Azelastine Hydrochloride and Fluticasone Propionate (Page 8 of 9)
16 HOW SUPPLIED/STORAGE AND HANDLING
How Supplied: Azelastine Hydrochloride and Fluticasone Propionate Nasal Spray (NDC 0378-3458-23) is supplied as an amber glass bottle fitted with a metered-dose spray pump unit. The spray pump unit consists of a nasal spray pump with a white nasal adapter and clear plastic dust cap. Each bottle contains a net fill weight of 23 g and will deliver 120 metered sprays after priming [see Dosage and Administration (2.2)]. After priming [see Dosage and Administration (2.2)] , each spray delivers a suspension volume of 0.137 mL as a fine mist, containing 137 mcg of azelastine hydrochloride and 50 mcg of fluticasone propionate (137 mcg/50 mcg). The correct amount of medication in each spray cannot be assured before the initial priming and after 120 sprays have been used, even though the bottle is not completely empty. The bottle should be discarded after 120 sprays have been used.
Azelastine hydrochloride and fluticasone propionate nasal spray should not be used after the expiration date “EXP” printed on the bottle label and carton.
Storage: Store upright with the dust cap in place at controlled room temperature 20°C to 25°C (68°F to 77°F). [See USP Controlled Temperature] Protect from light. Do not store in the freezer or refrigerator.
17 PATIENT COUNSELING INFORMATION
See FDA-approved patient labeling (Patient Information and Instructions for Use)
Somnolence:Somnolence has been reported in some patients (8 of 1,269 patients) taking azelastine hydrochloride and fluticasone propionate nasal spray in controlled clinical trials. Caution patients against engaging in hazardous occupations requiring complete mental alertness and motor coordination such as driving or operating machinery after administration of azelastine hydrochloride and fluticasone propionate nasal spray [see Warnings and Precautions (5.1)].
Concurrent Use of Alcohol and other Central Nervous System Depressants:Advise patients to avoid concurrent use of azelastine hydrochloride and fluticasone propionate nasal spray with alcohol or other central nervous system depressants because additional reductions in alertness and additional impairment of central nervous system performance may occur [see Warnings and Precautions (5.1)].
Local Nasal Effects:Nasal corticosteroids are associated with epistaxis, nasal ulceration, nasal septal perforation, Candida albicans infection and impaired wound healing. Patients who have experienced recent nasal ulcers, nasal surgery, or nasal trauma should not use azelastine hydrochloride and fluticasone propionate nasal spray until healing has occurred [see Warnings and Precautions (5.2)].
Glaucoma and Cataracts:Inform patients that glaucoma and cataracts are associated with nasal and inhaled corticosteroid use. Advise patients to inform his/her health care provider if a change in vision is noted while using azelastine hydrochloride and fluticasone propionate nasal spray [see Warnings and Precautions (5.3)].
Immunosuppression and Risk of Infections:Warn patients who are on immunosuppressant doses of corticosteroids to avoid exposure to chickenpox or measles and, if exposed, to consult their physician without delay. Inform patients of potential worsening of existing tuberculosis, fungal, bacterial, viral or parasitic infections, or ocular herpes simplex [see Warnings and Precautions (5.4)].
Effect on Growth:Corticosteroids may cause a reduction in growth velocity when administered to pediatric patients. Monitor the growth routinely of pediatric patients receiving azelastine hydrochloride and fluticasone propionate nasal spray [see Use in Specific Populations (8.4)].
Priming:Instruct patients to shake the bottle gently before each use and prime the pump before initial use and when azelastine hydrochloride and fluticasone propionate nasal spray has not been used for 14 or more days [see Dosage and Administration (2.2)].
Keep Spray Out of Eyes:Instruct patients to avoid spraying azelastine hydrochloride and fluticasone propionate nasal spray into their eyes.
Potential Drug Interactions:Advise patients that coadministration of azelastine hydrochloride and fluticasone propionate nasal spray and ritonavir is not recommended and to be cautious if azelastine hydrochloride and fluticasone propionate nasal spray is coadministered with ketoconazole [see Drug Interactions (7.2)].
U.S. Patents 8,163,723; 8,168,620; 9,259,428; and 9,901,585
Manufactured for:
Mylan Pharmaceuticals Inc.
Morgantown, WV 26505 U.S.A.
Manufactured by:
Cipla Ltd. Goa, India
M.L. No. 546
ASTELIN is a registered trademark of Meda Pharmaceuticals Inc., a Viatris Company.
© 2021 Viatris Inc.
21089209
Revised: 5/2021AFNS:R2p
Patient Information
Azelastine Hydrochloride and Fluticasone Propionate Nasal Spray(ay″ ze las′ teen hye″ droe klor′ ide floo tik′ a sone proe′ pee oh nate) |
Important: For use in your nose only What is azelastine hydrochloride and fluticasone propionate nasal spray?
It is not known if azelastine hydrochloride and fluticasone propionate nasal spray is safe or effective in children under 4 years of age. |
What should I tell my healthcare provider before using azelastine hydrochloride and fluticasone propionate nasal spray? Before using azelastine hydrochloride and fluticasone propionate nasal spray tell your healthcare provider about all of your medical conditions, including if you:
Tell your healthcare provider about all the medicines you take , including prescription and over-the-counter medicines, vitamins, and herbal supplements. Azelastine hydrochloride and fluticasone propionate nasal spray and other medicines may affect each other, causing side effects. Especially tell your healthcare provider if you take:
Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure. Know the medicines you take. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine. |
How should I use azelastine hydrochloride and fluticasone propionate nasal spray?
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What should I avoid while using azelastine hydrochloride and fluticasone propionate nasal spray?
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What are the possible side effects of azelastine hydrochloride and fluticasone propionate nasal spray? Azelastine hydrochloride and fluticasone propionate nasal spray may cause serious side effects including:
Call your healthcare provider or get medical help right away if you have symptoms of any of the serious side effects listed above. The most common side effects of azelastine hydrochloride and fluticasone propionate nasal spray include:
Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all of the possible side effects of azelastine hydrochloride and fluticasone propionate nasal spray. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. |
How should I store azelastine hydrochloride and fluticasone propionate nasal spray?
Keep azelastine hydrochloride and fluticasone propionate nasal spray and all medicines out of reach of children. |
General information about the safe and effective use of azelastine hydrochloride and fluticasone propionate nasal spray Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet. Do not use azelastine hydrochloride and fluticasone propionate nasal spray for a condition for which it was not prescribed. Do not give azelastine hydrochloride and fluticasone propionate nasal spray to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about azelastine hydrochloride and fluticasone propionate nasal spray that is written for health professionals. |
What are the ingredients in azelastine hydrochloride and fluticasone propionate nasal spray? Active ingredients: azelastine hydrochloride and fluticasone propionate Inactive ingredients: glycerin, microcrystalline cellulose and carboxymethylcellulose sodium, phenylethyl alcohol, edetate disodium, benzalkonium chloride, polysorbate 80, and purified water. For more information, call Mylan at 1-877-446-3679 (1-877-4-INFO-RX). |
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