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Azelastine nasal and Nosebleeds: What Users Say

Brand names: Astelin, Astepro, Astepro Allergy

Nosebleeds: mentioned by 8 users (4.0%)

Based on user experiences from 199 Azelastine nasal reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

bad taste 21.1%
drowsiness 15.6%
headaches 8.0%
sneezing 6.0%
runny nose 5.0%
nosebleeds 4.0%
cough 3.5%
dizziness 3.5%
itching 3.5%
tiredness 3.5%

Reviews for Azelastine nasal

Commonly mentioned side effects
  • Anonymous
  • Taken for less than 1 month
  • May 8, 2019

Azelastine nasal for Allergic Rhinitis "Works good. Had chronic sinus drainage, was in bed 5 days. Went to clinic to see a sinus doctor who said I have allergic rhinitis with severe attacks, nose, throat, neck, shoulders, nosebleeds. They put me on a new spray. Hopefully, it works better than Flonase. I can't stand it anymore. Even get 'allergy shots,' will get even stronger shots per doc. Texas is bad to live if you have allergies."

10 / 10
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33 Report
  • Anonymous
  • Taken for 1 to 6 months
  • April 10, 2020

For Allergic Rhinitis "I swear I'm allergic to this nose spray. Used it for months, every time I did use it, I would have a sneezing fit, then it was followed by a headache and a bloody nose. I just thought I had a sinus and upper respiratory infection I could never get rid of. Stopped using it, and I feel great. Took a few days, but no more... what doctors thought was the sinus and upper respiratory infection."

1 / 10
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27 Report
  • Min...
  • Taken for less than 1 month
  • June 28, 2019

For Allergic Rhinitis "I had been using Flonase with incredible success until I started getting nosebleeds. My ENT told me to stop with the Flonase and prescribed this azelastine: 2 sprays each nostril 2x per day. I used it this morning, and it will definitely be the last time I ever do. The bitter taste was unbearable, but I should have read the directions for how to administer more closely. I'm sure I can figure out a workaround for that. But not the headache. I am sitting here with a massive headache and groggy feeling that is literally wrecking my workday. As you can see, I'm sitting here reading instead of getting any work done. This is one of the worst headaches I've had in a long time, and I just want to lay down on the floor of my office and go to sleep. I would highly recommend trying it at home during a weekend in case you have a similar experience."

2 / 10
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17 Report
  • Mel...
  • February 3, 2020

For Allergic Rhinitis "I had issues with it since day one and only took it for a week and had to call it quits. I had a bitter taste in my mouth for hours or all day/every day because I was prescribed it two times a day. I also had sneezing, an itching nose, felt like I had dry cotton mouth all day, and night was bad, drowsiness, really bad headaches, and the worst part was my nosebleeds came back by like day three of being on it. I went to see a doctor because I was tired of nosebleeds and found out I have a 16mm nasal polyp with post-nasal drip. I took it for like a week and it bled every day, and I tried just regular saline nasal spray to put moisture back in my nose, and it doesn't help. I had no choice but to stop. Even after I stopped, it took a week or two to feel like I was back to normal, but now I'm wondering if I did some damage to my nose because it's been about two weeks off, and I had a bad nosebleed just yesterday, and I barely blew my nose. So, my experience was not so good."

1 / 10
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13 Report
  • Hon...
  • Taken for 1 to 2 years
  • June 21, 2020

For Allergic Rhinitis "Have been using for a couple of years with little relief from post-nasal drip and blocked nasal breathing. Also now giving me headaches and nosebleeds, plus the awful aftertaste. I wake up with muscle pain and general fatigue, which I just associated with it-doesn't happen when I don't take it, so will discontinue."

2 / 10
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10 Report

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  • Sno...
  • Taken for less than 1 month
  • May 3, 2021

For Allergic Rhinitis "My ENT started me on Azelastine. I started with 1 spray in each nostril and worked up to 2, 2 times daily to see how it was going to affect me. The aftertaste 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 nosebleeds. I haven't had a nosebleed since I was a child, I'm almost 60 now, and I've had 3 nosebleeds 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 nosebleeds 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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5 Report
  • Doo...
  • Taken for less than 1 month
  • January 5, 2016

Azelastine nasal for Allergic Rhinitis "My asthma and allergist prescribed this for me when continued use of Flonase was giving me nosebleeds. I took it the next day and never have again. I could not get the taste out of my mouth for half an hour, no matter what I ate or drank to get it to go away. I have a bad cold right now and the Flonase isn't doing very well, I'm considering trying the Astelin again, but I don't know if the taste is worth it."

5 / 10
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16 Report
  • cin...
  • July 27, 2010

Azelastine nasal for Allergic Rhinitis "Great for seasonal allergies. Works very quickly. Does make me drowsy, so use before bed. After long-term use, did have some nosebleeds, but well worth the side effects."

9 / 10
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14 Report

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Reviews may be edited to correct grammar/spelling or remove inappropriate content. Reviews appearing to come from parties with a vested interest are not published. This information is not intended to endorse any medication and should not replace the expertise and judgment of healthcare professionals.