Yes, they can all be used together as there are no known drug interactions between any of the three ingredients listed above (pseudoephedrine, azelastine, fluticasone). If you’re on blood pressure medication, check with your doctor or pharmacist before taking a nasal decongestant. This site does not dispense medical advice or advice of any kind. Talk to your healthcare provider before taking these medications together.Combining azelastine with narcotics or opiates can increase the risk of drowsiness and decrease your alertness. Dymista nasal spray suspension delivers 137 mcg of azelastine hydrochloride and 50 mcg of fluticasone propionate (137 mcg/50 mcg) in each 0.137 mL spray. All rights reserved. This page on the eMedTV Web site lists other drugs that may interact with azelastine and explains what can happen when these medicines are taken together. ... and Mucinex Sinus Max. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert. Therefore, you should talk with your pharmacist or healthcare provider about any specific drug interactions that may apply to you. Narcotics or opiates, cimetidine, and barbiturates may cause drug interactions with azelastine. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. Somerset, NJ: Meda Pharmaceuticals, Inc.;2013 August.Astepro [package insert]. “When things are getting more severe you can add a nasal decongestant, like Afrin,” says Dr. Modi. Remember, though, it can increase your heart rate and may cause anxiety or make it hard to fall asleep. Fluticasone and azelastine work better together than either does alone. a life saver if you ask me), Singulair (really helps my allergies and asthma), Xopenex if needed and Astelin and Flonase for my nasal symptoms. This medicine may cause some people to become dizzy, drowsy, or less alert than they are normally. Meda Pharmaceuticals, Inc.; 2009 September.Lexi-Interact [computer program]. Fortunately, Lexapro (escitalopram) is safe to take with most nasal decongestants and there is likely a safe and effective option for you to use. The information provided here is for informational purposes only. If you notice any other effects, check with your healthcare professional. Summary: Drug interactions are reported among people who take Allegra and Azelastine hydrochloride together. Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Fluticasone and azelastine work better together than either does alone. In order for us to best serve you and provide you with the best information, can you please tell us if you currently have health insurance? All rights reserved. Azelastine nasal spray can interact with other medications, vitamins, or herbs you may be taking. Extended-release decongestants may be less likely to raise blood pressure than the immediate-release kind but can still cause problems. After using them for 3 to 7 days, your body may stop responding to the medication. This page on the eMedTV Web site lists other drugs that may interact with azelastine and explains what can happen when these medicines are taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.Selected from data included with permission and copyrighted by First Databank, Inc. You are likely to get the most benefit from Sudafed (pseudoephedrine). pseudoephedrine-acetaminophen oral brand names and other generic formulations include:. 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