• Provides fast relief within minutes of use
  • Targets sneezing, runny nose, itching, and congestion directly in the nose
  • Can be used alongside oral antihistamines for extra support

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Overview

Hayfever symptoms like sneezing, congestion, and an itchy nose can strike suddenly and feel overwhelming. Rhinolast nasal spray works quickly to block the effects of histamine, tackling symptoms at their source. Fast-acting and long-lasting, it provides direct relief from nasal allergies — so you can breathe easier, stay focused, and get on with your day without hayfever slowing you down.

This medicine requires a secure online consultation with a UK-registered prescriber, and will only be supplied if clinically appropriate.


What is Rhinolast


Rhinolast contains azelastine hydrochloride, an antihistamine nasal spray that works by blocking histamine receptors directly in the nose. By targeting the nasal passages, it helps reduce allergic reactions at their source, providing effective relief from both seasonal hay fever and year-round allergic rhinitis caused by dust, pets, or mould.

Relief begins within minutes of use, making Rhinolast a fast-acting option for troublesome symptoms such as sneezing, runny nose, nasal itching, and congestion. Because it works locally in the nose, it tackles symptoms right where they are most disruptive, and it can also be used alongside oral antihistamines if extra support is needed.

Directions

  • Adults (18+): One spray into each nostril twice daily
  • Shake bottle gently before use
  • Use consistently during allergy season, or as prescribed for year-round symptoms
  • Relief may be felt within minutes after spraying

Side Effects

Like all medicines, Rhinolast (azelastine nasal spray) can cause side effects, although not everyone will experience them. Most are mild, short-lived, and improve as your body adjusts to treatment.

Common (may affect up to 1 in 10 people):

  • Bitter taste in the mouth – this can sometimes occur after spraying. Tilting your head forward slightly when using the spray may help reduce this.
  • Nasal irritation or sneezing after application – a brief stinging or sneezing episode may happen but usually settles quickly.
  • Headache – typically mild and temporary.


Less common (may affect up to 1 in 100 people):

  • Drowsiness or fatigue – a small number of people may feel slightly sleepy or more tired than usual.
  • Dry mouth – mild dryness may occur but usually resolves with continued use.
  • Nosebleeds – generally light and short-lived.


Rare but serious (seek urgent medical advice):

  • Severe allergic reaction (anaphylaxis) – symptoms include swelling of the face, lips, tongue or throat, difficulty breathing, or a sudden rash. This is extremely rare but requires immediate medical help.


Most people tolerate Rhinolast well, and side effects (if they do occur) are usually mild and temporary. If you are worried about any symptoms, or if they do not improve, speak to your doctor, pharmacist, or prescriber.

Disclaimer: This is not a complete list of side effects. Always read the patient information leaflet that comes with your medicine for full details. If you experience severe or worrying symptoms, seek medical advice straight away. In an emergency, call 999 or go to A&E.

Warnings

Rhinolast may not be suitable if you:

  • Are allergic to azelastine or any ingredients in the spray
  • Have had previous sensitivity to antihistamines
  • Are pregnant or breastfeeding (seek medical advice first)


Avoid driving or operating machinery if the spray makes you feel drowsy.

Frequently asked questions

  • What is Rhinolast and how does it work?

    Rhinolast (azelastine hydrochloride) is an antihistamine nasal spray used to treat hay fever and nasal allergies. It works by blocking histamine in the nasal lining, reducing sneezing, itching, runny nose and congestion. Many people use it when tablets alone do not provide enough relief.

  • How quickly does Rhinolast start to work?

    Rhinolast (azelastine hydrochloride) begins to work within minutes for many people, making it useful for fast symptom relief. Full improvement builds over several days with regular use. If symptoms remain severe after consistent dosing, a clinician may advise adjusting treatment.

  • What symptoms does Rhinolast help with?

    Rhinolast (azelastine hydrochloride) helps with itching, sneezing, runny nose and mild congestion caused by allergies. It is particularly effective for quick-onset symptoms triggered by pollen, dust mites or pets. Some people use it alongside an oral antihistamine during peak seasons.

  • How do I use Rhinolast correctly for best results?

    Shake the bottle, tilt your head slightly forward and spray Rhinolast (azelastine hydrochloride) into each nostril as directed. Aim the nozzle outward to avoid irritation. Consistent use at the same time each day usually offers the best control, especially during high-pollen periods.

  • Who should avoid using Rhinolast?

    Rhinolast (azelastine hydrochloride) may not be suitable if you are allergic to azelastine, have certain nasal conditions or take medicines that cause drowsiness. A clinician should assess suitability, particularly if you have ongoing sinus infections or are pregnant or breastfeeding.

  • What are the side effects of Rhinolast?

    Common side effects include a bitter taste, mild stinging, nasal dryness and occasional drowsiness. These usually improve after the first few uses. If symptoms persist or feel uncomfortable, a clinician may recommend adjusting technique or switching to another nasal spray.

  • Can I use Rhinolast with steroid nasal sprays like Flixonase or Nasonex?

    Yes. Rhinolast (azelastine hydrochloride) is sometimes combined with steroid sprays such as Flixonase or Nasonex when symptoms are more persistent. Using them at different times of the day may improve comfort and reduce irritation. A clinician can advise on the best combination.

  • Why does Rhinolast sometimes leave a bitter taste and how can I reduce it?

    The bitter taste from Rhinolast (azelastine hydrochloride) happens when small amounts drip down the throat after spraying. Tilting your head forward, spraying gently and avoiding deep inhalation can reduce this. Taking a sip of water after use also helps for many people.

  • Is Rhinolast suitable for year-round allergies like dust mites or pets?

    Yes. Rhinolast (azelastine hydrochloride) is often used for perennial allergies caused by dust mites, pets and mould. Regular daily use helps keep symptoms stable, and many people rely on it through winter when indoor exposure is higher.

  • Can Rhinolast help with blocked nose or mainly itching and sneezing?

    Rhinolast (azelastine hydrochloride) is strongest for itching, sneezing and runny nose but may also help mild congestion. For heavier blockage, clinicians sometimes suggest combining it with a steroid spray for broader relief.

  • Can Rhinolast make you drowsy?

    Some people experience mild drowsiness with Rhinolast (azelastine hydrochloride) because a small amount can be absorbed into the body. If this happens, using it in the evening or switching to a non-sedating option may help. Avoid alcohol if you feel sleepy after using it.

  • Can I use Rhinolast during pregnancy or breastfeeding?

    Rhinolast (azelastine hydrochloride) is not usually the first option in pregnancy or breastfeeding, but a clinician may recommend it if symptoms are significant. They will weigh benefits and risks before advising whether to continue or switch treatment.

  • What should I do if Rhinolast stops working as well?

    Reduced response to Rhinolast (azelastine hydrochloride) may be due to increased pollen levels, inconsistent dosing or incorrect technique. Reviewing how you spray, adding a steroid spray or switching antihistamines may help restore control. Persistent symptoms should be reviewed clinically.

  • Can children use Rhinolast for allergies?

    Rhinolast (azelastine hydrochloride) may be used from certain ages depending on the specific product, but parents should always check suitability first. A clinician or pharmacist can confirm dosing and assess whether it is the right option for a child’s allergy symptoms.

  • Does Rhinolast help prevent symptoms if used before pollen exposure?

    Yes. Using Rhinolast (azelastine hydrochloride) before going outdoors during high-pollen periods can reduce the intensity of symptoms. Many people use it prophylactically on days with strong winds or high pollen counts to maintain better control.