Compare Dymista vs. Astelin

Dymista (azelastine/fluticasone) and azelastine nasal spray are both used to treat nasal allergy symptoms, but they have some key differences. Dymista is a combination of two medications: azelastine, an antihistamine, and fluticasone, a corticosteroid. This combination helps to block histamine and reduce inflammation, providing relief from symptoms like sneezing, runny nose, and itching. On the other hand, azelastine nasal spray contains only azelastine, which solely blocks histamine to relieve similar symptoms. Dymista is typically used when nasal steroid medications alone are not effective, while azelastine can be used for both seasonal and year-round allergies, as well as non-allergic nasal symptoms. Dymista is available only by prescription and must be used twice daily, whereas azelastine is available in both prescription and over-the-counter forms, with dosing that can vary. Additionally, Dymista may cause drowsiness and has a risk of stunting growth in children, while azelastine can cause a bitter taste and nasal discomfort. Both medications need to be primed before use and can cause sleepiness, so you should avoid activities that require alertness until you know how they affect you.