Azelastine

Dosage Forms Available

• Azelastine is available for use via nasal route in the form of a nasal spray.

• It is also available for ophthalmic use in the form of eye drops.

Age and Dose Restrictions

• Azelastine in the form of a nasal spray can be used by adults and children who are six years of age or older. The eye drops can be used in children who are four years and older under medical supervision.

Contraindications

• Azelastine is contraindicated in patients who have known hypersensitivity to the medication or any of its ingredients.

Other Medications to Avoid

• Azelastine may interact with antacids (such as cimetidine), CNS depressants (such as alcohol, sleeping pills, muscle relaxants, and psychiatric medications) and antiretroviral medicines (such as ritonavir).

Overdose and Missed Dose

• Overdose of Azelastine may cause excessive drowsiness. If you suspect an overdose, immediately seek medical attention.

• If you forget to administer a dose of Azelastine, do so as soon as you remember. But if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• To minimise bitter taste and nasal discomfort while using the nasal spray, tilt your head forward while spraying and avoid breathing in deeply. Rinse your mouth after use.

• If you experience nosebleeds, avoid spraying directly onto the nasal septum.

Use in Driving and Operating Machinery

• Azelastine may cause drowsiness or dizziness, which could affect your ability to drive or operate machinery. If you experience these side effects, avoid such activities until you are sure you can perform them safely.

Use in Pregnancy and Lactation

• Azelastine should only be used during pregnancy and breastfeeding if needed and the benefits outweigh the risks.

Caution in Other Conditions

• Patients with mild to moderate kidney disease should exercise caution when using the nasal spray form of Azelastine. It is not advised in severe kidney dysfunction.

Special Dietary and Lifestyle Recommendations

• Regular cleaning of your living environment can help manage allergic rhinitis symptoms.

• Try to identify and avoid known allergens that cause your allergic symptoms.

• Keep your home free from dust mites by regularly washing bedding and stuffed toys.