Dymista Dosage/Direction for Use

Posology: For full therapeutic benefit regular usage is essential.
Contact with the eyes should be avoided.
Adults and children (12 years and above): One actuation in each nostril twice daily (morning and evening).
Children below 12 years: Azelastine hydrochloride + Fluticasone propionate (Dymista) Nasal Spray is not recommended for use in children below 12 years of age as safety and efficacy has not been established in this age group.
Elderly: No dose adjustment is required in this population.
Renal and hepatic impairment: There are no data in patients with renal and hepatic impairment.
Duration of treatment: Azelastine hydrochloride + Fluticasone propionate (Dymista) Nasal Spray is suitable for long-term use.
Method of administration: Azelastine hydrochloride + Fluticasone propionate (Dymista) Nasal Spray is for nasal use only.
Instruction for use: Preparing the spray: The bottle should be shaken gently before use for about 5 seconds by tilting it upwards and downwards and the protective cap be removed afterwards. Prior to first use, Azelastine hydrochloride + Fluticasone propionate (Dymista) Nasal Spray must be primed by pressing down and releasing the pump 6 times. If Azelastine hydrochloride + Fluticasone propionate (Dymista) Nasal Spray has not been used for more than 7 days it must be reprimed once by pressing down and releasing the pump.
Using the spray: The bottle should be shaken gently before use for about 5 seconds by tilting it upwards and downwards and the protective cap be removed afterwards.
After blowing the nose, the suspension is to be sprayed once into each nostril keeping the head tilted downward. After use, the spray tip is to be wiped and the protective cap to be replaced.