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Dymista
azelastine hydrochloride and fluticasone propionate
$159.00
137/50mcg · 3 × 1 nasal spray · 3 months supply
BrandBranded medicine
$53.00 per month
How long a supply?
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Annual cost
$636a year at this pack size
Prescription required
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137/50mcg
About Dymista
Overview
Dymista is a nasal spray containing azelastine hydrochloride and fluticasone propionate. It is used to relieve symptoms of seasonal allergic rhinitis in adults and children aged 6 years and older. It combines an antihistamine that blocks histamine receptors with a corticosteroid.
What it treats
Seasonal allergic rhinitis symptoms in adults and children aged 6 years and older.
Safety information
Side effects
Common side effects include an altered sense of taste, nosebleeds and headache. Dymista can also cause drowsiness. Avoid driving or operating machinery while using it, and avoid alcohol or other medicines that reduce alertness. Contact your doctor if you develop nasal sores, poor healing inside the nose, signs of infection or changes in vision. Serious risks include a hole in the nasal septum (the tissue separating the nostrils), Candida fungal infection, glaucoma and cataracts. Dymista can weaken the immune system and worsen existing infections. Chickenpox or measles can be more serious or even fatal in susceptible people. Contact your doctor if an infection develops or worsens. Other serious effects include excess corticosteroid effects, reduced adrenal gland function and slower growth in children. Children using Dymista should have their growth monitored routinely.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not use Dymista if you are allergic to azelastine hydrochloride, fluticasone propionate or any other ingredient. Allergic reactions have included anaphylaxis, a severe allergic reaction. Avoid use if you have recent nasal ulcers, nasal surgery or a nasal injury. Dymista can cause nosebleeds, nasal ulcers, a hole in the tissue separating the nostrils, delayed wound healing or Candida fungal infection. Periodic checks for these nasal effects are recommended. Tell your prescriber if you have: • Vision changes, a history of raised pressure in the eyes, glaucoma or cataracts. Close monitoring is needed. • Tuberculosis, a fungal, bacterial, viral or parasitic infection, or herpes simplex infection of the eye. These infections may worsen. Chickenpox or measles can be more serious or even fatal in susceptible people. Dymista can cause sleepiness. Avoid driving, operating machinery or other activities requiring full alertness. Avoid alcohol and other medicines that depress the central nervous system, as they may further reduce alertness. Excess corticosteroid effects and reduced adrenal gland function can occur, including with prescribed use in susceptible people. If these occur, withdrawal should be gradual under the prescriber’s direction. Children’s growth should be monitored regularly because Dymista may slow growth.
Interactions
Ritonavir should not generally be used with Dymista. Other strong inhibitors of the enzyme CYP3A4, such as ketoconazole, require caution because they may increase fluticasone propionate levels in the blood. Tell your doctor if you take these medicines. No formal interaction studies have been carried out with Dymista. Expected interactions are based on its individual ingredients.
Using Dymista
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C upright, away from direct light. Do not freeze. Follow the in-use period printed on the pack once it is opened. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label DYMISTA (AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE) SPRAY, METERED [VIATRIS SPECIALTY LLC] (DailyMed, retrieved 19 September 2026).
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