Rhinolast Nasal Spray (Azelastine Hydrochloride 0.1%) – 22ml

Rhinolast is a prescription-only antihistamine nasal spray containing azelastine hydrochloride. It is used for sneezing, a runny or itchy nose and other symptoms of hay fever and year-round allergic rhinitis, and is often considered for mild to moderate nasal symptoms. It does not contain a steroid. 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. Complete a short questionnaire and confirm your identity by uploading photo ID or showing 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 add the medicine to your basket and check out 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. Once approved, 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

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
• Keep your head upright when spraying — tilting it back makes a bitter taste more likely

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 (through this service)
• Anyone allergic to azelastine 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

Tell the pharmacist if you are pregnant or breastfeeding, have asthma, or have liver or kidney problems. Azelastine can cause drowsiness, which alcohol and other sedating medicines can make worse — do not drive or use machines if you feel drowsy.

Possible side effects

A bitter taste is common, especially if the head is tilted back. Nasal irritation, sneezing, nosebleeds, headache and drowsiness can also occur. 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.