Questions, answered plainly
How much do I get?
One bottle per supply — azelastine (Rhinolast) or Dymista — as our Patient Group Direction sets, with re-supply after a pharmacist review. We don't supply mometasone (Nasonex) for hay fever through this service.
How is this different from Beconase or Pirinase?
Those are good first steps and available over the counter. Dymista and azelastine are stronger, prescription-only options for when the standard sprays aren't enough.
Can I use it with antihistamine tablets?
Often yes — our pharmacist will confirm the right combination for you.
How long does the nasal spray take to work?
Azelastine acts quickly, often within around 15 minutes, and gives antihistamine relief for around 12 hours, though it may take a few days for full effect where there is marked inflammation. With Dymista, symptom improvement can occur within days, but regular twice-daily use is needed for full benefit. Our pharmacist will advise a review if your symptoms are not controlled.
Can I use these sprays if I'm pregnant or breastfeeding?
Sometimes, but not automatically. In pregnancy or breastfeeding, either spray can only be supplied if the potential benefit justifies the potential risk, after a careful risk-benefit assessment by our pharmacist. If supply is not considered appropriate, or there is any uncertainty, you will be referred to your GP instead. Tell our pharmacist if you are pregnant or breastfeeding during the consultation.
Can my child use these hay fever sprays?
No one under 12 can be supplied through this service — both sprays are for adults and adolescents aged 12 years and over. For Dymista, safety and efficacy have not been established below 12; for azelastine, lower ages may be licensed but are not covered by this pharmacy service. Younger children with hay fever symptoms should see their GP instead.
