Drugplain

DYMISTA 137 ug/1

Azelastine Hydrochloride and Fluticasone Propionate · SPRAY, METERED · Viatris Specialty LLC

No Recall HistoryCurrently in Shortage
Plain English

DYMISTA is a spray, metered containing azelastine hydrochloride and fluticasone propionate at 137 ug/1, taken nasal. Manufactured by Viatris Specialty LLC.

Key Facts

Brand Name
DYMISTA
Generic Name
Azelastine Hydrochloride and Fluticasone Propionate
NDC Code (Product)
0037-0245
Manufacturer
Viatris Specialty LLC
Strength
137 ug/1
Dosage Form
SPRAY, METERED
Route
NASAL
Marketing Status
Application #
NDA202236
Marketing Start
10/01/2016

Recall History

No Recall History

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

dyspnoea316 reports
drug ineffective304 reports
fatigue281 reports
headache270 reports
asthma262 reports
cough249 reports
nausea234 reports
pneumonia198 reports
sinusitis198 reports
off label use175 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE DYMISTA is indicated for the relief of symptoms of seasonal allergic rhinitis in adult and pediatric patients 6 years of age and older. DYMISTA contains an H 1 -receptor antagonist and a corticosteroid, and is indicated for the relief of symptoms of seasonal allergic rhinitis in adult and pediatric patients 6 years of age and older. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION • Recommended dosage: 1 spray per nostril twice daily ( 2.1 ) • For nasal use only. ( 2.2 ) • Prime before initial use and when it has not been used for 14 or more days. ( 2.2 ) 2.1 Recommended Dosage The recommended dosage of DYMISTA is 1 spray (137 mcg of azelastine hydrochloride and 50 mcg of fluticasone propionate) in each nostril twice daily. 2.2 Important Administration Instructions • Administer DYMISTA by the nasal route only. • Shake the bottle gently before each use. • Avoid spraying DYMISTA into the eyes. If sprayed in the eyes, flush eyes with water for at least 10 minutes. Priming Prime DYMISTA before initial use by releasing 6 sprays or until a fine mist appears. Repriming (as needed) When DYMISTA has not been used for 14 or more days, reprime with 1 spray or until a fine mist appears.

Contraindications

4 CONTRAINDICATIONS DYMISTA is contraindicated in patients with hypersensitivity to azelastine hydrochloride, fluticasone propionate, or to any other ingredients of DYMISTA. Reactions have included anaphylaxis [see Adverse Reactions (6.2) ] . Hypersensitivity to azelastine hydrochloride, fluticasone propionate, or to any ingredients of DYMISTA. Reactions have included anaphylaxis. ( 4 )

Drug Interactions

7 DRUG INTERACTIONS No formal drug interaction studies have been performed with DYMISTA. The drug interactions of the combination are expected to reflect those of the individual components. • Potent inhibitors of cytochrome P450 (CYP) 3A4: May increase blood levels of fluticasone propionate. • Ritonavir: Coadministration is not recommended. ( 5.6 , 7.2 ) • Other potent CYP3A4 inhibitors, such as ketoconazole: use caution with coadministration. ( 5.6 , 7.2 ) 7.1 Central Nervous System Depressants Concurrent use of DYMISTA with alcohol or other central nervous system depressants should be avoided because somnolence and impairment of central nervous system performance may occur [see Warnings and Precautions (5.1) ] . 7.2 Cytochrome P450 3A4 Ritonavir (a strong CYP3A4 inhibitor) significantly increased plasma fluticasone propionate exposure following administration of fluticasone propionate aqueous nasal spray, resulting in significantly reduced serum cortisol concentrations [see Clinical Pharmacology (12.3) ] . During postmarketing use, there have been reports of clinically significant drug interactions in patients receiving fluticasone propionate and ritonavir, resulting in systemic

Adverse Reactions

6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in the labeling: • Somnolence [see Warnings and Precautions (5.1) ] • Local nasal effects, including epistaxis, nasal ulceration, nasal septal perforation, impaired wound healing, and Candida albicans infection [see Warnings and Precautions (5.2) ] • Glaucoma and Cataracts [see Warnings and Precautions (5.3) ] • Immunosuppression and Risk of Infections [see Warnings and Precautions (5.4) ] • Hypercorticism and Adrenal Suppression, including growth reduction [see Warnings and Precautions (5.5 and 5.7) , Use in Specific Populations (8.4) ] The most common adverse reactions (≥2% incidence) are: dysgeusia, epistaxis, and headache. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Meda Pharmaceuticals Inc. at 1-888-939-6478 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect rates observed in practice. Adults and Adolescents 12 Year

Frequently Asked Questions

What is DYMISTA used for?

DYMISTA contains Azelastine Hydrochloride and Fluticasone Propionate. It is a spray, metered taken nasal. Consult your doctor for specific uses.

Is DYMISTA a controlled substance?

DYMISTA is not classified as a controlled substance by the DEA.

What is the generic name for DYMISTA?

The generic name for DYMISTA is Azelastine Hydrochloride and Fluticasone Propionate. There are 3 other brand versions of Azelastine Hydrochloride and Fluticasone Propionate.

What is the NDC code for DYMISTA 137 ug/1?

The NDC (National Drug Code) for DYMISTA 137 ug/1 is 0037-0245, listed by Viatris Specialty LLC.

Product NDC

0037-0245

Package NDC

0037-0245-23

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

Data from openFDA · Public domain (CC0 1.0)