Astepro Coupons & Prices

Astepro (azelastine hydrochloride nasal spray) is an antihistamine you spray into your nose for runny nose, sneezing, itchy nose, and nasal congestion. Astepro Allergy 0.15% is sold over the counter for adults and children 6 years and older, and prescription azelastine nasal spray is still available as a generic. Because it comes in both an over-the-counter and a prescription form, what you pay can vary a lot from one pharmacy to the next. The free coupon on this page applies when azelastine or Astepro is filled as a prescription at the pharmacy counter. Enter your ZIP code above to see today's price at pharmacies near you before you buy.

What Astepro is and how it works

Astepro is the brand name for azelastine hydrochloride nasal spray, a second-generation intranasal antihistamine (an H1-receptor blocker). Instead of taking a pill, you spray the medicine directly into the nose, where it blocks histamine, the chemical your body releases during an allergic reaction. That is what brings down the runny nose, sneezing, itching, and stuffiness. Relief tends to start quickly, often within about 15 to 30 minutes, and it is usually used once or twice a day.

Astepro Allergy 0.15% was the first intranasal antihistamine the FDA approved for over-the-counter sale (the switch happened in 2021). The OTC product temporarily relieves nasal congestion, runny nose, sneezing, and itchy nose from hay fever or other upper respiratory allergies in adults and children 6 years and older; Children's Astepro Allergy is the same 0.15% strength with pediatric dosing, also for ages 6 and up. Neither OTC product is for children under 6.

Prescription azelastine nasal spray is still on the market as a generic, in two strengths, and the two strengths do not carry the same approved uses. The generic 0.15% spray is approved for seasonal and perennial (year-round) allergic rhinitis in patients 6 years of age and older. The generic 0.1% spray is approved for seasonal allergic rhinitis in adults and children 5 years and older, and for vasomotor rhinitis (a non-allergic runny nose set off by things like weather changes or strong odors) in adults and adolescents 12 years and older; it does not carry a perennial allergic rhinitis indication. If your clinician writes for azelastine, ask which strength you are getting and what it is approved to treat. A related product, Dymista, combines azelastine with the steroid fluticasone in one spray.

How to use it and what to expect

Follow the directions on the package or from your pharmacist. In general, blow your nose gently first, prime the pump if it is new or has not been used in a while, and spray into each nostril while keeping your head tilted slightly forward. Do not sniff hard after spraying. That one habit matters more than people expect, because the most common complaint about azelastine is a bitter or unpleasant taste, and it happens when the spray runs down the back of the throat. The spray is for use in the nose only, not in the eyes or mouth, and you should not share a bottle with anyone else.

Ask a doctor before use if you have had recent nose ulcers or nose surgery, or a nose injury that has not healed. If you are pregnant or breastfeeding, talk with your clinician before starting. This page is general information, not medical advice, so bring any questions about dosing or how long to use it to your pharmacist or provider.

Cost and how to save on Astepro

Astepro Allergy is an over-the-counter product, so most insurance plans will not cover it the way they cover a prescription. It is also worth understanding how a pharmacy discount card actually works: the card is processed as a prescription claim at the pharmacy counter, so it generally cannot be applied to an OTC box you pick off the shelf and carry to the front register. The coupon price on this page applies when azelastine or Astepro is filled as a prescription. Prescription azelastine nasal spray is still available as a generic, and pharmacies price it differently from one another. Enter your ZIP code above to see today's price at pharmacies near you.

A few practical ways to bring the cost down:

• Ask your clinician whether a prescription for azelastine nasal spray makes sense for you. Filled as a prescription, it can be paired with the coupon on this page; the coupon does not apply to an over-the-counter bottle bought off the shelf.
• Compare the brand price with the price for generic azelastine nasal spray. Which one costs you less depends on the pharmacy and the strength, so check both rather than assuming.
• Check more than one pharmacy. Prices for the same spray can differ meaningfully across chains in the same ZIP code.
• If you are buying the OTC bottle, compare shelf prices at a few stores. Retailers set OTC pricing themselves, and it is not the same everywhere.
• The manufacturer runs its own savings program on the official Astepro Allergy website. Terms, eligibility, and availability vary and change over time, so read the current terms there before counting on it.

Our coupon is free and requires no insurance, and it can be used for either the brand or the generic when the spray is filled as a prescription at the pharmacy counter.

Astepro compared with other allergy sprays

Astepro is an antihistamine spray. The other big category of nasal allergy spray is the intranasal steroid, which works differently by calming inflammation in the nose. Steroid sprays such as Flonase (fluticasone) and Nasonex (mometasone) take longer to reach full effect, often several days of regular use, while azelastine tends to work within about 15 to 30 minutes. Many people find a steroid spray better for steady, day-in day-out control and an antihistamine spray better for fast relief.

Olopatadine nasal spray is another intranasal antihistamine and is the closest alternative to azelastine. When one spray alone is not enough, clinicians often use an antihistamine spray together with a steroid spray; Dymista is the fixed combination of azelastine and fluticasone in a single bottle. Which approach fits you is a conversation to have with your clinician or pharmacist. Prices vary widely between these options, so it is worth checking each one with your ZIP code above.

Safety and side effects

Astepro has no boxed warning. The side effect that surprises people most is drowsiness. Even though the medicine is sprayed into the nose, azelastine can still make you sleepy. Avoid alcoholic drinks, and be careful driving or operating machinery until you know how it affects you; sedatives and tranquilizers may add to the drowsiness. The other very common complaint is a bitter or unpleasant taste right after spraying, which is usually milder if you keep your head tilted slightly forward and avoid sniffing hard. Nasal discomfort or sneezing can happen right after use.

Other reported side effects include headache, burning or discomfort in the nose, nosebleed, sore throat, dry mouth, dizziness, fatigue, and nausea. Ask a doctor before use if you have had recent nose ulcers or nose surgery, or a nose injury that has not healed. The OTC sprays are not for children under 6 years; the generic prescription 0.1% spray is approved down to age 5 for seasonal allergies, so ask a clinician what is appropriate for a younger child. Discuss use during pregnancy or breastfeeding with your clinician. Stop using it and get medical care for severe or frequent nosebleeds or any sign of an allergic reaction. This is general information and not a substitute for advice from your own provider.