Dymista Spray
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Product Overview
A nasal spray designed to alleviate hay fever and allergy symptoms by incorporating azelastine hydrochloride, an antihistamine, along with fluticasone propionate, a corticosteroid.
Side Effects
Dymista® Nasal Spray is a prescription-only combination nasal spray designed for the effective relief of moderate to severe allergic rhinitis when single-ingredient treatments are not sufficient.
It contains two active ingredients:
- Azelastine hydrochloride (an antihistamine) to block the effects of histamine
- Fluticasone propionate (a corticosteroid) to reduce inflammation in the nasal passages
This dual-action formula targets both the cause and symptoms of allergies, helping to relieve:
- Runny nose
- Sneezing
- Nasal congestion
- Itchy or blocked nose
- Post-nasal drip
Dymista is suitable for seasonal allergies (hay fever) and year-round (perennial) allergic rhinitis in adults and adolescents aged 12 years and over.
✔ Dual-action antihistamine + steroid
✔ Designed for moderate to severe symptoms
✔ Effective for both seasonal and perennial allergies
How to Use
Always use Dymista exactly as prescribed by your doctor or as advised by your pharmacist.
Recommended Dose
- Adults and adolescents (12 years and over):
- One spray into each nostril twice daily (morning and evening)
⚠ Not recommended for children under 12 years.
Important Use Advice
- Use regularly to achieve full symptom control
- Avoid contact with the eyes
- Do not exceed the prescribed dose
- Keep your head tilted slightly downwards when spraying to reduce unpleasant taste
- If you miss a dose, use it when remembered. Do not double dose
Dymista can be used long-term during periods when allergy symptoms persist, as advised by a healthcare professional.
Ingredients
Active ingredients (per spray):
- Azelastine hydrochloride 137 micrograms
- Fluticasone propionate 50 micrograms
Other ingredients:
- Disodium edetate
- Glycerol
- Microcrystalline cellulose
- Carmellose sodium
- Polysorbate 80
- Benzalkonium chloride
- Phenylethyl alcohol
- Purified water
Contains benzalkonium chloride, which may cause nasal irritation if used long-term.
Side Effects & Warnings
Do Not Use If
- You are allergic to azelastine, fluticasone, or any other ingredient
- You have been advised not to use steroid-based nasal sprays
Speak to a Doctor or Pharmacist Before Use If
- You have had recent nasal surgery
- You have a nasal infection, tuberculosis, or untreated infection
- You have glaucoma, cataracts, or visual disturbances
- You have severe liver disease
- You are pregnant or breastfeeding
- You are taking medicines such as ritonavir, cobicistat, or antifungal treatments
Possible Side Effects
Very common:
- Nosebleeds
Common:
- Headache
- Bitter taste in the mouth
- Unpleasant smell
Less common or rare:
- Nasal irritation or dryness
- Dizziness or drowsiness
- Visual disturbances
- Throat irritation or cough
⚠ Seek immediate medical help if you experience swelling of the face, lips, tongue or throat, difficulty breathing, or signs of a severe allergic reaction.
Children & Long-Term Use
Long-term use of corticosteroid nasal sprays may affect growth in children and adolescents. The lowest effective dose should always be used.

