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Azelastine HCl Nasal Spray - Overview
Azelastine is a nasal spray medication that is used for the treatment of seasonal allergic rhinitis symptoms such as rhinorrhea, sneezing, and nasal pruritus in adults. Push Health helps people who need an azelastine prescription refill connect with a licensed medical provider who can prescribe azelastine if it is safe and appropriate to do so.
Azelastine Nasal Spray - How It Works
Azelastine nasal spray is marketed under brand names such as Astepro, Optivar and Astelin (0.1% azelastine hydrochloride in an aqueous solution). Azelastine hydrochloride belongs to a class of medications known as phthalazinone derivatives and has antagonistic activity to histamine H1-receptors just like cetirizine (Zyrtec) and Xyzal. After intranasal administration, azelastine hydrochloride has a bioavailability of approximately 40% and maximum plasma concentrations are reached in about 3 hours making it a rapid-acting treatment option. The elimination half-life of azelastine is roughly 22 hours and the majority is excreted in the feces. Azelastine is metabolized through the cytochrome P450 enzyme system, leading to its active metabolite, desmethylazelastine. Azelastine HCl itself is a white, crystalline powder with a bitter taste that is slightly soluble in water and has a melting point of about 225° C. As Astelin, some providers, in their judgement, use a starting dose in adults with seasonal allergic rhinitis of 1-2 sprays per nostril twice daily.
Azelastine HCl Nasal Spray - Cost
Azelastine nasal spray is an antihistamine formulated as a metered-spray solution. Azelastine is relatively affordable at most pharmacies, costing under $25 for one azelastine HCl nasal spray containing 137 mcg / spray. Different branded azelastine versions may vary in price when compared to generic azelastine. Insurance plans may cover some or all of the cost of azelastine nasal spray and azelastine coupons may be available online to help reduce the cost even further.
Can I Buy Azelastine Online?
Azelastine requires a prescription from a doctor or other licensed medical provider before it can be dispensed by a pharmacy. As a result, one cannot just buy azelastine online in the US or get azelastine OTC. Buying online azelastine may also not be safe. A better way to get an azelastine prescription is to connect with a medical provider through a service like Push Health who can prescribe azelastine if it is safe to do so.
Azelastine - Side Effects
Azelastine, like other medications, can cause side effects in some people. Side effects from azelastine use include bitter taste, headache, sinusitis and rhinitis. People who have a hypersensitivity or allergy to azelastine should not use the medication. Azelastine and alcohol or other CNS depressants should not be used together. Concerns or questions about side effects related to azelastine prescription medication use should be directed to one's medical provider and pharmacist prior to use.
More Azelastine Information
Last updated May 13, 2021. Given the evolving nature of medicine and science, this information might not be accurate and should not be construed as medical advice or diagnosis / treatment recommendations. Please consult a licensed medical provider if you have additional questions.