Astelin Nasal Spray

Adult Dosing & Uses

Dosing Forms & Strengths

nasal spray

1. 0.1% (125mcg/spray)
2. 0.15% (187.6mcg/spray)

Seasonal Allergic Rhinitis

Astelin or Astepro 0.1% or 0.15%: 1-2 sprays per nostril BID, OR

Astepro 0.15%: 2 sprays per nostril qDay

Perennial Allergic Rhinitis

Astepro 0.15%: 2 sprays per nostril BID

Vasomotor Rhinitis

Astelin: 2 sprays per nostril BID

Other Information

Administration: prime with 4 sprays before initial use; if idle for 3 days, reprime with 2 sprays



Pediatric Dosing & Uses

Dosing Forms & Strengths

nasal spray

1. 0.1% (125mcg/spray)
2. 0.15% (187.6mcg/spray)

Seasonal Allergic Rhinitis

Astelin

1. <5 years: Safety and efficacy not established
2. 5-11 years: 1 spray per nostril BID
3. 12 years or older: As adults; 1-2 sprays per nostril BID

Astepro

1. <12 years: Safety and efficacy not established
2. 12 years or older: As adults; 0.1% or 0.15%: 1-2 sprays per nostril BID, OR
3. 0.15%: 2 sprays per nostril qDay

Perennial Allergic Rhinitis

<12 years: Safety and efficacy not established

12 years or older: As adults; Astepro 0.15%: 2 sprays per nostril BID

Vasomotor Rhinitis

<12 years: Safety and efficacy not established

12 years or older: Astelin: 2 sprays per nostril BID

Other Information

Administration: prime with 4 sprays before initial use; if idle for 3 days, reprime with 2 sprays


Contraindications & Cautions

Contraindications

Documented hypersensitivity

Lower respiratory disease, eg, asthma (controversial)

Preemies & neonates

Nursing women

Cautions

May cause drowsiness

Caution in narrow angle glaucoma, prostatic hypertrophy, stenosing peptic ulcer, pyloroduodenal obstruction, or bladder neck obstruction

Avoid concurrent CNS depressants than may add to somnolence


Azelastine (Rx) - Astelin Nasal Spray, Astepro, Azelastine HCl, Rhinolast