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Azelastine Topical



Azelastine topical is used for the treatment of year-round as well as seasonal redness and itching of the skin due to allergy to any substance, hay fever and allergy symptoms including runny nose, sneezing, itchy nose (allergic rhinitis) and allergic conjunctivitis.

How it works

Azelastine belongs to the class of medications called as antihistamines. It acts by blocking a natural chemical (histamine) that is produced in the body during an allergic reaction.

Common side effects

Nose bleed, Throat irritation, Numbness, Itchy rash, Bitter taste, Dizziness, Sleepiness, Dry mouth, Altered taste, Fatigue, Itching, Running nose, Sinus infection, Sneezing, Weight gain


Expert advice

  • Do not spray the nasal spray into the eyes.
  • Before use, shake the nasal spray bottle gently for 5 seconds by tilting it upwards and downwards and then open the protective cap.
  • Nasal spray is not recommended for children below the age of 5 years.
  • Do not use contact lenses when applying azelastine eye drops.
  • Consult your doctor if symptoms of conjunctivitis worsen or do not improve after 48 hours.
  • Azelastine eye drops should be used for a maximum period of 6 weeks.
  • Do not drive or use any machinery after using azelastine eye drops as it may cause mild eye irritation. 
  • Do not consume alcohol while taking azelastine as it may worsen the side effects. 
  • Tell your doctor if you are pregnant, planning to become pregnant.
  • It should not take if patient is allergic to azelastine or any of its ingredients.
  • It sholud not given to breastfeeding women.

Frequently asked questions

Azelastine Topical

 Q. Is azelastine a duonase/ a steroid/anticholinergic/corticosteroid/antihistamine/decongestant?
It is an antihistaminic drug.
Q. Is azelastine the same as Flonase?
No, azelastine is a different drug. Flonase contains the drug fluticasone.

Content on this page was last updated on 30 September, 2016, by Dr. Varun Gupta (MD Pharmacology)