Azelastine Hcl Spray, Metered
FDA Label NDC 69238-2147

Azelastine HCl 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.

Do not use if you have ever had an allergic reaction to this product or any of its ingredients

Ask a doctor before use if you

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

When using this product

• drowsiness may occur
  • avoid alcoholic drinks
  • alcohol, sedatives, and tranquilizers may increase drowsiness
  • be careful when driving motor vehicle or operation 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

Stop use and ask a doctor if

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

If pregnant or breast-feeding, ask a health professional before use.

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

Directions

• 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

  adults and 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

Other information

• 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 tape printed with “sealed for your protection” on top and bottom flaps is not intact

Inactive ingredients

benzalkonium chloride, edetate disodium, hypromellose, purified water, sodium citrate, sorbitol and sucralose

Questions or Comments?

Call 1-877-835-5472 (Mon-Fri, 9AM-5PM EST)

Distributed by:

Amneal Pharmaceuticals LLC

Bridgewater, NJ 08807

Rev. 09-2021-00

Azelastine HCl 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.

Remove the dust cover over the tip of the bottle

and the white safety clip just under

the shoulders of the bottle before using.                    

Pic 1 (Azelastine HCl Nasal Spray 0 15 Otc 1)

WHEN TO PRIME 

• Before you use Azelastine HCl Nasal Spray for the first time
• If you have not used Azelastine HCl 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.
• If a fine mist does not appear after 6 sprays, your nozzle may be clogged. Please see “How to Clean a Clogged Nozzle” section.

 



Pic 2 (Azelastine HCl Nasal Spray 0 15 Otc 2)

 

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.

 



Image 3 (Azelastine HCl Nasal Spray 0 15 Otc 3)

STEP 3

Hold bottle with thumb under bottle and

spray nozzle between fingers.



Image 4 (Azelastine HCl Nasal Spray 0 15 Otc 4)

STEP 4

Close one nostril.

 



Image 5 (Azelastine HCl Nasal Spray 0 15 Otc 5)

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 HCl 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 HCl 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 HCl Nasal Spray.

HOW TO CLEAN A CLOGGED NOZZLE

• If you cannot get your Azelastine HCl Nasal Sprayto 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).



Image 6 (Azelastine HCl Nasal Spray 0 15 Otc 6)

• 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.



Image 7 (Azelastine HCl Nasal Spray 0 15 Otc 7)

• 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?

1-877-835-5472 (Mon to Fri, 9AM to 5PM EST)

Distributed by:

Amneal Pharmaceuticals LLC

Bridgewater, NJ  08807

Rev. 12-2021-00