Azelastine Hydrochloride Spray, Metered
FDA Label NDC 58602-020

Active ingredient (in each spray)

Azelastine hydrochloride USP 205.5 mcg (equivalent to 187.6 mcg azelastine)

Antihistamine

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

■ nasal congestion ■ runny nose ■ sneezing ■ itchy nose

Only for use in the nose. Do not spray in eyes or mouth.

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

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

■  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

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

ask a health professional before use.

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

■ 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

• 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.

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

Azelastine Hydrochloride Nasal Spray 205.5 mcg per spray

HOW TO START GETTING STEROID-FREE ALLERGY RELIEF RIGHT NOW

This User Guide will give you detailed directions on how to prime the bottle, use the spray, and how to clean a clogged nozzle.

Keep this User Guide as it contains important information.

GET THE BOTTLE READY

Remove the transparent cap and white clip before using.

Figure A (Azelastine Fig1)

PRIME THE BOTTLE

WHEN TO PRIME

• Before you use Azelastine Hydrochloride Nasal Spray for the first time
• If you have not used Azelastine Hydrochloride Nasal Spray for 3 or more days
• After you clean a clogged nozzle

HOW TO PRIME




• Aim bottle away from face.

• Hold bottle as shown and pump until a fine mist appears.





Figure 2 (Azelastine Fig2)




• If a fine mist does not appear after 6 sprays, your nozzle may be clogged. Please see “How to Clean a Clogged Nozzle” section.


HOW TO USE




Important: For use in your nose only




STEP 1

Blow your nose to clear your nostrils.




STEP 2

Tilt your head downward toward your toes.





Figure C (Azelastine Fig3)


TILT HEAD DOWNWARD

STEP 3

Hold bottle with thumb under bottle and spray nozzle between fingers.





Figure D (Azelastine Fig4)




STEP 4



Close one nostril.







Figure E (Azelastine Fig5)



HOLD ONE NOSTRIL SHUT

STEP 5



Put the spray tip about ¼ inch to ½ inch into the other nostril. Hold bottle upright and aim the spray tip toward the back of your nose.




STEP 6




While sniffing gently, press the pump once or twice (according to dosing directions found in Table 1).

Repeat Steps 4, 5 and 6 in other nostril.




STEP 7




Do not tilt your head back immediately after using Azelastine Hydrochloride Nasal Spray. This will help to keep the medicine from going into your throat, which may cause a bitter taste.




STEP 8




When you finish using your Azelastine Hydrochloride Nasal Spray, wipe the spray tip with a clean tissue or cloth. Put the clip and cap back on the bottle.




FOR USE IN CHILDREN

An adult should supervise use.

(See Steps 1 through 8).




SELECT THE DOSE




DIRECTIONS




Do not use more than directed




TABLE 1




adults & 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




IMPORTANT INFORMATION FOR USE




Remember, when using this product:




• Drowsiness may occur*

› Avoid alcoholic drinks.

› Alcohol, sedatives, and tranquilizers may increase drowsiness.

› Be careful when driving a motor vehicle or operating machinery.

*In clinical trials, drowsiness was observed in less than 4% of patients taking Azelastine Hydrochloride Nasal Spray.




HOW TO CLEAN A CLOGGED NOZZLE




If you cannot get your Azelastine Hydrochloride Nasal Spray to spray a fine mist, the nozzle may be clogged. Don’t try to unclog the nozzle with a pin or sharp object—that can damage it.

• Unscrew the spray pump unit from the bottle by turning it to the left (counter-clockwise).

          



Fig6 (Azelastine Fig6)

• Keep open bottle out of reach of children.
• Fill a bowl or container with warm water. Soak only the spray pump unit in the warm water. Pump the nozzle several times while holding it under the water to clear the clog.

       



Fig7 (Azelastine Fig7)



• Let the spray pump unit air dry before putting it back on.
• Tightly screw pump unit back on the open bottle by turning clockwise (to the right).
• After cleaning, follow the instructions for priming.

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

Revised: 01/2024

AUROHEALTH

NDC 58602-020-51

Azelastine Hydrochloride
Nasal Spray
205.5 mcg per spray

ANTIHISTAMINE NASAL SPRAY

Allergy

           60 METERED SPRAYS
           0.37 fl oz (11 mL)

Package Label-principal Display Panel (Container Label (30 mL Bottle))

AUROHEALTH

NDC 58602-020-51
                             *Compare to the active
              ingredient in ASTEPRO^® ALLERGY

ANTIHITAMINE
NASAL SPRAY 

Azelastine Hydrochloride 
Nasal Spray
205.5 mcg per spray

             ANTIHISTAMINE NASAL SPRAY
Allergy 
            FULL PRESCRIPTION STRENGTH

                            STEROID FREE
                             Alcohol-Free
                            Fragrance-Free

UP TO
24 HOUR
RELIEF OF

•   Nasal congestion
•   Runny nose
•   Sneezing
•   Itchy nose

                  60 METERED SPRAYS
                  0.37 fl oz (11 mL)

Package Label-principal Display Panel (Container Carton Label (30 mL Bottle))