Dymista 137 Mcg /50 Mcg Nasal Spray 120 Doses

Product Description:

Dymista contains 2 active substances: azelastine hydrochloride and fluticasone propionate:

• Azelastine hydrochloride belongs to a group of medicines called antihistamines.


• Antihistamines work by preventing the effects of substances such as e.g. Histamine that the body produces as part of an allergic reaction - and thus reduces the symptoms of allergic rhinitis .


• Fluticasone propionate belongs to a group of medicines called corticosteroids that reduce inflammation.


• Dymista is used for symptom relief in moderate to severe seasonal and year-round allergic rhinitis if the use of either intranasal antihistamine or corticosteroid alone is not considered sufficient.


• Seasonal and year-round allergic rhinitis are allergic reactions to substances such as pollen (hay fever), house mites, mould, dust or pets.


• Dymista relieves allergy symptoms such as: runny nose, postnasal drip (mucus in the throat), sneezing and itchy nose or stuffy nose.

How To Use:

• Always use this medicine exactly as your doctor has told you. 


• Contact a doctor or pharmacist if you are unsure.


• It is important to use Dymista regularly to achieve the full therapeutic effect. Contact with the eyes should be avoided.

Use of Dymista in adults and adolescents (12 years and older)

• The recommended dose is 1 spray in each nostril morning and evening.

Use of Dymista in children under 12 years of age

• This medicine is not recommended for children under 12 years of age.

Use of Dymista in case of reduced kidney and liver function

• There are no data on patients with reduced kidney and liver function.

For use in the nose:
Read the following instructions carefully and use the spray only as directed.

• INSTRUCTIONS FOR USE Preparation of the spray


• Shake the bottle carefully for approx. 5 seconds by turning it upside down, then remove the protective cap.


• The first time the spray is to be used, you must prepare the pump by spraying into the air.


• Prepare the pump by placing one finger on each side of the spray pump and place your thumb under the bottom of the bottle.


• Press down and release 6 times until you see a nice fog cloud.


• The pump is now prepared and ready for use.


• If the nasal spray has not been used in the last 7 days, prime it again by depressing the pump and then releasing.

Use of the spray

• Shake the bottle carefully for approx. 5 seconds by turning it upside down, then remove the protective cap.


• Blow your nose to clear your nostrils.


• Bend your head forward towards your toes. Do not bend your head back.


• Hold the bottle straight up and down and carefully insert the spray tip into a nostril.


• Close the other nostril with a finger, quickly press down 1 time and at the same time breathe in carefully.


• Exhale through the mouth.


• Repeat in the other nostril.


• Breathe in carefully and do not bend your head back after you have sprayed.


• This will prevent the medicine from running down the throat and giving an unpleasant taste in the mouth.


• Wipe the tip of the spray with a clean napkin or cloth after use, and replace the protective cap.


• Do not poke the spray tip if no spray comes out. Clean the tip with water.


• It is important that you take the dose as the doctor has told you. You should only dose as your doctor has recommended.

Duration of treatment:

• Dymista is suitable for long-term use. 


• The duration of the treatment should be in accordance with the experience of allergy symptoms.

If you take too much Dymista:

• If you spray too much of this medicine into your nose you are unlikely to have any problems. 


• If you are concerned, or if you have been using higher doses than recommended for a long time, contact your doctor.


• If someone, especially a child, accidentally drinks Dymista, contact a doctor or the nearest emergency room immediately.

If you have forgotten to take Dymista:

• Use the nasal spray as soon as you remember, then take the next dose at the usual time. 


• You should not take a double dose to make up for a missed dose.

If you stop treatment with Dymista:

• Do not stop treatment with Dymista without consulting your doctor, as this may jeopardize treatment.


• Ask your doctor or pharmacist if you have any questions about the use of this medicine.


• Nasal corticosteroids can affect the normal production of hormones in your body, especially if you use high doses over a long period of time.


• In children and adolescents, this side effect can cause them to grow more slowly than others.


• In rare cases, a reduction in bone density ( osteoporosis ) has been observed if nasal corticosteroids have been given over a long period of time.

Warnings And Precautions

• Do not use Dymista:

If you are allergic to azelastine hydrochloride or fluticasone propionate or any of the other ingredients of this medicine.

Talk to your doctor or pharmacist before using Dymista if:

• you have recently had a nose operation


• you have an infection in your nose. Infections in the nasal airways should be treated with antibacterial drugs or antifungal agents.


• If you are given medicine for an infection in your nose, you can still use Dymista to treat your allergy .


• you have tuberculosis or an untreated infection .


• you have vision changes or previously increased pressure in the eye, glaucoma and/or cataracts.


• If this applies to you, you will be closely monitored while using Dymista.


• you suffer from reduced adrenal function. Caution should be exercised when switching from systemic steroid therapy to Dymista.


• you suffer from a serious liver disease.


• You will then have an increased risk of systemic side effects.


• In the aforementioned cases, your doctor will decide whether you can use Dymista.


• It is important that you take your dose as described in point 3 below or as your doctor has told you.


• Treatment with doses higher than recommended doses of nasal corticosteroids can lead to adrenal suppression, a condition that can cause weight loss, fatigue, muscle weakness, low blood sugar , salt cravings, joint pain, depression and darkening of the skin.


• If this occurs, your doctor may recommend other medicines during periods of stress or planned surgical operations.


• To avoid adrenal suppression, your doctor will advise that you take the lowest effective dose to get good control of your rhinitis symptoms.


• Taking nasal corticosteroids (such as Dymista) over a long period of time can cause growth retardation in children and adolescents.


• The doctor will check your child's height regularly and make sure he or she is taking the lowest effective dose.


• Contact your doctor if you experience blurred vision or other visual disturbances.


• If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using Dymista.


• This medicine is not recommended for children under 12 years of age.

Pregnancy, breastfeeding and fertility:

• Talk to your doctor or pharmacist before taking this medicine if you are pregnant or breast-feeding, think you may be pregnant or plan to become pregnant.

Driving and using machines:

• Dymista has little influence on the ability to drive and use machines.
  In very rare cases, you may experience tiredness or dizziness because of the disease itself or because you are using Dymista.


• If this is the case, do not drive or use machines.


• Be aware that consuming alcohol increases these effects.

Ingredients:

The active substances are:

• Azelastine hydrochloride and fluticasone propionate.


• Each gram of solution contains 1000 micrograms of azelastine hydrochloride and 365 micrograms fluticasone propionate.


• Dymista is a white and homogeneous solution.


• Dymista is supplied in a brown-yellow glass bottle equipped with a spray pump, tip and protective cap.


• The 25 ml bottle contains 23 g of nasal spray, suspension (at least 120 sprays).

Product Details:

• Brand: Dymista
• Product Form: Nasal Spray