinmom · Taken for 1 to 6 months June 21, 2019

For Allergic Rhinitis: “Suffered from near constant allergic congestion my entire life. Claritin D would bring some relief, but not good for blood pressure. Doctor prescribed Azelastine and I LOVE it! No more congestion, period. No side effects either; I haven't experienced the taste issues others report.”

9 / 10
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Anonymous May 13, 2014

Astelin (azelastine) for Allergic Rhinitis: “I've suffered for years with allergies both seasonal/environmental and chemical. I carried Benadryl and hydrocortisone in my purse for years. I recently had issues with my ight hear with vibration and popping as well as hearing my inhalation through my nose in my ear. I also had awful post nasal drip year round for as long as I could remember. I went to an ENT doc and he prescribed me Astelin. I take one spray in each nostril in the morning and again at bedtime. I've been on it for about a month now and I have never felt better. The hives have decreased, my swollen hands have gone down and my ear is like new! I highly recommend this antihistamine nasal spray. Inquire with your doctor about it!”

10 / 10
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momofthree July 14, 2019

For Allergic Rhinitis: “I have had post nasal drip for years and years. Finally put on this drug. first good night sleep in a long time!! I use it once a day (even though prescribed twice) and only at night so can't say how drowsy it makes me. my only complaint is it makes my dry eye worse. I have not had any of the other side effects that people are mentioning here. I was about to go on a sleep aid since I wake up coughing all the time but this eliminated that issue!”

9 / 10
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Anonymous May 9, 2008

Astelin (azelastine) for Allergic Rhinitis: “This spray is a "God Send" for me. It provided immediate relief to my severe case of vasomotor rhinitis. I suffered from severe nose congestion,(so much so I almost could not breath), and post nasal drip which were immediately relieved.”

10 / 10
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Dragon · Taken for less than 1 month March 3, 2020

For Allergic Rhinitis: “Wow! I have fought with clogged nose since I can remember. Prescribed by my ENT and noticed a HUGE difference after the first dose. Using both azelastine and flonase, two sprays each nostril twice a day. Had been using the same dose of flonase, but without the azelastine and still had not just stuffy but clogged nostrils. I have not noticed any bad taste, even when using right before bed and lying on my back. And I have NO sneezing! I am amazed...I sneeze 3 times many times a day. Hoping this continues to be effective!”

10 / 10
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MB · Taken for 6 months to 1 year November 18, 2020

For Allergic Rhinitis: “My doctor prescribed this due to extremely dry nasal passages and cough, as well as itchy eyelashes and constant sneezing. As soon as I take this I feel immense pressure on my chest and complete drowsiness like a zombie. Sometimes it helps my extremely dry nose, other time it makes it wayyy worse. Makes me feel out of focus so much so that I can't even drive, but that may be in combination with my Anxiety and ADD.”

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This information is NOT intended to endorse any particular medication. While these reviews might be helpful, they are not a substitute for the expertise, knowledge and judgement of healthcare practitioners.