Use azelastine nasal spray (Astepro Allergy)

What to Do

Spray azelastine 0.15% (Astepro Allergy) into each nostril twice daily. It works in as little as 15 minutes — faster than any oral antihistamine.

Why It Works

Azelastine is a nasal antihistamine that delivers medication directly to the nasal mucosa. It blocks H1 receptors and stabilizes mast cells. Clinical trials show it is superior to oral antihistamines, especially for nasal congestion, which oral pills typically cannot address.

Tips

• Now available OTC (previously prescription-only)
• Bitter taste is the main side effect — tilt head slightly forward and aim away from the septum
• Can be combined with a nasal corticosteroid for maximum relief
• Excellent "rescue" option for breakthrough symptoms on bad pollen days