What is Azelastine?

Category: Prescription Drugs

Most popular types: Astelin Astepro Optivar Show all

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See also: Dymista

Azelastine is an antihistamine and mast cell stabilizer. As a nasal spray it is used to relieve seasonal allergies. As an ophthalmic preparation it is used to treat itching of the eye associated with seasonal allergic conjunctivitis.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Allergic rhinitis 42 24
Seasonal allergy 39 22
Non-allergic rhinitis 7 3
Sinus infection (sinusitis) 4 0
General health 2 1

Show all 18 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 6
Moderate 18
Mild 15
None 35

Commonly reported side effects and conditions associated with Azelastine

Side effect Patients Percentage
Bad taste in mouth 6
Bitter taste 3
Nosebleeds (epistaxis) 3
Dry mouth 2
Gastroesophageal reflux disease 2
Headaches 2

Show all 17 reported side effects

Dosages

Based on patients currently taking Azelastine

Dosage Patients Percentage
137 mcg twice daily 8
137 mcg daily 3
274 mcg twice daily 3
0.1 % twice daily 1
206 mcg daily 1
206 mcg twice daily 1
548 mcg daily 1
412 mcg three times daily 1
206mcg/puff as needed 1
2 137mcg/inh as needed 1

Why patients stopped taking Azelastine

Multiple reasons could be selected

Reason Patients Percentage
Did not seem to work 13
Course of treatment ended 8
Other 8
Side effects too severe 7
Doctor's advice 6
Expense 5
Change in health plan coverage 3
Personal research 2
See all 40 patients who've stopped taking Azelastine

Duration

Currently taking Azelastine

Duration Patients Percentage
1 - 6 months 1
6 months - 1 year 1
1 - 2 years 4
2 - 5 years 8
5 - 10 years 6
10 years or more 1

Stopped taking Azelastine

Duration Patients Percentage
Less than 1 month 7
1 - 6 months 10
6 months - 1 year 6
1 - 2 years 5
2 - 5 years 7
5 - 10 years 6
Adherence
Adherence Evaluations Percentage
Always 35
Usually 28
Sometimes 7
Never taken as prescribed 4
Burden
Burden Evaluations Percentage
Very hard to take 8
Somewhat hard to take 12
A little hard to take 15
Not at all hard to take 39
Cost per month
Cost per month Evaluations Percentage
$200+ 0
$100-199 5
$50-99 3
$25-49 7
< $25 31
Not specified 28

What people switch to and from

Patients started taking Azelastine after stopping:

Treatment Patients Percentage
Fluticasone nasal spray (Flonase Nasal Spray) 4
Desloratadine (Clarinex) 1
Fexofenadine (Allegra) 1
Fluticasone (Flovent HFA) 1
Loratadine (Claritin) 1

Show all 8 treatments patients report switching from

Patients stopped taking Azelastine and switched to:

Treatment Patients Percentage
Desloratadine (Clarinex) 1
Fluticasone nasal spray (Flonase Nasal Spray) 1
Formoterol-mometasone (Dulera) 1
Mirtazapine (Remeron) 1
Mometasone nasal (Nasonex) 1

Show all 7 treatments patients report switching to

Last updated:

4 patient evaluations for Azelastine

May 2, 2016 (Started Jun 14, 2007)

  • Effectiveness
    Major (for seasonal allergy)
  • Effectiveness
    Major (for sinusitis symptoms)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 548 mcg Daily
Advice & Tips: This is the best sinus medication.
Cost: < $25 monthly
Side effects: coated tongue

Jan 25, 2016 (Started Jun 14, 2007)

  • Effectiveness
    Major (for seasonal allergy)
  • Effectiveness
    Major (for sinusitis symptoms)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 548 mcg Daily
Advice & Tips: I'm still very pleased with this sinus medication and would recommend.
Cost: < $25 monthly
Side effects: coated tongue

Jan 14, 2015 (Started Jun 14, 2007)

  • Effectiveness
    Moderate (for seasonal allergy)
  • Effectiveness
    Moderate (for sinusitis symptoms)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 548 mcg Daily
Cost: < $25 monthly
Side effects: coated tongue

Jan 28, 2012 (Started Jun 14, 2007)

  • Effectiveness
    Major (for sinusitis symptoms)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 548 mcg Daily
Advice & Tips: I'm pleased to find that even the generic (Azelastine) is retains it's excellent efficiency and speedy relief of sinus congestion.
Cost: $50-99 monthly
Side effects: coated tongue

Jan 21, 2010 (Started Jun 14, 2007)

  • Effectiveness
    Major (for sinusitis symptoms)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 548 mcg Daily
Advice & Tips: Astelin gets rid of the sinus congestion and the dry coughing too. Although this does not clear the nasal congestion itself, it lessens the overall burden of it all.
Cost: $100-199 monthly
Side effects: coated tongue

Sep 21, 2008 (Started Jun 14, 2007)

  • Effectiveness
    Major (for Other)
  • Side effects
    Mild (coated tongue, choking on my saliva when relaxed and forget to swallow)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 548 mcg Daily
Advice & Tips: Astelin is the most effective sinus treatment I have ever had.
Cost: $100-199 monthly
Side effects: coated tongue

  • 0 helpful marks

Sep 1, 2011 (Started Jul 01, 2011)

  • Effectiveness
    Slight (for allergic rhinitis)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 137 mcg Daily

  • 0 helpful marks

Jan 20, 2009 (Started Aug 04, 2008)

  • Effectiveness
    Moderate (for Other)
  • Side effects
    Mild (bad taste in mouth)
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 548 mcg Daily
Side effects: bad taste in mouth

  • 0 helpful marks
Last updated:
Showing 3 of 4 patient evaluations for Azelastine