Fluticasone Propionate/Azelastine Hydrochloride

Dymista is a nasal spray for hay fever, made by Meda. It is a combination treatment containing an antihistamine and a corticosteroid.

Our secure online pharmacy allows you to get access to the treatment you need, without having to make an appointment. Find your product, take a couple of minutes to fill in our health assessment, and once approved by our GMC registered doctor, we will send the treatment to your door in 24 hours.

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Order now, and get it by Friday 20th October

This nasal spray contains 137 micrograms azelastine and 50 micrograms fluticasone per dose. These are applied once to each nostril in the morning, and again in the evening.

£ 55
Order now, and get it by Friday 20th October

Dymista is a nasal spray for hay fever, made by Meda. It is a combination treatment containing an antihistamine and a corticosteroid.

Our secure online pharmacy allows you to get access to the treatment you need, without having to make an appointment. Find your product, take a couple of minutes to fill in our health assessment, and once approved by our GMC registered doctor, we will send the treatment to your door in 24 hours.

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Dymista is a combination treatment used to alleviate hay fever symptoms, provided in the form of a nasal spray. This is administered to the nostrils twice a day in most cases. Dymista, which is manufactured and marketed by Meda, contains two agents: a corticosteroid, and an antihistamine agent.

  1. Proficient at relieving symptoms
  2. Branded combination medicine
  3. Nasal spray directly targets inflammation

Hay fever is a common condition, which is thought to affect over 10 million people in the UK. As it is chiefly caused by high levels of pollen in the air, hay fever is more active during the months of spring. The most common characteristics of hay fever are a runny or blocked nose, an itchy throat, eye irritation and sneezing.

The reason why some people have hay fever and others do not isn’t completely understood, but it is thought that having a history of the condition in your family can make you more likely to get it. Some experts also think that exposure to certain pollutants during childhood, such as cigarette smoke, can also increase a person’s susceptibility to hay fever.

It occurs when the body’s natural defences overreact to an airborne substance. This doesn’t have to be pollen; dust mites can cause symptoms too. When the body registers the presence of these substances, it perceives them as a danger, and the immune system tries to combat them in the same way it would an infection. This results in the release of a chemical, called histamine, which can cause swelling and inflammation in the nasal passages, also known as rhinitis.

Many people find that taking measures to limit exposure to pollen can help, such as checking weather reports and staying indoors when levels are high, and showering or changing their clothes after being outside. But this isn’t always possible, and exposure is sometimes unavoidable.

In those cases where symptoms persist and cause considerable discomfort, a doctor may suggest prescription treatment. Dymista contains two active constituents, which work to counter the effects of this allergic response. These are called azelastine and fluticasone, and they function in different ways. Azelastine is a type of drug called an antihistamine, which prevents the inflammatory chemicals released by the immune system from connecting to the receptors which trigger symptoms. The other agent, fluticasone, is a corticosteroid. This actually works on the cells which store and expel histamine, to prevent them from discharging it. The advantage of a nasal spray is that it gets to the root of symptoms fast, and works immediately to provide effective relief.

Buying Dymista from our online pharmacy is simple. It only takes a couple of minutes to fill in our health assessment, and once complete, your responses will be screened by one of our GMC-registered practitioners. Following approval, we’ll make sure your item reaches you within just one working day.


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Page last reviewed:  Tuesday, Aug 22 2017


It is vital to adhere to the guidelines provided in the patient information leaflet, and also to follow the directions issued by your prescriber when using this treatment. Doing so will enable you to maximise the efficiency of the medication, and limit the chances of possible side effects.

  1. Apply as directed.
  2. In most cases, this will one sprayed dose into each nostril in the morning, followed by the same at nighttime. 
  3. The length of your course will be decided by your doctor in relation to the severity and nature of your symptoms. 
  4. To use the nasal spray, first shake the bottle and then remove the cap.
  5. Before first use, the pump needs to be primed. Do this by squirting six shots into the air, until a light mist is produced.
  6. Priming should be performed again if the pump isn’t used for a period of seven days.
  7. Prior to applying the spray, blow your nose to clear any congestion. 
  8. Tilt your head forwards slightly, then place the applicator carefully inside one nostril.
  9. Hold your finger over the other nostril to close it.
  10. Press down on the spray to release a shot, while lightly inhaling through your nostril.
  11. Then breathe out through the mouth.
  12. Repeat the above for the other nostril.
  13. Wipe the tip clean and replace the cap.
  14. Do not exceed the dose prescribed by your doctor.
  15. If you forget to administer a dose, do not make up for it by doubling up on your next one. Take it when you remember, before carrying on the course as normal.

These directions are only a summary of those you will need to follow when using this item. For more detailed instructions on how to use this product, refer to the leaflet supplied.

Download Dymista patient information leaflet

Page last reviewed:  Tuesday, Aug 22 2017
Side effects & Warnings

Side effects

It is important to be aware of the side effects associated with this item, as some may require you to seek immediate medical advice. Tell your doctor right away if you notice any signs of an allergic reaction, or anything at all which causes you concern.

Common (1 in 10 people or more):

Nosebleed, Bitter taste in the mouth, headache, or unpleasant smell.

Uncommon (1 in 100 people or less):

Mild stinging or itching in the nose, sneezing, dryness, cough, dry throat or throat irritation.

Rare (1 in 1,000 people or less):

Dry mouth.

Please note that this is not a comprehensive list of the side effects associated with this treatment. Refer to the patient information leaflet for further guidance.

Taking it with other medicines

Let your doctor know if you are using any other prescription, non-prescription or remedial products when completing our medical assessment. Dymista may not be suitable for those who are taking: ritonavir or ketoconazole.

Conditions to look out for

Tell your prescriber if you have or have ever had any of the following, as this product may not be suitable for you, or your administration may need to be adjusted: a recent operation on your nose; tuberculosis or an untreated infection; increased ocular pressure; glaucoma or cataracts; deficient adrenal function; or severe liver disease.

Pregnancy or breastfeeding

Check with your doctor before using Dymista if you are pregnant, planning to become pregnant or breastfeeding.

Driving and using machinery

If you are affected by side effects such as dizziness or drowsiness, do not drive or use machines.

Page last reviewed:  Tuesday, Aug 22 2017
Please read the patient information leaflet for this medicine fully before use:

Dymista 137mcg


Can I still drink alcohol?

Yes. The function of this product is not likely to be affected by alcohol.

Will I still be able to drive?

Yes, provided you experience no side effects which may make doing so unsafe. If you feel as though your ability to drive has been compromised, refrain from doing so and talk to your doctor.

Can I take the medicine while pregnant?

If you are pregnant or breastfeeding, you should let your prescriber know before using this item.

How should I store it?

Store this product at room temperature and out of the reach of children.

Am I allergic to anything in the medicine?

This product contains: azelastine hydrochloride, fluticasone propionate, disodium edetate, glycerol, microcrystalline cellulose, carmellose sodium, polysorbate 80, benzalkonium chloride, phenylethyl alcohol and purified water.

Do not use it if you are allergic to any of these ingredients.

Is it available over-the-counter?

You can only buy Dymista in the UK if you have a prescription for it. Our doctors are able to issue a prescription if, after reviewing your answers to our health questionnaire, they deem this product to safe for you to use.

Is it right for me?

Find out by completing our medical assessment. It only takes a few minutes on average. Once your item has been approved, our UK-based pharmacy will dispense and ship your medicine to you by tracked, next-day courier.

Page last reviewed:  Tuesday, Aug 22 2017
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Delivery on all items is included in the price. After your order has been dispatched, you’ll be supplied with a tracking number, allowing you to follow the progress of your items every step of the way. We deliver to anywhere in the UK, so whether you’re in London, Birmingham, Manchester, Glasgow or Cardiff, your order will be at your door within just 24 hours of approval from our doctor.

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