Medicine guide

Azelastine Hydrochloride

205.5 ug · Spray, Metered

  • Available without prescription
  • Histamine-1 Receptor Antagonist
Active substance
Azelastine Hydrochloride
Made by
Aurohealth LLC

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2026-08-20

What it is

Antihistamine

Used for
  • Nasal congestion
  • Runny nose
  • Sneezing
  • Itchy nose
How to take it

Adults and children 12 years and older This product may be used either once or twice a day:: once daily: use 2 sprays in each nostril; OR

Full directions ↓
Do not take it if

If you have ever had an allergic reaction to this product or any of its ingredients

All warnings ↓
Good to know
  • Sold without a prescription
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
18other products contain Azelastine Hydrochloride — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

temporarily relieves these symptoms due to hay fever or other upper respiratory allergies:

  • nasal congestion
  • runny nose
  • sneezing
  • itchy nose

From the official label · 2026-08-20 · DailyMed

How it works

From the US prescribing label for the same active substance (Azelastine). It describes the substance, not this exact product.

Azelastine hydrochloride, a phthalazinone derivative, exhibits histamine H 1 -receptor antagonist activity in isolated tissues, animal models, and humans.

Azelastine HCl Nasal Spray is administered as a racemic mixture with no difference in pharmacologic activity noted between the enantiomers in in vitro studies.

Peak level after2–3 h
Half-life22 h
Mostly cleared after≈ 5 daysfive half-lives — our arithmetic
PeakHalf gone5 days0
The shape is a standard model drawn from the two times above, not a measurement. How fast a medicine acts and wears off also depends on the dose, the form and the person.
How the body breaks it down

Azelastine is oxidatively metabolized to the principal active metabolite, desmethylazelastine, by the cytochrome P450 enzyme system.

How it leaves the body

Approximately 75% of an oral dose of radiolabeled azelastine hydrochloride was excreted in the feces with less than 10% as unchanged azelastine.

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2026-03-26

Do not take it if

if you have ever had an allergic reaction to this product or any of its ingredients

Quoted from the official label, section “OTC — Do Not Use”.

How to take it

These directions are for this exact strength and form. Another one is different.

  • Read the User Guide for how to:
  • prime the bottle before first use
  • use the spray
  • prime bottle again if not used for 3 or more days
  • clean the spray nozzle if it gets clogged
  • adults and children 12 years and older This product may be used either once or twice a day:
  • once daily: use 2 sprays in each nostril; OR
  • twice daily: use 1 or 2 sprays in each nostril every 12 hours
  • do not use more than 4 sprays in each nostril in a 24 hour period
  • children 6 years to 11 years
  • an adult should supervise use
  • 1 spray in each nostril every 12 hours
  • do not use more than 2 sprays in each nostril in a 24 hour period
  • children under 6 years
  • do not use

Quoted from the official label, section “Dosage & Administration”.

Ask a doctor first if

  • you
  • have had recent nose ulcers or nose surgery
  • have had a nose injury that has not healed

Quoted from the official label, section “OTC — Ask Doctor”.

Stop and get help if

  • an allergic reaction, such as a skin rash, to this product occurs
  • you have severe or frequent nosebleeds

Quoted from the official label, section “OTC — Stop Use”.

Other warnings

  • Only for use in the nose. Do not spray in eyes or mouth.
  • drowsiness may occur
  • avoid alcoholic drinks
  • alcohol, sedatives, and tranquilizers may increase drowsiness
  • be careful when driving a motor vehicle or operating machinery
  • you may get a bitter taste in your mouth. To help
  • avoid this, tilt your head downward while spraying.
  • nasal discomfort or sneezing may occur right after use
  • do not share this bottle with anyone else as this may spread germs

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

If pregnant or breast-feeding, ask a health professional before use.

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

Keep away from children

In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

Quoted from the official label, section “OTC — Keep Out of Reach of Children”.

How to store it

  • store between 20° to 25°C (68° to 77°F). Protect from freezing. keep this carton and the enclosed User Guide for important information
  • do not use if seal printed with “sealed for your protection” on top and bottom carton flaps is not intact.

Quoted from the official label, section “Storage and Handling”.

What kind of medicine it is

Antihistamine

Quoted from the official label, section “OTC — Purpose”.

Other ingredients

Relevant if you react to a dye, a preservative, lactose or gluten.

  • benzalkonium chloride, edetate disodium, hypromellose, purified water, sodium citrate (dihydrate), sorbitol and sucralose.
  • Questions or comments? 1-855-274-4122 (Monday – Friday 8:30 AM to 5:00 PM EST) Distributed by:
  • AUROHEALTH LLC 279 Princeton-Hightstown Road East Windsor, NJ 08520 Made in India Code:
  • AP/DRUGS/04/2016

Quoted from the official label, section “Inactive Ingredients”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

  • Sugar alcoholssorbitolSorbitol and similar can upset the stomach and matter with fructose intolerance.

Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.

Details

Made byAurohealth LLC
Active substanceAzelastine Hydrochloride
Used inBreathing, airways, allergies and cough
Strength205.5 ug
FormSpray, Metered
RouteNasal
Packs1 BOTTLE, SPRAY in 1 CARTON / 200 SPRAY, METERED in 1 BOTTLE, SPRAY · 1 BOTTLE, SPRAY in 1 CARTON / 60 SPRAY, METERED in 1 BOTTLE, SPRAY
NDC58602-020

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

Other strengths and forms

21 products are sold under this name. Grouped by form; a number on a strength means several companies make it.

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.