The connection between azelastine and throat infections

The connection between azelastine and throat infections

Introduction: Azelastine and Throat Infections

Azelastine is an antihistamine commonly used to relieve symptoms of allergies, such as sneezing, itching, and runny nose. However, many people have reported experiencing throat infections after using this medication. In this article, we will explore the connection between azelastine and throat infections, and I'll share my personal experience with this issue. We will also discuss how to prevent throat infections, treatment options, and alternative medications to consider.

Understanding Azelastine

Azelastine is available in the form of a nasal spray and is typically used to treat seasonal allergic rhinitis or hay fever. This medication works by blocking histamine, a substance released by the body during an allergic reaction. Histamine is responsible for causing allergy symptoms, and by blocking its action, azelastine helps to alleviate these symptoms. However, as a side effect, some users have reported experiencing throat infections.

My Personal Experience with Azelastine and Throat Infections

As someone who suffers from seasonal allergies, I have tried various medications to manage my symptoms. When my doctor prescribed azelastine, I was hopeful that it would provide relief. For the first few days, the medication seemed to work well, and my allergy symptoms improved. However, I soon began to experience a sore throat, which worsened over time. After discussing this issue with my doctor, we determined that the azelastine was likely causing the throat infection. Once I stopped using the medication, my throat began to heal.

Preventing Throat Infections

If you believe that azelastine may be causing a throat infection, there are steps you can take to prevent this issue. First, make sure to use the medication as directed by your doctor. Overuse of azelastine can increase the risk of side effects, including throat infections. Additionally, consider using a saline nasal rinse before applying the azelastine spray. This can help to clear out any irritants in the nasal passages and may reduce the risk of developing a throat infection.

Treating Throat Infections

If you do develop a throat infection while using azelastine, it's important to seek treatment promptly. In some cases, a throat infection may be caused by bacteria, which can be treated with antibiotics. However, if the infection is viral, antibiotics will not be effective. In this situation, your doctor may recommend over-the-counter pain relievers, throat lozenges, or other remedies to alleviate your symptoms. It's also essential to stay hydrated and get plenty of rest to support your body's natural healing process.

Considering Alternative Medications

If you find that azelastine is causing throat infections, you may want to explore alternative medications to manage your allergy symptoms. There are several other antihistamines available, both over-the-counter and by prescription, that may be effective without causing throat infections. Examples include cetirizine, loratadine, and fexofenadine. Additionally, nasal corticosteroid sprays, such as fluticasone or mometasone, may be an effective option for treating nasal allergy symptoms without the risk of throat infections.

Consulting with Your Doctor

It's important to discuss any concerns or side effects you experience while using azelastine with your doctor. They can help determine whether the medication is causing your throat infection and recommend appropriate treatment options. They may also suggest alternative medications or other approaches to managing your allergy symptoms. Keep in mind that every individual is different, and what works well for one person may not be the best option for another.


In conclusion, there appears to be a connection between azelastine use and throat infections for some individuals. If you suspect that azelastine may be causing a throat infection, it's important to discuss your concerns with your doctor and explore alternative treatment options. Remember that it's essential to use your medication as directed and to take steps to prevent throat infections when possible. By doing so, you can effectively manage your allergy symptoms without compromising your overall health.