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MIST AZ 100md Nasal Spray 10ml
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INTRODUCTION
MIST AZ 100MD NASAL SPRAY is a combination of Azelastine and Fluticasone which belongs to the group of medicines called Antihistamines and Corticosteroids respectively. It is used to relieve the symptoms of moderate to severe seasonal and perennial allergic rhinitis in which use of either intranasal antihistamine or corticosteroid alone is not considered insufficient. It is used to relieve the symptoms of allergies such as runny nose, post nasal drip, sneezing and itchy or blocked nose.
Seasonal and perennial allergic rhinitis is an allergic reaction to substances called as pollen (hay fever), house mites, moulds, dust or pets.
Avoid consumption of alcohol while using this medicine, because it further decreases alertness and impairment of CNS performance may occur.
Before using this medicine, inform your doctor if you have tuberculosis, asthma, liver or kidney disease.
MIST AZ 100MD NASAL SPRAY is generally not recommended for use in pregnant women unless clearly necessary. Contact your doctor before using.
MIST AZ 100MD NASAL SPRAY should be used with caution in breastfeeding women because it may pass through the breast milk. Contact your doctor before using.
MIST AZ 100MD NASAL SPRAY is not recommended for use in children and adolescents. Contact your doctor before using.
MIST AZ 100MD NASAL SPRAY should be used with caution in elderly patients aged 65 years or above. Contact your doctor before using.
The most common side effects of using this medicine are nosebleed, headache, bitter taste in mouth and unpleasant smell. Contact your doctor, if any of the side effects worsen or persist for a long duration.
USES OF MIST AZ 100MD NASAL SPRAY
It is used to relieve the symptoms of:
- moderate to severe seasonal and perennial allergic rhinitis (in adults and children)
- allergies such as runny nose, postnasal drip, sneezing and itchy or blocked nose
HOW MIST AZ 100MD NASAL SPRAY WORKS
MIST AZ 100MD NASAL SPRAY is a combination of Azelastine and Fluticasone where Azelastine is an antihistamine which prevents the effects of substances called histamine that is responsible for the allergic reaction in the body. Fluticasone is a corticosteroid that reduces inflammation and symptoms of allergic rhinitis.
DIRECTIONS FOR USE
Use MIST AZ 100MD NASAL SPRAY as advised by your physician. It is for intranasal use only. Check the label for directions before use. Shake the bottle gently before each use.
SIDE EFFECTS OF MIST AZ 100MD NASAL SPRAY
COMMON
- headache
- bitter taste in the mouth
- unpleasant smell
- nosebleed
UNCOMMON
- slight irritation inside the nose (cause mild stinging, itching, or sneezing)
- nasal dryness
- cough, dry throat or throat irritation
RARE
- dry mouth
Stop using MIST AZ 100MD NASAL SPRAY and contact your doctor immediately if you experience any of the following side effects:
- sleepiness or drowsiness
- nasal problems symptoms such as crusting in the nose, nosebleeds, runny nose, nasal septal perforation, sore in your nose, surgery on nose, nose injury
- redness or white colored patches in nose or mouth
- eye problems (glaucoma or cataract)
- immune system problems and increased risk of infections symptoms such as fever, aches or pains, chills, feeling tired
- tiredness, weakness, nausea, vomiting, low blood pressure
- slowed or delayed growth (in children)
HOW TO MANAGE SIDE EFFECTS
Headache:
Rest and relax. Drink plenty of fluids such as water or electrolytes and apply a pain-relieving balm on the head if necessary. Do not consume alcohol. Contact your doctor if the symptom did not improve.
WARNING & PRECAUTIONS
PREGNANCY
MIST AZ 100MD NASAL SPRAY should be used with caution in pregnant women. Contact your doctor before using.
BREASTFEEDING
MIST AZ 100MD NASAL SPRAY should be used with caution in breastfeeding women because it may pass through the breast milk. Contact your doctor before using.
DRIVING AND USING MACHINES
Do not drive or operate any machines, if you experience dizziness, drowsiness, sleepiness, somnolence, and fatigue after using MIST AZ 100MD NASAL SPRAY.
ALCOHOL
Avoid consumption of alcohol while using this medicine, because it may decrease alertness and impairment of CNS performance.
KIDNEY
MIST AZ 100MD NASAL SPRAY should be used with caution in patients with kidney disease. Contact your doctor before using.
LIVER
MIST AZ 100MD NASAL SPRAY should be used with caution in patients with severe liver disease. Consult your doctor before using.
ALLERGY
Do not use MIST AZ 100MD NASAL SPRAY if you are allergic to Azelastine or Fluticasone or any other ingredients of this medicine.
LUNGS
MIST AZ 100MD NASAL SPRAY should be used with caution in patients with asthma, tuberculosis. Contact your doctor before using.
OTHERS
Before using MIST AZ 100MD NASAL SPRAY, inform your doctor if you:
- had recent surgery in the nose, nasal trauma, nasal ulcers,
- have an infection in the nose
- have glaucoma and cataract
- have impaired adrenal function
- blurred vision or other visual disturbances
- have ocular herpes simplex infection, chicken pox and measles
- have untreated infections like fungal, bacterial, viral, or parasitic infections
- have any other medical conditions
Use in pediatrics:
Your doctor will prescribe the right dose depending on your child’s age, body weight and disease condition. Consult your doctor before using MIST AZ 100MD NASAL SPRAY.
Use in geriatrics:
MIST AZ 100MD NASAL SPRAY should be used with caution in elderly patients (above 65 years of age). Contact your doctor before using.
INTERACTIONS
A. Drug-Drug interactions:
Inform your physician, if you are using,
- medicines used to treat viral infections such as HIV (Ex. atazanavir, darunavir, ritonavir, cobicistat)
- medicines used for fungal infections (Ex. ketoconazole, itraconazole, voriconazole)
- medicines used for bacterial infections (Ex. erythromycin, clarithromycin)
- medicines used to treat stomach ulcers (Ex. cimetidine and ranitidine)
- medicines used for asthma (Ex. theophylline)
- nefazodone (used for depression)
- medicines used to treat inflammation (Ex. dexamethasone, methylprednisolone and prednisone)
Overdosage:
If you or anyone else accidentally uses too much of MIST AZ 100MD NASAL SPRAY, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are increased somnolence, hypercorticism and adrenal suppression conditions such as weight loss, fatigue, muscle weakness, low blood sugar, salt cravings, joint pains, depression and darkening of the skin.
SYNOPSIS
| Drug | : | Azelastine, Fluticasone |
| Pharmacological Category | : | Antihistamines, Corticosteroids |
| Therapeutic Indication | : | Allergic Rhinitis |
| Dosage Forms | : | Nasal spray, Nasal drops |
MORE INFORMATION
- Keep out of reach of children
- Store below 30°C
FAQs ABOUT MIST AZ 100MD NASAL SPRAY
Does [GBNKEYWORDD] cause sleepiness?
Yes. MIST AZ 100MD NASAL SPRAY may cause sleepiness. Avoid driving or operating any machinery if you feel sleepiness, dizziness, drowsiness and fatigue after using MIST AZ 100MD NASAL SPRAY.
Does MIST AZ 100MD NASAL SPRAY affects growth in children?
Yes. Using MIST AZ 100MD NASAL SPRAY for a long time may cause children to grow more slowly. Contact your doctor before using this medicine.
Can MIST AZ 100MD NASAL SPRAY cause adrenal suppression?
Yes. MIST AZ 100MD NASAL SPRAY may cause adrenal suppression (a condition in which adrenal gland does not produce enough steroid hormone and symptoms include weight loss, fatigue, muscle weakness, low blood pressure, salt cravings, joint pains, depression and darkening of the skin). Contact your doctor before using.
Does MIST AZ 100MD NASAL SPRAY cause glaucoma and cataracts?
Yes. MIST AZ 100MD NASAL SPRAY may result in the development of glaucoma or cataracts. Contact your doctor if you experience blurred vision or change in vision.
Can MIST AZ 100MD NASAL SPRAY decrease immunity?
Yes. MIST AZ 100MD NASAL SPRAY may decrease immunity and increase the risk of infections. Contact your doctor if you experience symptoms of infections such as fever, chills, body aches, and fatigue.
Can I use MIST AZ 100MD NASAL SPRAY in children?
No. MIST AZ 100MD NASAL SPRAY is not recommended for use in children and adolescents. Contact your doctor before using.
REFERENCES
1. K.D. Tripathi. Histamine and Antihistaminics & Drugs for Cough and Bronchial Asthma Essentials of medical pharmacology. Seventh edition. 2013. Page- 167, 231.
2. Robert. J. Kizior, Keith j. Hodgson. Rhinitis preparation. Saunders Nursing Drug Handbook 2021. 28th edition. 2021. Page-36.
3. Teva Pharmaceuticals USA. A Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Multi-Site Study to Evaluate the Therapeutic Equivalence of Azelastine Hydrochloride and Fluticasone Propionate, 137/50 mcg Nasal Spray, to Dymista™ Nasal Spray. NIH U.S. National Library of Medicine ClinicalTrials.gov. [Revised in February 2015] [Accessed on 2nd June 2022] https://clinicaltrials.gov/ct2/show/NCT02249663
4. Chennakeshavaraju N, Narayana S, M Mohiyuddin AS. Comparative study of the efficacy and safety of intranasal azelastine hydrochloride and fluticasone furoate in the treatment of allergic rhinitis. Journal of Family Community Medicine. January 2021. [Accessed on 14th June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927963/
5. Peter M. Debbaneh, Anna K. Bareiss, Sarah K. Wise, Edward D. McCoul. Intranasal Azelastine and Fluticasone as Combination Therapy for Allergic Rhinitis: Systematic Review and Meta-analysis. Sage journals. April 2019. [Accessed on 14th June 2022] https://journals.sagepub.com/doi/abs/10.1177/0194599819841883
6. Frank C. Hampel, Paul H. Ratner, Julius Van Bavel, N. J. Amar, Pramila Daftary, William Wheeler, Harry Sacks. Uses of Azelastine and Fluticasone spray. Elsevier Journals. March 2009. [Accessed on 2nd June 2022] https://www.sciencedirect.com/science/article/abs/pii/S1081120610006058
7. Meda Pharma GMBH & Co KG. Electronic Medicines Compendium (EMC). [Revised on February 2022] [Accessed on 19th May 2022] https://www.medicines.org.uk/emc/files/pil.9450.pdf
8. Meda Pharmaceuticals Inc. U.S. Food & Drug Administration. [Revised on February 2015] [Accessed on 19th May 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/202236s008lbl.pdf
9. MEDA Pharma GmbH & Co. KG. Health Products Regulatory Authority (HPRA). [Revised on October 2020] [Accessed on 19th May 2022] http://www.hpra.ie/img/uploaded/swedocuments/612fdc1b-9662-4c24-b6bd d362ba1e258f.pdf
10. MEDA Pharma GmbH & Co. KG. Health Products Regulatory Authority (HPRA). [Revised on January 2022] [Accessed on 19th May 2022] http://www.hpra.ie/img/uploaded/swedocuments/9622571d-2fcd-4eda-b94a-bd3c922bde51.pdf
11. Meda Pharmaceuticals. Azelastine and Fluticasone. [Revised on April 2021] [Accessed on 19th May 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4c557ec4-c4cf-11df-851a-0800200c9a66
12. Cipla Ltd. Duonase- nasal spray (Azelastine and Fluticasone). Ciplamed. [Revised on January 2017] [Accessed on 19th May 2022] https://www.ciplamed.com/content/duonase-nasal-spray
AUTHOR DETAILS
Written By Dr. Janet.C, Pharm.D
Last updated on 10 Dec 2022 | 11:09 PM(IST)
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