Dymista (Azelastine, Fluticasone)

Dymista Nasal Spray contains two active ingredients: Azelastine which suppresses allergic reactions and Fluticasone which helps decrease inflammation

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Dymista contains two active ingredients.  Each spray contains - 

Azelastine hydrochloride 137mcg (equivelent to 125mcg of azelastine)

Fluticasone propionate 50mcg


The drug is presented as a white suspension in the form of a nasal spray. 

Dymista can be used in adults and adolescents over the age of 12. 

Dymista is not recommended for use in those under the age of 12

Adults and adolescents over 12 years of age

The recommended dose is ONE spray to each nostril TWICE daily (Use in the morning and the evening)

Under 12 years of age

Not recommended


Dymista is suitable for long-term use and the duration of treatment should correspond to the length of time the patient is exposed to the cause of the allergic reaction.

This is the usual recommended dose (www.medicines.org.uk) however you should always take the medication in accordance with the instructions from your prescriber.

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What is Dymista

DYMISTA is a prescription medicine used to treat symptoms of seasonal allergic rhinitis in people 12 years of age and older, who need treatment with both azelastine hydrochloride and fluticasone propionate. DYMISTA may help to reduce your nasal symptoms including stuffy nose, runny nose, itching, and sneezing.

How to take Dymista

The recommended dosage of DYMISTA is 1 spray in each nostril twice daily.

Administer DYMISTA by the intranasal route only.

Shake the bottle gently before each use.

Priming: Prime DYMISTA before initial use by releasing 6 sprays or until a fine mist appears. When DYMISTA has not been used for 14 or more days, reprime with 1 spray or until a fine mist appears.

Avoid spraying DYMISTA into the eyes. If sprayed in the eyes, flush eyes with water for at least 10 minutes.

Possible Side Effects

Like all medicines, Dymista can cause side effects, although not everybody gets them.

Possible side effects include:

  • sleepiness or drowsiness
  • nasal problems
  • nosebleed
  • altered sense of taste
  • headache
  • sinus pain
  • cough
  • sore throat
  • slow wound healing
  • thrush (Candida, a fungal infection in your nose and throat)
  • eye problems such as glaucoma or cataracts
  • immune system problems that can increase your risk of infections

Patient Information Leaflet