Azelastine HCl 137mcg/spray; aqueous nasal spray; contains benzalkonium chloride. Avoid engaging in hazardous occupations requiring complete mental alertness such as driving or operating machinery ...

For allergies, an OTC antihistamine nasal spray like azelastine (Astelin or Astepro) is a better option, Rubin says, and it ...

For patients with moderate-to-severe SAR that is uncontrolled on nasal steroids alone ... could be started as first-line therapy, but azelastine has a bitter taste, and two different sprays ...

For patients with allergic rhinitis, twice-daily azelastine plus fluticasone cut nasal symptoms ... all treatments were administered as one spray twice daily to preserve blinding.