Dymista Nasal Spray (Azelastine/Fluticasone) – 120 Sprays

Dymista is a prescription-only nasal spray that combines azelastine (an antihistamine) and fluticasone propionate (a corticosteroid). It is used for moderate to severe hay fever and year-round allergic rhinitis when a single-ingredient antihistamine or steroid spray is not enough. At Ways Pharmacy it is supplied only after a pharmacist has assessed your symptoms and confirmed that it is suitable for you.

How to access this medicine

1. Start your free online assessment. Answer the health questions online and confirm your identity (upload photo ID, or show it on a video call).
2. Pharmacist reviews and speaks with you. A GPhC-registered pharmacist contacts you by phone or video to go through your answers and confirm whether this medicine is suitable. If you are under 18, a parent or guardian must join the video call.
3. If suitable, order and pay on this page. Once the pharmacist confirms the medicine is suitable, you order and pay on this page, or call 020 8106 7084. If it is not suitable — including when the pharmacist gives advice only — you pay nothing, and the pharmacist explains your other options. If you have already paid and the pharmacist finds the medicine is not suitable, you receive a full refund.
4. We post your medicine or you collect it. Orders placed by 3pm on a weekday are posted the same day (see our shipping policy), or you can collect from Holborn.

There is no separate consultation fee. If the medicine you chose is not suitable, the pharmacist may suggest another option.

About this medicine

We also stock Dymista Control, a pharmacy-medicine version of the same combination with its own conditions of sale. The pharmacist can advise which suits you.

Dosage

• Adults and young people aged 12 and over: 1 spray into each nostril twice a day (morning and evening)
• Do not use more than 1 spray in each nostril twice a day
• Shake gently before use, blow your nose first, and aim the spray away from the centre of your nose
• Use it every day during your allergy season — it works better with regular use and may take a few days to work fully

One bottle is supplied per consultation. Further supplies need a review with the pharmacist to check that your symptoms are controlled and the treatment still suits you. The pharmacist will confirm the exact dose for you.

Warnings and who should not take this medicine

• Children under 12
• Anyone allergic to azelastine, fluticasone or any other ingredient
• People whose symptoms may be caused by something other than allergy, such as sinusitis, a nose or chest infection — see our sinusitis service
• People with severe or poorly controlled asthma, or severe breathing symptoms — please see your GP
• People with a recent nose injury or nose surgery, symptoms on one side of the nose only, or frequent nosebleeds
• People with severe eye symptoms such as a painful red eye or changes to vision

Tell the pharmacist if you are pregnant or breastfeeding, have asthma, glaucoma or cataracts, have liver or kidney problems, or use other steroid medicines (tablets, inhalers, creams). Fluticasone can interact with some HIV medicines such as ritonavir or cobicistat. Dymista can cause drowsiness, which alcohol and other sedating medicines can make worse.

Possible side effects

Common side effects include nosebleeds, headache and a bitter or unpleasant taste. Some people feel drowsy or have nasal irritation. Tell a pharmacist or doctor if you notice blurred vision or other changes to your eyesight. Stop using it and get urgent medical help if you develop swelling of the face, lips or throat or difficulty breathing.

See our hay fever treatment service for all options and prices, including medicines you can buy without a consultation.

Regulatory information

• Legal status: Prescription-only medicine (POM), supplied under a Patient Group Direction after pharmacist assessment
• Pharmacy: Ways Pharmacy, 77 Southampton Row, London WC1B 4ET · GPhC-registered premises 9012227
• Patient information leaflet: electronic Medicines Compendium (emc)
• Report suspected side effects through the MHRA Yellow Card Scheme

This page gives factual information about a prescription-only medicine and is not an advertisement to the public. It is supplied only after a pharmacist has assessed that it is suitable for you.