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Ryaltris vs. Azelastine

Ryaltris is a combination of two medications: olopatadine (an antihistamine) and mometasone (a corticosteroid). It's a nasal spray used to treat eye and nasal symptoms of seasonal allergies (e.g., runny nose, stuffy nose, sneezing, itchy eyes) in people ages 12 and older. The dosage is 2 sprays in each nostril twice per day. Ryaltris (olopatadine / mometasone) doesn't have a generic version since it's only available as a brand-name medication. Side effects aren't common, but include a bad taste in the mouth and nosebleeds.

• Eye and nasal symptoms of seasonal allergies (e.g., runny nose, stuffy nose, sneezing, itchy eyes)

• Altered taste (3%)
• Nosebleed (1%)
• Nasal discomfort (1%)

• Nasal problems
• Drowsiness
• Eye and vision problems
• Allergic reactions
• Risk of infection
• Altered stress hormone levels
• Slowed growth in children

Azelastine nasal spray is an antihistamine that treats allergies and nasal symptoms, such as runny or stuffy nose. The 0.1% and 0.15% strengths of the azelastine nasal spray are available with a prescription for adults and children. It's sprayed into the nostrils typically twice a day. Prescription azelastine nasal spray is a lower-cost generic. Possible side effects include a bitter taste in the mouth and nasal discomfort.

Note: Azelastine 0.15% nasal spray is also available over the counter under the brand name Astepro Allergy.

• Seasonal allergy symptoms related to the nose
• Year-round allergy symptoms related to the nose - azelastine 0.15% spray only
• Runny or stuffy nose that isn't caused by allergies - azelastine 0.1% spray only

Azelastine 0.1% nasal spray:

• Bitter taste in the mouth (20%)
• Headache (15%)
• Sleepiness (12%)
• Nasal burning (4%)

Azelastine 0.15% nasal spray:

• Bitter taste in the mouth (4%)
• Nasal discomfort (4%)

• Possible sleepiness and difficulty concentrating