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Azelastine nasal and Sneezing: What Users Say

Brand names: Astelin, Astepro, Astepro Allergy

Sneezing: mentioned by 12 users (6.1%)

Based on user experiences from 198 Azelastine nasal reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

bad taste 21.2%
drowsiness 15.7%
headaches 8.1%
sneezing 6.1%
runny nose 5.1%
nosebleeds 4.0%
cough 3.5%
dizziness 3.5%
itching 3.5%
tiredness 3.5%

Reviews for Azelastine nasal

Commonly mentioned side effects
  • All...
  • Taken for less than 1 month
  • February 28, 2025

Azelastine nasal "I have exercise-induced rhinitis, especially from running or intense workouts. Before Astepro, I dealt with an intensely runny, burning nose that forced me to breathe through my mouth, constant sneezing, red, watery eyes, headache, cough, brain fog, and increased sinus pressure. Astepro is the only medication that gives me fast relief once symptoms start. Within minutes, my nose stops running, the burning fades, and I can finally breathe through my nose without pain. Not only that, but it helps my headache and red eyes. It works much faster than Flonase or Claritin, which are only useful as preventatives. The biggest downside is that the effects fade within a couple of hours, and I often feel the need to use it more than recommended. I wish the manufacturer would consider different dosing guidelines for those using Astepro as a rescue treatment for exercise-induced rhinitis."

10 / 10
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2 Report
  • BPa...
  • Taken for 1 to 6 months
  • February 5, 2019

For Allergic Rhinitis "I want to give this medication a try based on the rave reviews, but this stuff makes me sneeze like crazy when I use it. And I mean these are BIG sneezes, one after another 'til I hit like 10. Then my nose runs for 20 minutes after. So, while I enjoy reading the rave reviews, I'm not so certain this is a 'normal' side effect. I definitely don't sneeze like this on a normal basis."

6 / 10
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25 Report
  • Mis...
  • Taken for 1 to 2 years
  • June 11, 2019

For Allergic Rhinitis "My husband and I both used azelastine nasal spray with different results. He experienced the sneezing, which others have referenced. Azelastine was a big help to me and allowed me to stop using Benadryl and headache meds for sinus headaches. But we both noticed after daily use that the drowsiness is debilitating, so I use it 'as needed.' The drowsiness is different than Benadryl and other meds... we felt it made us 'stupid'... and made me question if it's in the class of antihistamines that crosses the blood barrier to the brain. I don't think it's in that class, but we felt like it should be because of the strong side effect. Still use it for relief on bad days."

8 / 10
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18 Report
  • Ron...
  • December 22, 2016

For Allergic Rhinitis "Tried many different pills and Flonase, and none ever worked and just made me sleepy. Azelastine is a miracle for me. I had a horrible itchy nose and constant sneezing/runny nose all day, and my eyes felt puffy and were watery randomly during the months. Azelastine is the only thing that has completely cleared my symptoms not even 5 minutes after the spray. When I first used it, it did make my nose feel bubbly and it was uncomfortable, but after continued use, I don't have this issue any longer. The taste is bitter, but I would rather deal with that than the all-day horrid issues I was dealing with. Also, it seems to wake me up and give me energy when I take it. Very weird since I don't see anyone else mention this, but it's a nice effect for me."

10 / 10
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18 Report
  • Mel...
  • February 3, 2020

For Allergic Rhinitis "I had issues with it since day one and only took it for a week and had to call it quits. I had a bitter taste in my mouth for hours or all day/every day because I was prescribed it two times a day. I also had sneezing, an itching nose, felt like I had dry cotton mouth all day, and night was bad, drowsiness, really bad headaches, and the worst part was my nosebleeds came back by like day three of being on it. I went to see a doctor because I was tired of nosebleeds and found out I have a 16mm nasal polyp with post-nasal drip. I took it for like a week and it bled every day, and I tried just regular saline nasal spray to put moisture back in my nose, and it doesn't help. I had no choice but to stop. Even after I stopped, it took a week or two to feel like I was back to normal, but now I'm wondering if I did some damage to my nose because it's been about two weeks off, and I had a bad nosebleed just yesterday, and I barely blew my nose. So, my experience was not so good."

1 / 10
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13 Report

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  • Anonymous
  • February 28, 2022

For Allergic Rhinitis "I noticed immediate sneezing with the first dose. At the second dose, I sneezed violently for about 15 minutes and off and on for several hours. A constant nasal drip started after the sneezing, and I’m still miserable 48 hours after that dose. I won’t be using this again."

1 / 10
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5 Report
  • Anonymous
  • December 5, 2017

For Allergic Rhinitis "I first took this medication when I had a reaction to my allergy shot (at that time, the dosage of the serum was increased). The doctor gave me this, and it worked, so I asked my allergist to prescribe it for me. I've taken it twice, and I still get the same reaction: stinging nose, dry mouth, and sneezing fits, as if I have a cold. I do have post-nasal drip and sinus pain. It feels like I have a cold. The last time I took this was back a month ago, and I had the same reaction. I'm done with this."

2 / 10
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10 Report
  • Mis...
  • Taken for less than 1 month
  • January 9, 2022

For Allergic Rhinitis "I've been using it for a few days, but it has caused me more congestion and sneezing than I had before use. Showing signs of a sinus infection now. I started using it along with my Fluticasone, which was a total disaster. Awful sore throat, sneezing, and worse congestion. Dropped Fluticasone, and sore throat subsided with Azelastine used alone. Still having some congestion and sneezing. Hopefully, it will go away as my body adjusts to the medication."

5 / 10
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  • All...
  • Taken for 1 to 6 months
  • March 31, 2022

For Allergic Rhinitis "I suffer from perennial allergies and post-nasal drip. So it doesn't matter where I am, if I am even around allergens, or what time of the year it is. I am constantly sniffling. This stuff tastes horrible, but it truly works a miracle, so I would take that trade. Inflammation, sneezing, and runny nose were significantly reduced. It makes Flonase seem like water, both with the taste and the effectiveness."

9 / 10
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0 Report
  • Dee...
  • March 5, 2012

Azelastine nasal for Allergic Rhinitis "Astepro works really well but makes me sneeze at least 7 times in a row before I get some relief. Also makes me sleepy, so I don't use it until bedtime."

9 / 10
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27 Report
  • Anonymous
  • Taken for less than 1 month
  • May 4, 2020

For Allergic Rhinitis "Terrible. Made my condition worse. Blocked nose, sneezing, runny nose. Persevered for a week, had to give up. My nose was so sore."

1 / 10
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13 Report
  • Eme...
  • June 3, 2017

For Allergic Rhinitis "Not sure what this is supposed to help. Still sneezing, coughing, watery eyes. Feel like I'm drowning! Been several months, and finally, I give up. Need better medicine!"

4 / 10
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5 Report

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Reviews may be edited to correct grammar/spelling or remove inappropriate content. Reviews appearing to come from parties with a vested interest are not published. This information is not intended to endorse any medication and should not replace the expertise and judgment of healthcare professionals.