Dymista

Fluticasone · Azelastine

Dymista is a nasal spray combining the antihistamine azelastine with the steroid fluticasone for moderate to severe hay fever and year-round nasal allergy, listed at 50/140mcg.

All strengths and pack prices
Dymista: price of every strength and pack size
Strength Pack Price
50/140mcg 2 sprays $62.04
50/140mcg 4 sprays $99.44
Category
Allergy Relief
Active ingredient
Fluticasone · Azelastine
Route
Nasal
Form
Nasal Spray
Strengths
50/140mcg

You will receive a quality generic equivalent, depending on stock.

Shipped in a discreet, unmarked envelope.

Details

Therapeutic Class
Antihistamine, Corticosteroid
Pharmacological Class
Nasal Spray
Minor Side Effects
Bitter taste, headache
Moderate Side Effects
Nasal irritation, nosebleeds
Dosage Forms
Nasal Spray
Administration Route
Nasal
Originator
Meda Pharmaceuticals
Onset Time
Minutes
Duration
12–24 hours
Storage Instructions
Store in a cool place, upright.
Drug Interactions
Alcohol, Central nervous system depressants
Age Restrictions
Not for children under 6.

What you will receive

Dymista is the originator brand name, made by Meda Pharmaceuticals. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Dymista.

  • The same active ingredient (Fluticasone / Azelastine) at the same strength.
  • The exact brand supplied depends on what is in stock when your order ships.

FAQ

Which Dymista pack sizes can I order?

Dymista nasal spray comes as 50/140mcg. Pack sizes are 2 or 4 sprays. This is generic fluticasone + azelastine, not the original Dymista. Larger packs cost less per spray.

How is Dymista delivered to Hong Kong?

Every Dymista order ships in plain, unbranded packaging with nothing outside about the contents. Tracked courier takes 5 to 9 business days with online tracking. Standard airmail takes 14 to 21 business days, or 30 at most, and is untracked.

How long does Dymista take to work?

The azelastine part can ease sneezing and itching within the first hour or so. Fluticasone is slower and reaches its full effect after several days of regular use, so judge the spray after about a week, not after one dose.

Why does Dymista taste bitter?

The taste comes from azelastine draining down the back of the throat. Keep your head tilted forward, do not sniff hard right after spraying, and spit out or swallow any bitter-tasting spray rather than tipping your head back.

Can I use Dymista with other allergy medicines?

Dymista already holds an antihistamine and a steroid, so a second steroid nasal spray or another antihistamine spray only repeats ingredients. Antihistamine tablets and sedatives can add to drowsiness, so see how you feel.

About Dymista

Dymista is two sprays in one bottle. Azelastine is the antihistamine; fluticasone propionate is the steroid that takes down swelling in the nose. The 50/140mcg on the listing is what one spray delivers: 50mcg of fluticasone and about 140mcg of azelastine.

It suits the person whose antihistamine tablets left the nose blocked.

What Dymista is used for

The target is moderate to severe seasonal allergic rhinitis (hay fever) and allergic rhinitis that lasts all year, especially when sneezing, a runny nose, itching and a blocked nose all turn up together. The steroid is what makes the difference for congestion, which antihistamines handle poorly on their own.

Using the spray

Dymista is used as one spray into each nostril in the morning and one in the evening. Shake the bottle gently, blow your nose, tilt your head slightly forward and aim the spray towards the outer side of the nostril. The azelastine starts to ease sneezing within the first hour; the fluticasone needs several days of regular use, so judge the spray after about a week rather than after the first dose.

Side effects and cautions

Nosebleeds, headache and a bitter taste at the back of the throat are the most common complaints. Some people get dryness, stinging or small sores inside the nose, and a few feel sleepy, especially if they also drink alcohol or take sedatives. HIV boosters such as ritonavir and cobicistat raise fluticasone levels in the body. Swelling of the face or throat, or difficulty breathing, is a serious allergic reaction.

Dymista and plain azelastine

Dymista already contains azelastine, so it replaces an azelastine spray rather than being added to one. The difference between the two is the fluticasone. The azelastine page covers the antihistamine on its own and the single-ingredient spray.

Sources

  1. Fluticasone Oral Inhalation: MedlinePlus Drug Information — MedlinePlus / National Library of Medicine
  2. Azelastine Nasal Spray: MedlinePlus Drug Information — National Library of Medicine