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|Type of medicine
|Steroid and antihistamine
|Reducing inflammation and blocking the chemicals that cause hayfever symptoms
|Fluticasone propionate and azelastine hydrochloride
|120 dose spray
|137 micrograms azelastine hydrochloride (which i= 125 micrograms azelastine) and 50 micrograms fluticasone propionate.
|Common side effects
|Nosebleeds, Headaches, Bitter or unpleasant tastes or smells (you can clear these by eating or drinking)
|Use with alcohol
|No known effect
What is Dymista Nasal Spray?
Dymista is a dual-action nasal spray that relieves the symptoms of allergic rhinitis (also known as hay fever) and is available on prescription from The Independent Pharmacy.
It contains an antihistamine called azelastine hydrochloride and a steroid called fluticasone propionate. These work together to fight the allergic reactions hay fever causes by stopping and soothing the inflammation caused by dust and pollen.
Dymista nasal spray is manufactured by Mylan and is available in an easy-to-use bottle containing approximately 120 metered sprays. It can be used by adults and children over the age of 12.
Is Dymista nasal spray a steroid?
One of the active ingredients in Dymista is a steroid called fluticasone propionate. This steroid reduces swelling in the passages in and around the nose to relieve symptoms of hay fever.
The steroid in Dymista nasal spray builds up an effect when used regularly, which means that it becomes more effective at preventing nasal irritation during regular use.
What is Dymista used for?
While this nasal spray is mainly used to treat hay fever, it can also be used for year-round allergies, most commonly animals and house dust. The symptoms of allergic rhinitis include:
- A runny nose
- Itchy, red eyes
How does Dymista work?
Dymista nasal spray contains both a corticosteroid and an antihistamine, meaning it offers a powerful dual-action defence against symptoms of allergies affecting the nose and eyes.
Azelastine is a type of medicine called an antihistamine that acts on the immediate phase reaction of allergies to reduce itching, sneezing, and running of the nose. It can also alleviate eye symptoms. Propionate is a type of medication called a corticosteroid that acts on the later phase inflammatory reaction to reduce inflammation.
How long does Dymista stay in your system?
If possible, you should start using Dymista a few days before you expect to come into contact with known allergens. You may feel Dymista nasal spray start to work as soon as 30 minutes after first taking it, but it could be several days before you feel its full benefits. The effects of Dymista generally wear off between 12 and 48 hours after use.
Dymista nasal spray alternatives
Dymista is an effective steroid nasal spray that is only available on prescription. Some people may want to try over-the-counter (OTC) medicines first to see if they effectively treat hay fever symptoms, rather than seeking prescription-only treatment straight away.
There are plenty of alternative hay fever medicines that can be used instead of — or in some cases alongside — Dymista nasal spray. These are some of the Dymista alternative treatments available here at The Independent Pharmacy:
- Over-the-counter antihistamine tablets: Piriton, Loratadine and Cetirizine
- Prescription antihistamine tablets: Telfast and Xyzal
- Over-the-counter steroidal nasal sprays: Pirinase and Beclometasone
- Prescription-only nasal sprays: Avamys, Flixonase, Rhinolast and Nasonex
- Eye drop solutions: Opticrom and Optilast
You can find the above medicines and more over on our hay fever treatments page. If you don’t see any positive results from using OTC products, speak to your doctor or pharmacist about the possibility of using a prescription treatment.
Some non-medicinal methods can help you prevent and treat hay fever symptoms, such as:
- Wearing wraparound sunglasses to protect your eyes from pollen (or other irritants)
- Keeping all windows and doors closed and minimising the time you spend outside on days with high pollen counts
- Keeping your car windows closed when driving
- Showering regularly to remove any trapped pollen from your skin and hair
- Changing into new clothes if you’ve been outside
- Avoiding drying your clothes outside
These preventative methods can help to decrease hay fever symptoms and may be enough for some people who suffer from hay fever. Others may need to use effective medical treatments such as Dymista nasal spray to reduce their symptoms.
- Dymista, Patient Information Leaflet: https://www.medicines.org.uk/emc/files/pil.9450.pdf
The recommended Dymista dosage for adults and children over 12 years is 1 spray in each nostril in the morning and evening. This medicine is not recommended for children under 12.
- Shake the bottle gently for 5 seconds
- Remove the protective cap
- Blow your nose to clear your nostrils
- Keep your head tilted downwards (looking towards your toes)
- Holding the bottle upright, carefully insert the spray tip into one nostril
- Close your other nostril with your finger
- Firmly press the spray button once, sniffing gently as you do so
- Breathe out through your mouth
- Repeat in your other nostril
You should not exceed the recommended Dymista dosage. Using this product to excess isn’t likely to cause any serious problems, but it may increase your chances of experiencing adverse side effects.
The active ingredients in Dymista nasal spray are: 137 micrograms of azelastine hydrochloride (an antihistamine) and 50 micrograms of fluticasone propionate (a steroid).
Dymista nasal spray also contains the following inactive ingredients: disodium edetate, glycerol, microcrystalline cellulose, carmellose sodium, polysorbate 80, benzalkonium chloride, phenylethyl alcohol, and purified water.
Dymista side effects
The most common side effects associated with Dymista nasal spray are:
- Bitter or unpleasant tastes or smells (you can clear these by eating or drinking)
Uncommon side effects of Dymista nasal spray can include:
- Mild irritation in the nose or throat
- Dryness in the nose or throat
If you experience any side effects not listed here, stop using Dymista nasal spray and consult your GP immediately.
Before using Dymista nasal spray, tell your doctor or pharmacist if you’ve ever had one or more of the following:
- A nose operation
- An untreated infection, particularly in your nose
- Liver disease
- Glaucoma and/or cataracts
- Impaired adrenal function
Dymista and other medicines
You should also tell your doctor or pharmacist if you’ve ever taken one or more of the following:
- HIV medicines e.g. ritonavir
- Antifungal medicines e.g. ketoconazole
Do not take other nasal steroidal medicines at the same time as Dymista nasal spray.
Please read the Patient Information Leaflet thoroughly before use.
Dymista Nasal Spray reviews
Dymista Nasal Spray FAQs
Dymista nasal spray is suitable for long term use, but only when it is actually required. Medical professionals will prescribe Dymista according to the severity of your condition.
There is no evidence that Dymista can cause weight gain. If you think are are gaining weight as a result of taking Dymista, speak to your GP.
Dymista does not cause diarrhoea. If you experience diarrhoea after taking Dymista, talk to your GP or pharmacist.
Dymista can cause soreness or dryness in the throat or mouth. If this continues, speak to your GP or pharmacist.
In very rare cases, Dymista can lead to dry, red or painful eyes. If this symptom persists, speak to your doctor.
No - Dymista contains both an antihistamine and a steroid. Flonase contains only a steroid.
If you are pregnant or think you may be pregnant, speak to your doctor before taking Dymista nasal spray.
If you are breastfeeding, first talk to your GP before using Dymista.
Dymista is not known to cause depression. If you think are are suffering depression as a result of taking Dymista, speak to your GP.
Alcohol can worsen or increase the chance of experiencing side effects of Dymista. However, drinking in moderation whilst using Dymista spray should not cause a problem.