As previously referenced, azelastine nasal spray is a prescription-only, generic allergy-relief spray (via GoodRx Health).

Azelastine HCl 137mcg/spray; aqueous nasal spray; contains benzalkonium chloride. Avoid engaging in hazardous occupations requiring complete mental alertness such as driving or operating machinery ...

Other OTC options include the antihistamine nasal spray azelastine (Astepro ... They contain the exact same ingredients as name-brand ones. They work just as well and are just as safe.

This type of nasal spray is available over-the-counter (OTC) and as a prescription. Types of nasal antihistamine sprays include azelastine (brand names include Astepro and Astelin) and olopatadine ...

Azelastine HCl 205.5mcg; per nasal spray; contains benzalkonium chloride; alcohol- and fragrance-free. Avoid eyes, mouth. Recent nose ulcers or nose surgery. Nose injury that has not healed.

For patients with moderate-to-severe SAR that is uncontrolled on nasal steroids alone ... could be started as first-line therapy, but azelastine has a bitter taste, and two different sprays ...

For patients with allergic rhinitis, twice-daily azelastine plus fluticasone cut nasal symptoms ... all treatments were administered as one spray twice daily to preserve blinding.