The net content of the bottle is 30 mL (net weight 30 gm of solution). Prime the delivery system (pump unit) with four sprays or until a fine mist appears. Azelastine hydrochloride Nasal Spray is indicated for the treatment of the symptoms of seasonal allergic rhinitis in adults and pediatric patients 5 years and older, and for the treatment of the symptoms of vasomotor rhinitis in adults and adolescent patients 12 years and older.The recommended dosage of Azelastine hydrochloride Nasal Spray in adults and adolescent patients 12 years and older with seasonal allergic rhinitis is one or two sprays per nostril twice daily. Caution patients against engaging in hazardous occupations requiring complete mental alertness and motor coordination such as driving or operating machinery after administration of Azelastine hydrochloride Nasal Spray [Instruct patients to avoid concurrent use of Azelastine hydrochloride Nasal Spray with alcohol or other central nervous system depressants because additional reductions in alertness and additional impairment of central nervous system performance may occur [Inform patients that the treatment with Azelastine hydrochloride Nasal Spray may lead to adverse reactions, which include bitter taste, headache, somnolence, dysesthesia, rhinitis, nasal burning, pharyngitis, epistaxis, sinusitis, paroxysmal sneezing, nausea, dry mouth, fatigue, dizziness, and weight increase [Instruct patients to prime the pump before initial use and when Azelastine hydrochloride Nasal Spray has not been used for 3 or more days [Instruct patients to avoid spraying Azelastine hydrochloride Nasal Spray into their eyes.Instruct patients to keep Azelastine hydrochloride Nasal Spray out of the reach of children. This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. If experienced, these tend to have a Less Severe expression 1. Applies to azelastine/fluticasone nasal: nasal spray. Azelastine-Fluticasone 137 Mcg-50 Mcg/Spray Nasal Spray Antihistamines Side Effects by Likelihood and Severity COMMON side effects. Doctors give trusted answers on uses, effects, side-effects, and cautions: Dr. Zacharisen on can i take azelastine and claritin d together: These both have decongestants in them so only one or the other Prime the delivery system (pump unit) with four sprays or until a fine mist appears. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. The mean change from baseline in rTNSS was greater in patients receiving Azelastine hydrochloride Nasal Spray one spray per nostril twice daily than those receiving placebo (Table 4).Two-week studies comparing the efficacy (and safety) of Azelastine hydrochloride Nasal Spray two sprays per nostril twice daily versus one spray per nostril twice daily were not conducted.The efficacy and safety of Azelastine hydrochloride Nasal Spray were evaluated in two placebo-controlled clinical trials of Azelastine hydrochloride Nasal Spray including 216 patients with vasomotor rhinitis who received two sprays per nostril twice a day for up to 4 weeks. Bitter taste was reported in 8.3% of patients compared to none in the placebo group. Each spray of Azelastine hydrochloride Nasal Spray delivers a volume of 0.137 mL solution containing 137 mcg of Azelastine hydrochloride.In clinical trials, the occurrence of somnolence has been reported in some patients taking Azelastine hydrochloride Nasal Spray [Use of Azelastine hydrochloride Nasal Spray has been associated with somnolence [Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect rates observed in practice.Adverse experience information for Azelastine hydrochloride Nasal Spray is derived from six placebo-and active-controlled, 2-day to 8-week clinical trials which included 391 patients, 12 years of age and older, with seasonal allergic rhinitis who received Azelastine hydrochloride Nasal Spray at a dose of 2 sprays per nostril twice daily. 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