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Dymista Nasal Spray

Dymista Nasal Spray

Pack Size: 120 Sprays
RRP: £39.99
Saving: £9.19
Our Price: £30.80
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Age: 18 Pregnancy: Not suitable Breastfeeding: Not suitable

Dymista combines two medicines in one treatment. It has a dual action. It contains a fast acting antihistamine called azelastine and a steroid called fluticasone.

Azelastine usually starts to work within 30 to 60 minutes. It takes a few days of regular use for the steroid part of the spray to reduce inflammation. Symptoms control is likely to be fast and to improve over a few days providing Dymista is used regularly.

The antihistamine effect of Dymista wears off over 12 to 24 hours and the steroid effects usually wear off over a few days after use of the spray is stopped.

  • Dymista should NOT to be used with other nasal sprays for allergic rhinitis. These may contain the same or similar ingredients and you may get a double dose.
  • Consult a doctor if allergic rhinitis symptoms are not controlled after using Dymista for 7 days.

POMDymista Nasal Spray is prescription only medicine from Meda Pharmaceuticals.

For further details about each spray see the links below to manufacturer's patient information leaflet.

 

here are alternative nasal sprays to Dymista for the treatment of allergic rhinitis, some of which contain antihistamines and others steroids, in separate sprays. Dymista combines the long acting antihistamine azelastine present in Rhinolast nasal sprays with the glucocorticoid fluticasone present in Pirinase and Flixonase nasal sprays.

These alternative nasal sprays should NOT be used at the same time (concomitantly) with Dymista.

Studies show Dymista usually works more quickly than steroid nasal sprays and improved symptom relief continues with sustained use of Dymista.

You should discuss treatment options with your doctor or pharmacists. Alternative nasal sprays to Dymista may control allergic rhinitis symptoms adequately and may be preferred, particularly by patients who have mild or occasional symptoms or patients have responded well to these sprays before.

People who are using both an antihistamine nasal spray and a steroid nasal spray may find it more convenient and cost effective to use Dymista. Dymista is a single combined treatment.

Dymista nasal spray acts directly on the nasal membranes, reducing inflammation and sensitivity. Studies show eye symptoms, such as inflammation, watering and itching, also improve when Dymista is used.

Dymista does not replace antihistamine tablets and is not primarily a treatment for dry itchy or inflamed eyes.  However, if allergic rhinitis symptoms are well controlled by Dymista, it is possible other allergic rhinitis treatment, such as antihistamine tablets and eye drops, may no longer be needed.

You must NOT use other hay fever nasal sprays whilst you are using Dymista.

 

 

 

Dymista Nasal Spray contains two 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 that the body produces as part of an allergic reaction – thus reducing symptoms of allergic rhinitis.

    • Fluticasone propionate belongs to a group of medicines called corticosteroids which reduces inflammation.

      Dymista Nasal Spray is used to relieve the symptoms of moderate to severe seasonal and perennial allergic

rhinitis, for example: runny nose, post nasal drip, sneezing and itchy or blocked nose, if the use of either intranasal antihistamine or corticosteroid alone is not considered sufficient.

Seasonal and perennial allergic rhinitis are allergic reactions to substances such as pollen (hayfever), house mites, moulds, dust or pets. 

Driving and using machines

Very rarely, you may experience fatigue or dizziness due to the disease itself or when using Dymista Nasal Spray. If this happens to you do not drive or operate machinery. Please be aware that drinking alcohol may enhance these effects. 

 

What Dymista Nasal Spray contains

The active substances are: azelastine hydrochloride and fluticasone propionate.

Each g of suspension contains 1000 micrograms azelastine hydrochloride and 365 micrograms fluti- casone proprionate.

Each actuation (0.14 g) delivers 137 micrograms azelastine hydrochloride (= 125 micrograms azelas- tine) and 50 micrograms fluticasone propionate.

The other ingredients are: Disodium edetate, glycerol, microcrystalline cellulose, carmellose sodium, poly- sorbate 80, benzalkonium chloride solution, phenyl- ethyl alcohol and purified water.

What Dymista Nasal Spray looks like and contents of the pack
Dymista Nasal Spray is a white, homogenous suspension.

Dymista Nasal Spray comes in an amber coloured glass bottle fitted with a spray pump, applicator and a protective cap.

The 10 ml bottle contains 6.4 g nasal spray, suspension (at least 28 actuations). The 25 ml bottle contains 23 g nasal spray, suspension (at least 120 actuations).

Dymista Nasal Spray is presented in:
Packs containing 1 bottle with 6.4 g nasal spray, suspension

Packs containing 1 bottle with 23 g nasal spray, suspension

Multipacks comprising 10 bottles, each containing 6.4 g nasal spray, suspension

Multipacks comprising 3 bottles, each containing 23 g nasal spray, suspension.

Not all pack sizes may be marketed. 

  • Keep this medicine out of the sight and reach of children.

    Do not use this medicine after the expiry date which is stated on the bottle label and the outer carton after ”EXP”. The expiry date refers to the last day of that month.

    Do not refrigerate or freeze.

    Shelf life after first opening: Dispose of any unused medicine 6 months after you first open the nasal spray.

    Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What Dymista Nasal Spray contains

The active substances are: azelastine hydrochloride and fluticasone propionate.

Each g of suspension contains 1000 micrograms azelastine hydrochloride and 365 micrograms fluti- casone proprionate.

Each actuation (0.14 g) delivers 137 micrograms azelastine hydrochloride (= 125 micrograms azelas- tine) and 50 micrograms fluticasone propionate.

The other ingredients are: Disodium edetate, glycerol, microcrystalline cellulose, carmellose sodium, poly- sorbate 80, benzalkonium chloride solution, phenyl- ethyl alcohol and purified water.

What Dymista Nasal Spray looks like and contents of the pack
Dymista Nasal Spray is a white, homogenous suspension.

Dymista Nasal Spray comes in an amber coloured glass bottle fitted with a spray pump, applicator and a protective cap.

The 10 ml bottle contains 6.4 g nasal spray, suspension (at least 28 actuations). The 25 ml bottle contains 23 g nasal spray, suspension (at least 120 actuations).

Dymista Nasal Spray is presented in:
Packs containing 1 bottle with 6.4 g nasal spray, suspension

Packs containing 1 bottle with 23 g nasal spray, suspension

Multipacks comprising 10 bottles, each containing 6.4 g nasal spray, suspension

Multipacks comprising 3 bottles, each containing 23 g nasal spray, suspension.

Not all pack sizes may be marketed. 

 

Dymista is a nasal spray used to control the symptoms of hay fever andallergic rhinitis (allergic nasal inflammation). The spray treats a runny and blocked nose, sneezing and itching. Relief of symptoms usually starts within 30 minutes of using Dymista. Dymista is most effective when the spray is used regularly for at least a few days.

Ingredients and action

Dymista combines two medicines in one treatment. It is has a dual action. It contains a fast acting antihistamine called azelastine and a steroid called fluticasone.

Azelastine usually starts to work within 30 to 60 minutes. It takes a few days of regular use for the steroid part of the spray to reduce inflammation. Symptom control is likely to be fast and to improve over a few days, providing Dymista is used regularly.

The antihistamine effect of Dymista wears off over 12 to 24 hours and the steroid effects usually wear off over a few days after use of the spray is stopped.

Dymista is most effective when used regularly on a twice daily basis for as long as needed. The usual dose is one puff in each nostril twice daily. If used irregularly or on an occasional basis, Dymista will be less effective.



Always use Dymista Nasal Spray exactly as your doctor has told you. Check with your doctor or pharmacist, if you are not sure.

It is important to use Dymista Nasal Spray regularly to gain full benefit from this treatment.

Contact with the eyes should be avoided.

Adults and adolescents (12 years and above)

• The recommended dose is one spray in to  each nostril in the morning and evening. 

Adults and adolescents (12 years and above)

• The recommended dose is one spray in to each nostril in the morning and evening. 

1. Shake the bottle gently for 5 seconds by tilting it upwards and downwards and then remove the protective cap (see figure 1).

2. The first time the nasal spray is used, you must prime the pump by squirting it into the air.

3. Prime the pump by putting two fingers on either side of the spray pump and place your thumb on the bottom of the bottle.

4. Press down and release the pump 6 times until a fine mist appears (see figure 2).

5. Now your pump is primed and ready to use.

6. If the nasal spray has not been used for more than 7 days, you will need to re-prime the pump once by pressing down and releasing the pump. 

Using the spray

1. Blow your nose to clear your nostrils.

2. Keep your head tilted downwards towards your toes. Do not tilt head backwards.

3. Hold the bottle upright and carefully insert the spray tip into one nostril.

4. Close other nostril with your finger, rapidly press down once and sniff gently at the same time (see figure 3).

5. Breathe out through your mouth.

6. Repeat in your other nostril.

7. Breathe in gently, and do not tilt your head back after dosing. This will stop the medicine going into your throat and causing an unpleas- ant taste (see figure 4).

8. After each use wipe the spray tip with a clean tissue or cloth and then replace the protective cap. 

 

 

f you forget to use Dymista Nasal Spray

Use your nasal spray as soon as you remember, then take the next dose at the usual time. Do not take a double dose to make up for a forgotten dose. 

 

Serious side effects are unlikely. The commonest side effects are; nosebleed, headache, a bitter taste in the mouth, and an unpleasant smell. For more detail, see the manufacturer’s patient information leaflet supplied with Dymista sprays. All patients must read this leaflet before using Dymista.

  • Dymista should NOT to be used with other nasal sprays for allergic rhinitis. These may contain the same of similar ingredients and you may get a double dose.
  • Consult a doctor if allergic rhinitis symptoms are not controlled after using Dymista for 7 days.
  • Consult a doctor if symptoms are worsening or if bleeding or ulceration of the nose occurs.
  • Dymista should NOT be used continuously from more than 3 months without the approval of a doctor.

Dymista could impair your ability to drive or operate machinery, particularly if used in combination with sedating medications, such as some antihistamine tablets.




Like all medicines Dymista Nasal Spray can cause side effects, although not everybody gets them.

Stop taking Dymista and seek immediate medical help if you have any of the following symptoms:
• Swelling of face,lips,tongue or throat which may

cause difficulty in swallowing/breathing and a sudden onset of skin rash. This could be signs of a severe allergic reaction. Please note: This is very rare.

• Cataract, glaucoma or increased pressure in your eye where you may have a loss of vision and/or red and painful eyes. These side effects are very rare.

Very common side effects
(These may affect more than 1 in 10 people): • Nosebleed

Common side effects
(These may affect up to 1 in 10 people):
• Headache
• A bitter taste in your mouth, especially if you tilt

your head backwards when you are using the nasal spray. This should go away if you have a soft drink a few minutes after using this medicine.

• Unpleasant smell

Uncommon side effects
(These may affect up to 1 in 100 people):
• Slight irritation of the inside of the nose.This can

cause mild stinging, itching or sneezing.
• Nasal dryness,cough,dry throat or throat irritation 

Do not use Dymista Nasal Spray:

• If you are allergic to azelastine hydrochloride or fluticasone propionate or any of the other ingredi- ents of this medicine (listed in section 6).

Warnings and precautions

Talk to your doctor or pharmacist before using Dymista Nasal Spray if:
• You had a recent operation on your nose.
• You have an infection in your nose. Infections of

the nasal airways should be treated with anti- bacterial or antifungal medication. If you are given medication for an infection in your nose you can continue to use Dymista Nasal Spray to treat your allergies.

• You have tuberculosis or an untreated infection. • You have a change in vision or a history of

increased ocular pressure, glaucoma and/or cataracts. If this applies to you, you will be closely monitored whilst using Dymista Nasal Spray.

• You have problems with your adrenal glands. Care must be taken when transferring from systemic steroid treatment to Dymista Nasal Spray.

• You suffer from a severe liver disease. Your risk of suffering from systemic side effects is increased.

In these cases your doctor will decide whether you can use Dymista Nasal Spray.

Taking fluticasone may, when taken for a long time, cause children and adolescents to grow more slowly. The doctor will check your child’s height regularly, and make sure he or she is taking the lowest possible effective dose.

If you are unsure whether the above applies to you, talk to your doctor or pharmacist before using Dymista Nasal Spray. 

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The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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