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Generic name: azelastine hydrochloride

What is Astepro?

  • Astepro is a prescription medicine used to treat symptoms of seasonal allergic rhinitis in patients 2 years of age and older and year-round allergic rhinitis in people age 6 months and older.
  • Astepro may help to reduce your nasal symptoms including stuffy nose, runny nose, itching and sneezing.

It is not known if Astepro is safe and effective in children under 6 months of age.

What should I tell my healthcare provider before using Astepro?

Before using Astepro, tell your healthcare provider if you are:

  • allergic to any of the ingredients in Astepro. See the end of this leaflet for a complete list of ingredients in Astepro.
  • pregnant, or plan to become pregnant.
  • breastfeeding, or plan to breastfeed. It is not known if Astepro passes into your breast milk. You and your healthcare provider should decide if you will use Astepro if you plan to breastfeed.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Astepro and other medicines may affect each other, causing side effects.

How should I use Astepro?

  • Read the Instructions for Use that come with Astepro.
  • An adult should help a young child use Astepro.
  • Spray Astepro in your nose only. Do not spray it into your eyes or mouth.
  • Use Astepro exactly as your healthcare provider tells you to use it.
  • Do not use more than your healthcare provider tells you.
  • Throw away your Astepro 0.1% bottle after using 200 sprays. Even though the bottle may not be completely empty, you may not get the correct dose of medicine.
  • Throw away your Astepro 0.15% bottle after using 200 sprays. Even though the bottle may not be completely empty, you may not get the correct dose of medicine.
  • If you use too much or a child accidentally swallows Astepro, call your healthcare provider or go to the nearest hospital emergency room right away.

What should I avoid while using Astepro?

Astepro can cause sleepiness:

  • Do not drive, operate machinery, or do other dangerous activities until you know how Astepro affects you.
  • Do not drink alcohol or take other medicines that may cause you to feel sleepy while using Astepro. It may make your sleepiness worse.

What are the possible side effects of Astepro?

The most common side effects of Astepro include:

  • fever
  • unusual taste
  • nose pain or discomfort
  • nosebleeds
  • headache
  • sneezing
  • fatigue
  • sleepiness
  • upper respiratory tract infections
  • cough
  • vomiting
  • middle ear infection
  • skin rash
  • sore throat

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all of the possible side effects of Astepro. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about the safe and effective use of Astepro

Medicines are sometimes prescribed for conditions other than those listed in a Patient Information leaflet. Do not use Astepro for a condition for which it was not prescribed. Do not give Astepro to other people, even if they have the same symptoms that you have. It may harm them.

This Patient Information leaflet summarizes the most important information about Astepro. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about Astepro that is written for health professionals.

For more information, go to or call 1-800-598-4856.

How should I store Astepro?

  • Keep Astepro upright at 68°F to 77°F (20°C to 25°C).
  • Do not freeze Astepro.
  • Do not use Astepro after the expiration date “EXP” on the medicine label and box.

Keep Astepro and all medicines out of reach of children.

What are the ingredients in Astepro?

Active ingredient: azelastine hydrochloride

Inactive ingredients: sorbitol, sucralose, hypromellose, sodium citrate, edetate disodium, benzalkonium chloride, and purified water.

Source: National Library of Medicine. Last updated September 3, 2018.