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Dymista Nasal Spray

Dymista Nasal Spray (120 Sprays)

Order before 3pm for delivery from Fri. 30 Jul and Mon. 02 Aug.

Dymista Allergy Nasal Spray

Hay fever, also known as allergic rhinitis, is a condition that affects 20% of all people in the UK. It usually starts around late spring, and can cause sneezing, blocked or runny noses, and itchy, red eyes.

Dymista is a prescription-only nasal spray that is proven to help relieve the symptoms of hay fever. Containing both an antihistamine and a steroid, Dymista is a popular choice for both medical professionals and patients in the treatment of hay fever.

Dymista Information

  • Age: 18

    Maximum per order: 2

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

What is Dymista?

Dymista is a dual-action nasal spray that relieves the symptoms of allergic rhinitis, also known as hay fever

It contains an antihistamine called azelastine hydrochloride and a steroid called fluticasone propionate. These work together to fight the symptoms of hay fever by stopping and soothing the inflammation caused by dust and pollen.


What is Dymista used for?

While Dymista is mainly used to treat hay fever it can also be used to treat year-round allergies.

The symptoms of allergic rhinitis include sneezing, congestion, itchiness, a runny nose and itchy, red eyes. 

Dymista is a powerful and popular prescription-only medicine that contains both an antihistamine and a steroid, which work together to quickly tackle frustrating symptoms.


How long does Dymista stay in your system?

The effects of Dymista generally wear off over 12 to 48 hours after use.

If possible, you should start using Dymista a few days before you expect to come into contact with pollen (or other allergens). You may feel Dymista spray start to work as soon as 30 minutes after first taking it, but it may be several days before you feel the full benefits.


Is Dymista nasal spray a steroid?

Yes, Dymista nasal spray is a steroid nasal spray. 

One of the active ingredients in Dymista is a steroid called fluticasone propionate. This steroid reduces swelling in the passages in and around the nose to alleviate the symptoms of hay fever. Combined with the other active ingredient in Dymista spray (an antihistamine called azelastine hydrochloride), it works to treat symptoms extremely effectively. 

The steroid in Dymista nasal spray builds up an effect when used regularly, which means that it becomes more effective during regular use.


Dymista alternatives

Dymista is an effective steroid nasal spray that is only available on prescription. 

Some people may want to try over-the-counter (OTC) medicines first to see if they effectively treat hay fever symptoms, rather than using a prescription-only treatment straight away. If you don’t see any positive results from the OTC products you are using, you may want to think about speaking to your doctor or pharmacist to try a stronger prescription medicine. 

There are lots of alternative hay fever medicines that can be used instead of — or in some cases, alongside — Dymista nasal spray.

These are some of the Dymista alternative treatments available here at The Independent Pharmacy:

You can find the above medicines and more over on our hay fever treatments page.

There are also some non-medicinal methods that can help you prevent and treat hay fever symptoms, such as:

  • Wearing wrap-around sunglasses to protect your eyes from pollen (or other irritants)
  • Keeping all windows and doors closed on days with a high pollen count
  • Minimising the time you spend outside on these days
  • Keeping your car windows closed when driving
  • Showering regularly to remove any trapped pollen from skin and hair
  • Changing into new clothes if you’ve been outside
  • Avoiding drying your clothes outside

These preventative methods can help to decrease hay fever symptoms, and may be enough for some people who suffer from hay fever. Others may need an effective medical treatment such as Dymista nasal spray to improve their condition. 

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Dymista dosage

Each use (or ‘actuation’) of Dymista releases 137 micrograms of azelastine hydrochloride and 50 micrograms fluticasone propionate.

These are the active ingredients in the medicine. One of these is an antihistamine (azelastine hydrochloride) and one is a steroid ( fluticasone propionate). Together, they work to alleviate the symptoms of hay fever.

The recommended Dymista dosage for adults and children over 12 years is one spray into each nostril in the morning and evening, twice daily. This medicine is not recommended for children under 12 years.

Always use Dymista Nasal Spray exactly as your doctor or pharmacist has advised you. If you aren’t sure, check with your GP or pharmacist or follow the instructions in the Patient Information leaflet.

You should not exceed the recommended Dymista dosage. Using more than this isn’t likely to cause any serious problems, but it may increase your chances of experiencing adverse side effects. 

If you are worried about how much Dymista you have used or if you have regularly used doses higher than recommended Dymista dosage over a long period of time, speak to your doctor. 

If you miss a Dymista dosage for whatever reason, skip your missed dose and take your next dose at the time you normally would. Never double your dose to make up for missing a treatment.

Dymista side effects

The most common side effects associated with Dymista nasal spray are:

  • Nosebleeds
  • Headaches
  • A bitter or unpleasant taste or smell. This should go away if you have a soft drink after using the spray.

Uncommon side effects of Dymista can include:

  • Mild irritation in the nose or throat
  • Dryness in the nose or throat

Visit our Dymista side effects guide for more information on side effects or consult the patient information leaflet

If you experience any side effect not listed here or in the patient information leaflet, stop taking Dymista and consult your GP immediately.


Dymista and alcohol

Drinking alcohol in moderation while using Dymista spray should not cause a problem.

Some medicines can interact with alcohol — either increasing the risk of experiencing side effects from your medicine, altering the way that the medicine works, or intensifying the intoxicating effects of alcohol. 

However, combining Dymista and alcohol is generally considered safe. Excessive drinking may increase the chance of experiencing side effects of Dymista or worsen existing side effects.

If you aren’t sure, speak to your doctor or pharmacist before using this medicine.

Dymista ingredients

It’s generally a good idea to find out what is in a medicine before you start a course of treatment, particularly if you have any known allergies. 

Below is a list of Dymista ingredients (both active and inactive) that this nasal spray contains.

The active ingredients in Dymista spray are:

  • Azelastine hydrochloride (an antihistamine)
  • Fluticasone propionate (a steroid)

Dymista nasal spray also contains the following inactive ingredients to make up the complete product:

  • Disodium edetate
  • Glycerol
  • Microcrystalline cellulose
  • Carmellose sodium
  • Polysorbate 80
  • Benzalkonium chloride
  • Phenylethyl alcohol
  • Purified water

You should not use Dymista spray if you are allergic to azelastine hydrochloride, fluticasone propionate or any of the other ingredients of this medicine. 

Please read all packaging and the Patient Information Leaflet included with your medicine before taking any new medical treatment.

Dymista warnings

Before using Dymista, consult with your doctor or pharmacist if you have ever had one or more of the following:

  • Nose operation
  • Untreated infection, particularly in your nose
  • Tuberculosis
  • Liver disease
  • Glaucoma and/or cataracts
  • Impaired adrenal function

You should also consult with a GP or pharmacist if you have ever taken one or more of the following:

  • HIV medicines e.g. ritonavir
  • Antifungal medicines e.g. ketoconazole

Do not take other nasal steroidal medicines at the same time as Dymista.

Delivery & Shipping Information

Please note that due to the current situation with COVID-19, Royal Mail are experiencing some delays. This may mean that your order takes longer to arrive than you would normally expect. We are working hard to ensure that, where possible, all orders placed before 15:00 are still dispatched the same working day.


UK Orders

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2 - 3 day delivery - £2.95
  • Express Tracked Delivery - 1 - 2 day delivery - £4.45
  • DPD Next Day - 1 - 2 working days - £6.95
  • Special Delivery (Guaranteed before 21:00) - £8.95
  • Saturday Guaranteed before 21:00 - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail & DPD orders received before 15:00 the same working day. Any orders received after 15:00 or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email, in your online account and from any notifications from your courier.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods. Where possible, we will attempt to size all parcels to fit through your letterbox in tamper-proof packaging. By placing an order on our website, you confirm that it is safe and appropriate for a package containing medicines to be posted through your letterbox, if the carrier is able to do so. You should notify our customer support team if it is not safe for the package to be posted through the letterbox, for example due to animals or small children.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.


Royal Mail


  • Fully tracked delivery
  • SMS & email notifications
  • Four-hour delivery window
  • Change delivery date directly with Royal Mail
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local Post Office or Royal Mail Customer Service Point.

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.




  • Fully tracked delivery
  • SMS & email notifications
  • One-hour delivery window
  • Change delivery date directly with DPD
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local collection point.

DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot. 

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

  • Select an alternative delivery date
  • Opt for delivery to a nominated neighbour
  • Have the parcel left in a specified safe place
  • Collect the parcel from your local DPD Pickup Shop
  • Upgrade delivery to By 12

Please note: DPD do not deliver on Saturdays, Sundays or Bank Holidays - this should be taken into account when ordering. 

Once a package has been shipped with DPD we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.


Forwarding houses

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.


BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.


Remote Areas

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 17:30 the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50


We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
ZE2, 3


We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44


Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.


International Orders

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Hay Fever?

Visit our advice area or contact our support team

Dymista Nasal Spray Reviews

Unsure about a treatment?
Ask our medical team for impartial information and advice about any treatment we provide or medical condition that we treat before you buy.

Frequently Asked Questions

Authored By:

A photo of  Chris Newbury

Chris Newbury

BPharm IP

Published on: 02-02-2017

Last modified on: 22-03-2021

Chris is a vastly experienced clinical pharmacist and has been registered as an Independent Prescriber since 2014.

Reviewed By:

A photo of  Scott McDougall

Scott McDougall


Reviewed on: 22-03-2021

Next review date: 22-03-2023

Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC.

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