Astelin (Azelastine)

Also Known as Rhinolast

Prescription medicineOnly Available By Prescription

Top brand choice

Strength Pack Size Qty
137mcg 140 doses 22ml
Pack Size

You'll have option to make 4 interest-free payments by credit card once your order is confirmed using

Top Generic choice

Strength Pack Size Qty
140mcg/dose (70 dose)
Pack Size

You'll have option to make 4 interest-free payments by credit card once your order is confirmed using

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


Astelin (azelastine hydrochloride) is a nasal spray that is used to treat seasonal allergy symptoms in adults and pediatric patients who are 5 years old or older. Astelin Nasal Spray is also used to treat vasomotor rhinitis in adults and adolescents who are 12 years old or older.

Fact Table




US DailyMed



Legal status

US: ?-only / OTC

Chemical Name


Elimination half-life

22 hours

Dosage (Strength)

137mcg 140 doses 22ml, 140 mcg/dose (70 dose)


Consult Doctor



Protein binding


PubChem CID






ATC code






Routes of administration

Nasal spray


The instructions and informational leaflets that come with your prescription should be read and followed.

Astelin is available as a nasal spray that contains 137 mcg of azelastine hydrochloride in 0.137 mL of spray.

Seasonal allergies dosage:

For pediatric patients 5-11 years old: 1 spray in each nostril twice daily

For adults and adolescents who are 12 years old or older: 1 or 2 sprays in each nostril twice daily

Dosage for vasomotor rhinitis:

2 sprays in each nostril twice daily in adults and adolescents who are 12 years old or older

You should prime Astelin Nasal Spray before the first use and if you have not used it for 3 days or more. 

Astelin Nasal Spray directions:

  1. Blow your nose to clear your nostrils. 
  2. Lean your head down toward the ground. 
  3. Place the tip of the spray about ¼ to ½ inch into your nostril. Hold the bottle upright and position the tip of the spray toward the back of your nasal cavity. 
  4. Close off your other nostril using your finger. Gently sniff while pressing the pump once. 
  5. Repeat steps 3 and 4 for using the nasal spray in the other nostril. 


Azelastine hydrochloride is the active ingredient in Astelin Nasal Spray. Benzalkonium chloride, edetate disodium, hypromellose, citric acid, dibasic sodium phosphate, sodium chloride, and purified water are inactive ingredients contained in Astelin.


  • Before beginning treatment with Astelin Nasal Spray, tell your doctor:
    • If you take any medications, including vitamins and herbal supplements
    • About any allergies you may have
    • If you have any health conditions
    • If you are currently pregnant or breastfeeding
  • Drowsiness can be caused by Astelin Nasal Spray. Avoid driving, operating machinery, or participating in other hazardous activities that require mental alertness while using Astelin Nasal Spray.
  • Your alertness can be decreased if you consume alcohol or use other central nervous system depressants while using Astelin Nasal Spray.

Side Effects

If you begin to experience bothersome or persistent side effects, tell your doctor right away. Some of the most common side effects associated with the nasal spray include the following: bitter taste, headache, drowsiness, unusual sensation, rhinitis, nasal burning, pharyngitis, nosebleeds, sinusitis, paroxysmal sneezing, nausea, dry mouth, fatigue, dizziness, and weight gain.


Astelin (azelastine hydrochloride) nasal spray. Somerset, NJ: Meda Pharmaceuticals; 2014.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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