The Medical Letter on Drugs and Therapeutics
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Azelastine/Fluticasone Propionate (Dymista) for Seasonal Allergic Rhinitis

The FDA has approved a nasal spray fixed-dose combination (Dymista – Meda) of the H1-antihistamine azelastine (Astelin, Astepro, and generics) and the corticosteroid fluticasone propionate (Flonase, and generics) for treatment of seasonal allergic rhinitis (SAR) in patients ≥12 years old who need both medications for symptomatic relief. It is the first nasal spray to be approved in the US that contains both an H1-antihistamine and a corticosteroid.

DRUGS FOR ALLERGIC RHINITIS — Mild to moderate allergic rhinitis is usually treated with an oral second-generation H1-antihistamine, such as loratadine (Claritin, and generics) or fexofenadine (Allegra, and generics).1 Intranasal H1-antihistamines such as azelastine and olopatadine (Patanase) are alternatives; their clinical efficacy appears ... more      

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