Dymista (Azelastine/Fluticasone)

Do’s

• Before using Dymista, read the Patient Information Leaflet provided by your pharmacist and follow the illustrated directions for the proper use of this medication. If you have any questions, ask your healthcare provider.
• Before using Dymista, gently blow your nose and shake the container gently. Follow the instructions for test sprays in the air if you are using the container for the first time or if you have not used it for a while.
• Use Dymista in the nose as directed by your healthcare provider, usually twice a day in both nostrils. 
• Use Dymista regularly at the same times each day to get the most benefit from it.
• Clean the applicator regularly, keep track of the number of sprays used from the container, and discard the container after you have used the specified number of sprays.
• You may feel the product start to work as soon as 30 minutes after the first dose, but it may take several days before you get its full benefit. If you do not experience improvement or if your condition worsens, inform your healthcare provider.

Don’ts

• Avoid spraying Dymista in your eyes or mouth, and if it gets in your eyes, flush them thoroughly with water.
• Do not increase your dose or use this drug more often or for longer than prescribed, as it may not improve your condition any faster and could increase the risk of side effects.

Common Side Effects:

• Headache
• Nosebleeds
• Altered sense of taste

Other Potential Side Effects:

• Damage of the skin and mucous membrane within the nose
• Feeling sick
• Feeling tired, exhausted, or weak
• Rash and itchy skin, or red, raised itchy bumps
• Bronchospasm (narrowing of the airways in the lungs)
• Blurred vision
• Sores in the nose

This is not an exhaustive list and other side effects may occur that are not listed here. If you experience any adverse effects, whether they are listed above or not, speak to your healthcare provider for further advice.

Talk with your healthcare provider prior to using Dymista, especially if you have allergies, are breastfeeding, or are taking other medications, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Dymista may cause adverse reactions, and individuals with a history of hypersensitivity to any of the ingredients in Dymista should exercise caution and consult a healthcare provider before using the product.

Prolonged use of Dymista may affect adrenal gland hormones, and individuals should be vigilant for signs of low adrenal gland hormones and seek medical advice if such symptoms arise.

Nasal corticosteroids, such as those in Dymista, are associated with potential local nasal effects, including epistaxis, nasal ulceration, nasal septal perforation, Candida albicans infection, and impaired wound healing. Patients with recent nasal ulcers, nasal surgery, or nasal trauma should not use Dymista until healing has occurred.

Glaucoma and cataracts are associated with nasal and inhaled corticosteroid use. Patients using Dymista should inform their healthcare provider if a change in vision is noted while using the product.

This warning and precaution list is not exhaustive, and individuals should carefully review the complete prescribing information and discuss any concerns with a healthcare provider.