Azelastine Hydrochloride Nasal Spray 205.5 Mcg Per Spray

Azelastine Hydrochloride Nasal Spray 205.5 Mcg Per Spray
SPL v2
SPL
SPL Set ID 7281c597-651e-4425-8208-7637cd9d3500
Route
NASAL
Published
Effective Date 2025-12-15
Document Type 34390-5 Human OTC Drug Label

Drug Facts

Composition & Product

Active Ingredients
Azelastine (205.5 ug)
Inactive Ingredients
Benzalkonium Chloride Edetate Disodium Hypromellose 2910 (4000 Mpa.s) Water Trisodium Citrate Dihydrate Sorbitol Sucralose

Identifiers & Packaging

Pill Appearance
Color: white
Marketing Status
ANDA Active Since 2025-01-27

Description

Active ingredient (in each spray) Azelastine hydrochloride USP 205.5 mcg (equivalent to 187.6 mcg azelastine)

Purpose

Antihistamine


Medication Information

Purpose

Antihistamine

Description

Active ingredient (in each spray) Azelastine hydrochloride USP 205.5 mcg (equivalent to 187.6 mcg azelastine)

Uses

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

■ nasal congestion ■ runny nose ■ sneezing ■ itchy nose

Warnings

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

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

Do Not Use

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

Drug Facts

Active ingredient (in each spray)

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

User Guide

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.



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.









• 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.





TILT HEAD DOWNWARD



STEP 3

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









STEP 4



Close one nostril.











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).

          

  • 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.

       



  • 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

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 seal printed with “sealed for your protection” on top and bottom carton flaps is not intact.
Inactive Ingredients

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

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



■ 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

Ask A Doctor Before Use If You

 ■  have had recent nose ulcers or nose surgery 

 ■  have had a nose injury that has not healed

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 (1-800-222-1222) right away.

Package Label Principal Display Panel  container Label (11 Ml Bottle)

AUROHEALTH



NDC 58602-020-51



Azelastine Hydrochloride

Nasal Spray

205.5 mcg per spray



ANTIHISTAMINE NASAL SPRAY



ALLERGY +

CONGESTION


           60 METERED SPRAYS

           0.37 fl oz (11 mL)







Package Label Principal Display Panel  container Carton Label (11 Ml Bottle)

AUROHEALTH



NDC 58602-020-51

                             *Compare to the active

              ingredient in ASTEPRO® ALLERGY



Azelastine Hydrochloride 

Nasal Spray

205.5 mcg per spray

ANTIHISTAMINE NASAL SPRAY

ALLERGY +

CONGESTION 


            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)









                            


Structured Label Content

Uses

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

■ nasal congestion ■ runny nose ■ sneezing ■ itchy nose

Purpose

Antihistamine

Warnings

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

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

Do Not Use (Do not use)

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

Drug Facts

Active ingredient (in each spray)

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

User Guide

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.



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.









• 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.





TILT HEAD DOWNWARD



STEP 3

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









STEP 4



Close one nostril.











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).

          

  • 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.

       



  • 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

Other Information (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 seal printed with “sealed for your protection” on top and bottom carton flaps is not intact.
Inactive Ingredients (Inactive ingredients)

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

When Using This Product (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



■ 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 (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

Ask A Doctor Before Use If You (Ask a doctor before use if you)

 ■  have had recent nose ulcers or nose surgery 

 ■  have had a nose injury that has not healed

If Pregnant Or Breast Feeding, (If pregnant or breast-feeding,)

ask a health professional before use.

Keep Out of Reach of Children. (Keep out of reach of children.)

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

Package Label Principal Display Panel  container Label (11 Ml Bottle) (PACKAGE LABEL-PRINCIPAL DISPLAY PANEL - Container Label (11 mL Bottle))

AUROHEALTH



NDC 58602-020-51



Azelastine Hydrochloride

Nasal Spray

205.5 mcg per spray



ANTIHISTAMINE NASAL SPRAY



ALLERGY +

CONGESTION


           60 METERED SPRAYS

           0.37 fl oz (11 mL)







Package Label Principal Display Panel  container Carton Label (11 Ml Bottle) (PACKAGE LABEL-PRINCIPAL DISPLAY PANEL - Container Carton Label (11 mL Bottle))

AUROHEALTH



NDC 58602-020-51

                             *Compare to the active

              ingredient in ASTEPRO® ALLERGY



Azelastine Hydrochloride 

Nasal Spray

205.5 mcg per spray

ANTIHISTAMINE NASAL SPRAY

ALLERGY +

CONGESTION 


            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)









                            


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