Azelastine
Azelastine is an antihistamine available in nasal and eye formulations for selected allergy symptoms. These products act at different sites and are not interchangeable.
Key points
- Nasal azelastine treats selected rhinitis symptoms; eye drops treat selected allergic eye symptoms.
- Nasal products can cause drowsiness or a bitter taste, so driving and alcohol effects need consideration.
- Eye pain, visual loss or breathing difficulty is not routine allergy and needs urgent care.
Select a listed product and pack to order online. Whether it suits you depends on symptoms and formulation; ask your doctor or pharmacist.
Important safety checks
Check the exact route, age limits, contact-lens instructions and other sedating medicines. Persistent one-sided nasal symptoms, fever, eye discharge or pain may have another cause.
When to seek urgent care
Seek urgent help for breathing difficulty, throat swelling, fainting, severe eye pain, sudden vision change or an eye injury. Do not rely on antihistamines for anaphylaxis.
Further reading
What is azelastine used for?
Azelastine is an antihistamine used for some allergy symptoms, including allergic rhinitis and allergic conjunctivitis. It comes as a nasal spray and as eye drops, and these are not interchangeable.
How does azelastine work?
Azelastine is a long-acting antihistamine that blocks H1 receptors. It also stabilises mast cells and reduces the release of inflammatory substances such as histamine and leukotrienes during an allergic response.
Which products contain azelastine?
Products containing azelastine on SGMeds include Astelin and Dymista. Compare their forms, strengths and pack sizes.
How long does azelastine take to work?
Azelastine starts working in about 15 to 30 minutes, and its effect lasts around 12 hours.
What are the side effects of azelastine?
Common side effects include a bitter taste, headache and nosebleeds. Nasal irritation, sneezing and a dry throat can also occur. A severe allergic reaction (anaphylaxis) is possible but rare, and needs immediate medical attention.
Can I drink alcohol or take other medicines with azelastine?
Azelastine interacts with alcohol and sedatives. Nasal products can cause drowsiness, so take care with driving and with alcohol. Check with a doctor or pharmacist before taking other sedating medicines.
What brand names is azelastine sold under?
In other countries, azelastine is also sold as Rhinolast. Brand names vary between countries, so compare products by their active ingredient.
What does azelastine cost in Singapore dollars?
Each product on this page shows a price for each strength and pack size in Singapore dollars, converted from US dollars, so the exchange rate can change the final amount.
Payment and prices →Can I buy azelastine over the counter in Singapore?
Yes, online. SGMeds does not ask for a prescription to order azelastine: we place the order with our pharmacy partner, which prepares it and arranges delivery on your behalf.
Ordering without a prescription →Where can I buy azelastine in Singapore?
You can order azelastine here on SGMeds: choose the product, strength and pack, then check out. We deliver to Singapore and Malaysia. Express shipping is tracked and takes up to 1 week, and Regular shipping takes up to 3 weeks.
How ordering works →