and/or alternativesChemical Ingredient: Azelastine Hydrochloride/Fluticasone Propionate
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  • 137mcg/50mcg/Spray

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What is a generic medication?

Generic medications are significantly discounted copies of brand name medication that have the same active ingredients, intended use, dosage, side effects, effects, and route of administration as the original brand name medication. In other words, generic medications have the same pharmacological effects as their brand-name counterparts. Over half of all prescribed medications are for generic medications.

Dymista 137mcg/50mcg/Spray

Azelastine Hydrochloride/Fluticasone Propionate 137mcg/50mcg/Spray

Azelastine Hydrochloride/Fluticasone Propionate AQ 137mcg/50mcg/Spray

Generic Alternative to Dymista 137mcg/50mcg/Spray

Dymista 137mcg/50mcg/Spray

Dymista 137mcg/50mcg/Spray

Azelastine Hydrochloride/Fluticasone Propionate 137mcg/50mcg/Spray

  • Metered-Dose Nasal Spray
  • Manufactured by Meda Pharmaceuticals Inc
  • Product of United Kingdom • Shipped from United Kingdom
  • Prescription Required
Azelastine Hydrochloride/Fluticasone Propionate AQ 137mcg/50mcg/Spray

Azelastine Hydrochloride/Fluticasone Propionate AQ 137mcg/50mcg/Spray

Generic Alternative to Dymista 137mcg/50mcg/Spray

  • Metered-Dose Aqueous Nasal Spray
  • Manufactured by German Remedies
  • Product of India • Shipped from India
  • Prescription Required
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Please Note: This generic version is 140mcg/50mcg/Spray while the brand is 137mcg/50mcg/Spray. If you order this product we will contact your doctor to authorize this change.

Dymista General Drug Information


Dymista is a combination of two drugs used to treat seasonal allergy symptoms. It contains Azelastine – an antihistamine which blocks allergic symptoms – and Fluticasone, a corticosteroid used to reduce inflammation. When combined, the two substances help to relieve symptoms such as itching, sneezing, stuffy nose, and post-nasal drip.


The information on this page is not a replacement for a consultation with a physician, qualified to treat this condition and prescribe medication. The information is supplied by a third party, independent from this website and only serves to raise awareness about this condition and point out basic information regarding treatment.

The website cannot take responsibility for the reliability or medical efficacy of the information provided. As mentioned above, patients should seek medical attention to ensure effective and safe treatment.

Not all products are shipped by our contracted Canadian pharmacy. The source country, shipping country or drug manufacturer may vary depending on availability.

The website also maintains commercial ties with dispensaries internationally. Products can be sourced from a number of countries. Patients should note that different items within an order can be shipped from different jurisdictions, depending on availability and cost at the time an order was placed.

How to Use Dymista

Before using this product, patients should shake the container gently and clear their nose. In the event this is the first use of the product, it is important to prime the container by way of test spray in the air, until a fine mist appears. A test spray is also necessary if this medicine has not been used for more than two weeks. Precise directions about priming (test spraying) are available in the medicine leaflet.

The applicator should be cleaned regularly after use. Patients should also keep track of the number of sprays used and discard this product after it has reached the number of sprays mentioned on its packaging.

Patients are usually prescribed Dymista twice a day in both nostrils. It should be used regularly and as directed. Most people feel relief 30 minutes after a dose. It may take a few days for patients to experience the full benefit of this medication.

Avoid spraying Dymista in the eyes as this will cause irritation. Should this happen, patients need to quickly flush their eyes with cool water for 15 seconds.

More information on how to safely use this medicine is available in the patient information leaflet, provided by a patient’s pharmacist.


Before using Dymista, patients need to discuss the possibility of allergic reactions with their doctor, as well as any pre-existing conditions such as recent nose injuries, surgery or ulcers. Patients should also mention current or past infections such as tuberculosis or herpetic eye infection, as well as glaucoma or cataracts.

Some patients may feel drowsy while using Dymista. Should this happen, they should avoid driving, operating machinery and other activities requiring alertness. Alcoholic drinks should also be avoided.

Patients should be careful to avoid contact with people infected by chickenpox, measles and other highly infectious diseases.

In some rare cases, patients who have used corticosteroids long-term find that their body has difficulty responding to physical stress. Patients who have used Dymista regularly need to tell their doctor or dentist before having surgery or emergency treatment, or in the event of serious illness or injury. The treating physician needs to be alerted even if the patient has stopped Dymista several months ago.

There is a slight chance that prolonged use of Dymista can stunt the growth of children. The effect on final adult height is not known.

Pregnant women should discuss using Dymista with their doctor who will evaluate the risks and benefits of using this medication. It is not known whether Dymista passes into breast milk.

Missed Dose

Patients who miss a dose should take it as soon as they remember. If this happens near the time for the next dose, patients should skip the missed dose and proceed as usual. In such cases, there is no need to double up the dose in order to catch up.

Drug Interactions

Dymista can interact with a number of other substances and, before starting treatment, patients need to review all other prescription drugs and herbal supplements they are taking with their doctor. Starting, changing or stopping any medications should only happen with the doctor’s approval.

Some certain HIV medications like atazanavir (e.g. Reyataz), indinavir (e.g Crixivan), and ritonavir (e.g Norvir) may react adversely with Dymista.

Patients must be careful not to combine Dymista with other medications that cause drowsiness, such as opioid cough products, opioid pain relievers, codeine and hydrocodone. Other drugs with similar effects include some antihistamines and muscle relaxants.

Patients also need to tell their doctor or pharmacist if they are already taking alprazolam, a tranquilizer often sold under the brand name Xanax. Sleeping medications such as Ativan, and Zolpidem (Ambien) can also interact negatively with Dymista. Alcohol and marijuana also cause drowsiness and will interact negatively with Dymista.

Dymista Side Effects

Most people who use Dymista do not experience side effects. Still, it is possible to develop minor negative symptoms such as dryness or irritation of the nose, mild nosebleeds and a change in the sense of taste. Patients should contact their doctor in the event these symptoms worsen.

Serious side effects may include nose pain and severe nosebleeds, eye pain and a whistling sound when breathing. Patients should also watch for signs of infection such as sore throat, fever, chills, and white patches in the nose or at the back of the throat.

In some rare cases, the corticosteroids in this medicine can pass from the nose into the bloodstream. This is more likely to happen after long-term exposure or in children.

Symptoms include unusual tiredness, weight loss, headache and vision problems. Patients also need to pay attention in the event they have swollen ankles or feet, or if they feel unusually thirsty and produce unusually large amounts of urine.

Dymista is unlikely to produce serious allergic reactions. Symptoms of allergy include rash, itching, swelling, dizziness, and trouble breathing.


Dymista should be stored upright. Avoid exposure to light or moisture. Keep away from children and pets.

Patients should check the expiration date before reusing medication as, in some cases, medicines need to be discarded six months after a container has been opened.

Unwanted medication should be disposed of properly and should not be poured into drains or flushed down the toilet. Patients should consult a pharmacist or their local waste disposal company to find out more about safe disposal methods.

Azelastine Hydrochloride/Fluticasone Propionate AQ Drug Information

  • Dymista Overview

    Dymista is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms.

  • How to Use Dymista

    Read the Patient Information Leaflet provided by your pharmacist before you start using Dymista and each time you get a refill. Follow the illustrated directions for the proper use of Dymista. If you have any questions, consult your doctor or pharmacist. Follow the instructions for test sprays in the air if you are using the spray pump for the first time or if you have not used it for 3 days or more. A fine mist is a sign that the spray pump is working properly. Gently blow your nose before using Dymista. Use Dymista in the nose as directed by your doctor, usually once or twice a day in both nostrils. Do not spray it in your eyes or mouth. To prevent a bitter taste in your mouth, breathe in gently and do not tilt your head back after using Dymista. The Dosage of Dymista is based on your medical condition and response to treatment. Use Dymista regularly to get the most benefit from it. To help you remember, use it at the same time(s) each day. Do not increase your dose or use Dymista more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Keep track of the number of sprays used from the spray pump. Discard the pump after you have used the number of sprays specified on the manufacturer's package. Dymista usually begins to work within 3 hours of use. Tell your doctor if you do not get better or if you get worse.

  • Dymista Precautions

    Before using azelastine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Dymista, tell your doctor or pharmacist your medical history,kidney problems. Dymista may make you drowsy. Alcohol or marijuana (cannabis) can make you more drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). During pregnancy, Dymista should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if Dymista passes into breast milk. Consult your doctor before breast-feeding.

  • Dymista Misdose

    If you miss a dose of Dymista, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

  • Dymista Interactions

    Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine). Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

  • Dymista Side Effects

    A bitter taste in the mouth, drowsiness, a burning feeling inside the nose, sneezing fits, cough, nose bleeds, runny nose, nausea, dry mouth, headache, weight gain, muscle aches, or red eyes may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed Dymista because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using Dymista do not have serious side effects. A very serious allergic reaction to Dymista is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction,rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

    List of Azelastine Hydrochloride/Fluticasone Propionate AQ side effects
  • Dymista Storage

    Keep the bottle upright with the pump tightly closed. Store at room temperature away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

IMPORTANT DISCLAIMER: All medical content is supplied by a third party company who is independent from this web site. As such, this web site can not guarantee the reliability, accuracy, and /or medical efficacy of the information provided. In all circumstances, you should seek the advice of a health professional pertaining to drug, treatment and/or medical condition advice. Note that not all products are shipped by our contracted Canadian pharmacy. This website contracts with dispensaries around the world that ship products directly to our customers. Some of the jurisdiction include but are not limited to United Kingdom, Europe, Turkey, India, Canada, Vanuatu, Mauritius, and USA. The items within your order may be shipped from any one of these jurisdiction depending on the availability and cost of the products at the time you place your order. The products are sourced from these countries as well as others. Please note that the product appearance may vary from actual product received depending on availability.