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Dymista Nasal Spray

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What is Dymista Nasal Spray used for?

Dymista Nasal Spray is designed to treat moderate to severe allergic rhinitis, especially when a single antihistamine or corticosteroid is not enough to manage symptoms. It helps relieve both seasonal (hay fever) and year-round allergies (perennial rhinitis) caused by triggers like pollen, dust mites, mold, and pet dander.

Dymista works effectively to relieve the following symptoms:

  • Runny nose
  • Sneezing
  • Nasal congestion or blockage
  • Itchy nose
  • Postnasal drip (mucus buildup in the throat)

It provides fast relief by targeting both the allergic reaction and the inflammation that leads to these symptoms.

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Hayfever and allergies

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Nasal spray

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Dymista Nasal Spray
SKU: DYMISTSPR Category: Tags: ,

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Quantity

1 x 120 dose spray, 2 x 120 dose spray, 3 x 120 dose spray, 4 x 120 dose spray

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Overview

Active ingredients

What is it for?

How does it work?

How do you use it?

Warnings and precautions

Side effects

Drug interactions

FAQs

Download patent leaflet

Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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What is Dymista Nasal Spray?

Dymista Nasal Spray is a fast-acting solution for relieving symptoms of allergic rhinitis, including sneezing, nasal congestion, itching, and a runny nose. It combines two active ingredients to provide comprehensive allergy relief:

  • Azelastine hydrochloride is an antihistamine that works by blocking histamine, a chemical released during allergic reactions. This helps reduce sneezing, nasal irritation, and a runny nose.
  • Fluticasone propionate is a corticosteroid that works to reduce inflammation in the nasal passages, helping to alleviate congestion and swelling.

This powerful combination makes Dymista effective for treating both seasonal allergies, like hay fever, and persistent allergies caused by dust mites, pet dander, and mold. It is suitable for adults and children over 6 years of age and is typically used twice daily for optimal results.

What are the active ingredients in Dymista Nasal Spray?

Dymista Nasal Spray contains two active ingredients that work together to provide effective allergy relief:

  • Azelastine hydrochloride (137 micrograms per spray) – This antihistamine blocks the effects of histamine, a chemical that causes allergy symptoms like sneezing, itching, and a runny nose.
  • Fluticasone propionate (50 micrograms per spray) – A corticosteroid that helps reduce inflammation in the nasal passages, easing congestion and swelling.

The combination of these two ingredients allows Dymista to deliver fast and long-lasting relief for both seasonal and year-round allergies.

What is Dymista Nasal Spray used for?

Dymista Nasal Spray is a treatment for moderate to severe allergic rhinitis when a single medication, such as an antihistamine or corticosteroid, is not enough. It is effective for both seasonal allergies (like hay fever) and year-round allergies (perennial rhinitis) triggered by allergens such as pollen, dust mites, mold, and pet dander.

This nasal spray helps relieve symptoms like:

  • Runny nose
  • Sneezing
  • Nasal congestion or blockage
  • Itchy nose
  • Postnasal drip (mucus buildup in the throat)

By combining an antihistamine and a corticosteroid, Dymista works to reduce inflammation and block histamine reactions, providing fast relief from allergy symptoms.

How does Dymista Nasal Spray work?

Dymista Nasal Spray provides quick and effective relief from allergy symptoms by combining two powerful ingredients: azelastine hydrochloride (an antihistamine) and fluticasone propionate (a corticosteroid). These ingredients work together to reduce both allergic reactions and inflammation in the nasal passages.

How the ingredients work:

  • Azelastine hydrochloride (antihistamine): Blocks histamine, the chemical that causes symptoms like sneezing, itching, and a runny nose.
  • Fluticasone propionate (corticosteroid): Reduces swelling and inflammation in the nasal passages, easing congestion and postnasal drip.

By tackling both allergic reactions and inflammation, Dymista offers a more effective, long-lasting solution for both seasonal and year-round allergies compared to using antihistamines or corticosteroids alone.

How to use Dymista Nasal Spray?

Always use Dymista Nasal Spray as prescribed by your doctor. If you have any doubts, consult your doctor or pharmacist. To get the best results, use it regularly. Avoid getting the spray in your eyes.

Dosage:

  • Adults and adolescents (12 years and older): One spray in each nostril twice a day (morning and evening).
  • Children under 12 years: Not recommended.

How to use Dymista Nasal Spray:

Before first use:

  • Shake the bottle gently for 5 seconds by tilting it up and down.
  • Remove the protective cap.
  • Prime the spray by pressing 6 times until a fine mist appears.
  • If the spray has not been used for more than 7 days, prime it by pressing once.

Using the spray:

  • Shake the bottle gently before each use.
  • Blow your nose to clear your nostrils.
  • Tilt your head slightly forward (do not tilt back).
  • Insert the spray tip into one nostril while closing the other nostril with your finger.
  • Press the pump once while inhaling gently through your nose.
  • Breathe out through your mouth.
  • Repeat for the other nostril.
  • Wipe the spray tip with a clean tissue and replace the cap.
  • Do not poke the nozzle to unblock it—clean with water if needed.

Important Information:

  • Follow your doctor’s instructions on how long to use the spray.
  • Dymista can be used long-term as long as allergy symptoms persist.

If you use too much Dymista Nasal Spray:

  • An extra dose is unlikely to cause harm, but if you are concerned or have used too much for a long time, contact your doctor.
  • If a child accidentally swallows the spray, get medical help immediately.

If you forget to use it:

  • Use it as soon as you remember, then continue with your usual schedule.
  • Do not double the dose to make up for a missed one.

If you stop using Dymista Nasal Spray:

  • Consult your doctor before stopping, as stopping suddenly may affect how well the treatment works.

If you have any more questions, speak to your doctor or pharmacist.

You can purchase Dymista Nasal Spray online at courierpharmacy.co.uk after completing the online consultation form.

Who should not use Dymista Nasal Spray?

Do not use Dymista Nasal Spray if:

  • You are allergic to azelastine hydrochloride, fluticasone propionate, or any other ingredients in this medication. Check the patient information leaflet for more details.

Warnings and Precautions:

Speak to your doctor or pharmacist before using Dymista Nasal Spray if you have:

  • Recently had nasal surgery.
  • A nasal infection. If you are being treated for a nasal infection, you can still use Dymista Nasal Spray for your allergies.
  • Tuberculosis or any untreated infection.
  • A history of eye conditions like glaucoma, increased eye pressure, or cataracts. Your doctor may monitor your eye health while using Dymista.
  • Impaired adrenal function. Special care is needed when switching from oral steroids to Dymista.
  • Severe liver disease, which may increase the risk of side effects affecting your system.

Your doctor will determine if Dymista Nasal Spray is safe for you. Always follow the prescribed dosage. Using higher-than-recommended doses of corticosteroids may lead to adrenal suppression, causing symptoms like:

  • Fatigue
  • Muscle weakness
  • Weight loss
  • Low blood sugar
  • Salt cravings
  • Joint pain
  • Darkened skin
  • Depression

During times of stress or surgery, your doctor may prescribe additional medication to avoid complications.

Children and Adolescents:

  • Long-term use of nasal corticosteroids can affect growth in children. If prescribed for a child, their height should be checked regularly, and the lowest effective dose should be used.
  • Not suitable for children under 12 years old.

Pregnancy and Breastfeeding:

  • If you are pregnant, breastfeeding, or planning to conceive, talk to your doctor or pharmacist before using Dymista.

Driving and Operating Machinery:

  • Dymista Nasal Spray may cause dizziness or tiredness in rare cases. If you feel drowsy or unwell, avoid driving or operating machinery.
  • Alcohol may worsen these effects.

Benzalkonium Chloride Warning:

  • Dymista Nasal Spray contains 14 micrograms of benzalkonium chloride per dose. This preservative may cause nasal irritation or swelling, particularly with long-term use. If you experience discomfort, tell your doctor or pharmacist.

If you have any concerns about using Dymista Nasal Spray, consult your healthcare provider for more advice.

What are the side effects of Dymista Nasal Spray?

Like all medications, Dymista Nasal Spray can cause side effects, though not everyone will experience them.

Very Common Side Effects (affect more than 1 in 10 people):

  • Nosebleeds

Common Side Effects (affect up to 1 in 10 people):

  • Headache
  • Bitter taste in the mouth (especially if your head is tilted back while using the spray; drinking a soft drink soon after may help)
  • Unpleasant smell

Uncommon Side Effects (affect up to 1 in 100 people):

  • Mild irritation in the nose, which may cause stinging, itching, or sneezing
  • Dryness in the nose, cough, dry throat, or throat irritation

Rare Side Effects (affect up to 1 in 1,000 people):

  • Dry mouth

Very Rare Side Effects (affect up to 1 in 10,000 people):

  • Dizziness or drowsiness
  • Cataracts, glaucoma, or increased eye pressure, which may cause vision loss or red, painful eyes (reported with long-term use of fluticasone nasal sprays)
  • Damage to the skin or mucous membrane inside the nose
  • Nausea, fatigue, exhaustion, or weakness
  • Rash, itching, or red, raised bumps on the skin
  • Bronchospasm (tightening of the airways in the lungs)

Seek Immediate Medical Attention If You Experience:

  • Swelling of the face, lips, tongue, or throat, causing difficulty swallowing or breathing, or sudden appearance of a skin rash. These could be signs of a serious allergic reaction, although rare.

Side Effects with Unknown Frequency (Cannot Be Estimated from Available Data):

  • Blurred vision
  • Sores in the nose

Systemic Effects (Affecting the Whole Body):

  • Using this medication at high doses for a long time may cause systemic effects. While less common with nasal corticosteroids than with oral ones, they can still happen depending on the dosage and individual.

Possible long-term effects of nasal corticosteroids:

  • Hormonal changes, particularly with prolonged high-dose use
  • Slowed growth in children and teenagers
  • Rare cases of reduced bone density (osteoporosis)

Reporting Side Effects: If you experience any side effects, even those not listed, talk to your doctor or pharmacist. You can also report side effects directly through the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or by searching for MHRA Yellow Card in the Google Play or Apple App Store. Reporting side effects helps gather more safety information about the medication.

Does Dymista Nasal Spray interact with other medicines?

Before using Dymista Nasal Spray, it's important to inform your doctor or pharmacist about any other medications you are taking, including over-the-counter products, herbal supplements, or vitamins.

Some medicines may increase the effects of Dymista Nasal Spray, which could require your doctor to adjust your dosage or monitor your treatment more closely. These include:

  • Certain HIV medications, such as ritonavir or cobicistat
  • Antifungal treatments like ketoconazole

If you’re unsure whether your current medications could interact with Dymista, it's best to consult with your doctor or pharmacist before starting treatment.

You can purchase Dymista Nasal Spray online after completing the online consultation form at courierpharmacy.co.uk.

Dymista Nasal Spray FAQs

What is Dymista Nasal Spray?

Dymista is a prescription nasal spray designed to relieve common allergy symptoms such as sneezing, a blocked nose, and a runny nose. It contains two active ingredients: azelastine hydrochloride, an antihistamine, and fluticasone propionate, a corticosteroid. These ingredients work together to block allergic reactions and reduce inflammation in the nasal passages. Dymista comes in a bottle with approximately 120 metered sprays and is suitable for both adults and children aged 12 years and older.

Is Dymista Nasal Spray a steroid?

Yes, Dymista contains fluticasone propionate, a type of corticosteroid that helps reduce swelling and irritation in the nasal passages. Regular use can help prevent allergy symptoms from occurring over time.

What is Dymista used for?

Dymista is mainly prescribed for treating hay fever (seasonal allergies) and perennial allergic rhinitis, which is triggered by allergens like dust mites, mold, and pet dander. It helps alleviate symptoms such as:

  • Sneezing
  • Nasal congestion
  • Runny nose
  • Itchy nose
  • Red, itchy eyes

How does Dymista work?

Dymista contains two active ingredients that target different aspects of allergic reactions:

  • Azelastine hydrochloride blocks histamine, the chemical responsible for symptoms like sneezing, itching, and a runny nose.
  • Fluticasone propionate works to reduce inflammation in the nasal passages, easing congestion and swelling.

This combination offers fast and lasting relief from allergy symptoms.

How long does Dymista stay in your system?

Dymista begins to work within 30 minutes, though it may take a few days for full relief. The effects generally last between 12 and 48 hours. For the best results, it is recommended to start using it a few days before exposure to allergens.

What are the alternatives to Dymista Nasal Spray?

There are several alternative treatments for allergies, including:

  • Over-the-counter antihistamines: Piriton, Loratadine, Cetirizine
  • OTC steroid nasal sprays: Pirinase, Beclometasone
  • Prescription nasal sprays: Avamys, Flixonase, Rhinolast, Nasonex
  • Allergy eye drops: Opticrom, Optilast
  • Non-medical approaches: Wearing sunglasses, keeping windows closed, and showering regularly to remove pollen

What is the recommended dosage for Dymista?

  • Adults and children over 12 years old: One spray in each nostril, twice a day (morning and evening).
  • Children under 12 years old: Not recommended.

Do not exceed the recommended dose as doing so may increase the risk of side effects without providing additional benefits.

What are the ingredients in Dymista Nasal Spray?

Each spray contains:

  • 137 micrograms of azelastine hydrochloride (antihistamine)
  • 50 micrograms of fluticasone propionate (corticosteroid)

Other ingredients include disodium edetate, glycerol, microcrystalline cellulose, carmellose sodium, polysorbate 80, benzalkonium chloride, phenylethyl alcohol, and purified water.

What are the possible side effects of Dymista?

Common side effects include:

  • Nosebleeds
  • Headaches
  • Bitter or unpleasant taste (this may be reduced by drinking or eating after use)

Less common side effects include:

  • Mild irritation or dryness in the nose or throat

Rare but serious side effects may include:

  • Vision problems like cataracts or glaucoma
  • Severe allergic reactions (swelling of the face, lips, tongue, or throat)

If you experience severe side effects, stop using Dymista and consult your doctor immediately.

What should I tell my doctor before using Dymista?

Before using Dymista, inform your doctor if you:

  • Have had surgery on your nose
  • Have a nasal infection
  • Have tuberculosis or any untreated infection
  • Have liver disease
  • Have glaucoma, cataracts, or vision changes
  • Have adrenal gland issues

Also, let your doctor know if you're taking HIV medications like ritonavir or antifungal medications like ketoconazole. Do not use Dymista with other nasal steroid medications without consulting a doctor.

Where can I buy Dymista Nasal Spray?

You can buy Dymista Nasal Spray online from courierpharmacy.co.uk after completing a quick online consultation.

Download patient leaflet

https://www.medicines.org.uk/emc/files/pil.9450.pdf

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Checked By
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Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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