Astepro® Allergy (azelastine HCI 0.15%) is now available over-the-counter (OTC) for the temporary relief of nasal congestion, runny nose, sneezing and itchy nose due to hay fever or other upper respiratory allergies in adults and children 6 years of age and older.

Astepro Allergy is the first OTC steroid-free antihistamine nasal spray for indoor and outdoor allergies. Each nasal spray delivers 0.137mL solution containing 205.5mcg of azelastine hydrochloride, an H1-receptor antagonist. The product may be administered once daily or twice daily and provides relief for up to 24 hours.

Due to the risk of somnolence associated with the use of azelastine, the label for Astepro Allergy warns consumers to avoid alcoholic drinks and to be cautious when driving a motor vehicle or operating machinery. Additionally, consumers should avoid sedatives or tranquilizers when using the product.

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Astepro Allergy is supplied in 22-, 60-, 120-, 200-, and 240 (2×120 spray)-metered spray bottles. 

Azelastine HCl nasal spray 0.1% (137mcg/spray) will remain prescription based for seasonal allergic rhinitis and vasomotor rhinitis.


  1. Astepro® Allergy, first and only steroid-free antihistamine nasal spray now available over-the-counter. News release. Bayer. Accessed July 12, 2022.
  2. Products: Astepro Allergy. Astepro Allergy. Accessed July 12, 2022.

This article originally appeared on MPR