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Azelastine/Fluticasone Nasal Spray Dosage

If your healthcare provider recommends treating seasonal allergies with azelastine/fluticasone nasal spray, the dosage will be the same for everyone, regardless of age, weight, or other factors. This standard amount is one spray of the medicine in each nostril twice daily. You should not use this nasal spray more than recommended, as it may increase your risk for side effects.

An Introduction to Your Dosage of Azelastine/Fluticasone Nasal Spray

There is only one standard dose of azelastine/fluticasone nasal spray (Dymista™), regardless of your age or weight or the severity of your nasal allergies. As is always the case, do not adjust your dosage unless your healthcare provider specifically tells you to do so.

Recommended Azelastine/Fluticasone Nasal Spray Dosing Guidelines

The recommended starting azelastine/fluticasone nasal spray dose for treating nasal allergies in adults and adolescents 12 years of age and older is one spray of the medicine in each nostril twice daily -- four sprays total per day. If you are having a particularly bad allergy day, do not use more than recommended. Using it more often, or using more sprays than recommended, is unlikely to help and will increase the risk for side effects.

General Information on Using Azelastine/Fluticasone Nasal Spray

Some considerations to keep in mind during treatment with azelastine/fluticasone nasal spray include the following:
  • This medication comes as a nasal spray. It is used in each nostril twice daily.
  • Make sure to shake the bottle gently before each use. Before using it for the first time, you will have to prime the pump by spraying it quickly until a fine mist appears (typically six sprays). If you have not used the bottle within the past 14 days, you will have to reprime it by spraying it until a fine mist appears.
  • It is important that the medication sprays as a fine mist rather than a stream, as this could interfere with the effectiveness of the drug or increase the risk for side effects.
  • Blow your nose before each dose. Breathe in gently while spraying the medicine into your nose. Do not try to inhale the spray, tilt your head back, or breathe in too deeply, as this drug works when it comes into contact with the inside surfaces of the nose, not the throat or lungs. Swallowing it down the lungs is not effective and causes a bad taste.
  • Avoid aiming the spray toward the wall that separates your nostrils (in the middle of your nose, called the nasal septum). Spraying it toward the nasal septum increases the risk of nosebleeds. Some people find it easiest to avoid this by holding the bottle in the opposite hand (using the right hand to spray into the left nostril, and vice versa).
  • For the medication to work properly, it must be used as prescribed.
  • If you are unsure about anything related to your dosage or azelastine/fluticasone nasal spray dosing in general, please talk to your healthcare provider or pharmacist.
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Azelastine/Fluticasone Nasal Spray Information

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