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Astepro (Azelastine)

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Astepro is an antihistamine nasal spray that's good for treating seasonal allergies or nose-related allergy symptoms quickly. Astepro works in your nose to block histamine, a chemical that causes runny nose, itching, and sneezing.

Other names for this medication:
Astepro, Azelast, Azelastine, Azenate, Duonase, Nazomac, Oculast, Optihist, Optivar

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Also known as: Azelastine


Astepro belongs to a group of medicines called antihistamines. Astepro provides relief from bothersome nasal symptoms such as congestion, itchy/runny nose, sneezing and postnasal drip due to seasonal allergens or environmental irritants. Astepro is steroid-free, does not contain pseudoephedrine, and relieves your symptoms by blocking the effects of histamine - the primary cause of allergy symptoms. What makes Astepro unique is that it is a steroid-free antihistamine nasal spray that provides symptom relief whether the trigger is an allergen (grass, trees, pollen, mold, etc.), an irritant (cigarette smoke, perfume, cleaning agents, car exhaust, cold air, etc.), or both. Astepro is also know as Azelastine, Arzep, Rhinolast, Alerdual, Allergodil, Rinalin. Generic name of Astepro is Azelastine.


Follow the directions for using this medicine provided by your doctor. Use Astepro exactly as directed. Astepro can be used by patients as young as 5 years of age, depending on what type of rhinitis they have been diagnosed with. For those with seasonal allergic rhinitis, patients from 5 to 11 years of age should administer 1 spray in each nostril twice daily. Patients 12 years of age and older with seasonal allergic rhinitis should administer 2 sprays of Astepro in each nostril twice daily. For those with nonallergic vasomotor rhinitis, patients 12 years of age and older should administer 2 sprays of Astepro in each nostril twice daily. Before using Astepro for the first time, remove the child-resistant screw cap and replace with the pump unit. Prime the delivery system (pump unit) with four sprays or until a fine mist appears. If 3 days or more have elapsed since your last use of the nasal spray, reprime the pump with two sprays or until a fine mist appears.


An overdose of azelastine nasal 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.


Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Store the bottle upright with the pump tightly closed.

Detailed Astepro dosage information

Side effects

The most common side effects associated with Astepro are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not take Astepro if you are allergic to Astepro components. It is not known whether Astepro will harm an unborn baby. Do not use this medicine without your doctor's advice if you are pregnant or breast-feeding. The medicine has a antihistamine in it. Before you start any new medicine, check the label to see if it has an antihistamine (e.g., diphenhydramine) in it too. If it does or if you are not sure, check with your doctor or pharmacist. Astepro may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away. Astepro should be used with extreme caution in children younger than 5 years old; safety and effectiveness in these children have not been confirmed. Do not drink alcohol or use medicines that may cause drowsiness (e.g., sleep aids, muscle relaxers) while you are using Astepro; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Astepro may cause drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Astepro with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Do not stop taking Astepro suddenly.

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