When you use the inhaler for the first time, or if you have not used it for 7 days or longer, or if the inhaler has been dropped, it may not deliver the right amount of medicine with the first inhalation. Breathe in gently while spraying the medicine into your nose. Be careful if you drive or do anything that requires you to be alert. If you have not used the bottle within the last three days, you may have to re-prime the pump. Astelin Nasal Spray is indicated for the treatment of the symptoms of seasonal allergic rhinitis in adults and pediatric patients 5 years and older, and for the treatment of the symptoms of vasomotor rhinitis in adults and adolescent patients 12 years and older. There are different types of inhalers that serve different purposes and require different techniques.These inhalers help prevent flares and keep symptoms from getting worse. This medicine should be discontinued only under the supervision of your doctor.In order for this medicine to help prevent asthma attacks, it must be used every day in regularly spaced doses, as ordered by your doctor. Up to 4 to 6 weeks may pass before you begin to notice improvement in your condition. Do not double doses.If you miss a dose of this medicine, use it as soon as possible. Call your doctor or pharmacist for a refill of prescription or medicine. All rights reserved. Hold bottle upright and aim the spray tip toward the back of your noseClose your other nostril with a finger. Do not open the cap unless you are going to use it. Priming is done when the inhaler is being used for the first time or if it is used after a long interval of time. Your doctor may also want you to use a spacer device to lessen these problems.Inhaled corticosteroids are used with a special inhaler and usually come with patient directions. Instructions for using the inhaler are available in the table (table 1 and table 2). Inhalers are different, so check your instructions. After an inhaler is used for the first time, it does not need to be primed again unless you do not use it for two weeks or more. Do not use more of it and do not use it more often than your doctor ordered. Repeat in your other nostril. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.Mayo Clinic does not endorse companies or products. Getting the technique right will help you manage your symptoms better. This will help to keep the medicine from going into your throatWhen you finish using your Astelin Nasal Spray, wipe the spray tip with a clean tissue or cloth. 5/10 For Intranasal Use Only Azelastine Hydrochloride Nasal Spray, 137 micrograms (mcg), is an antihistamine formulated as a metered-spray solution for intranasal administration. Blow your nose before each dose. The Asthma UK and British Lung Foundation Partnership is a company limited by guarantee 01863614 (England and Wales). If you breast-feed while using this medicine, watch for signs that your baby is not nursing as well. If you are having an asthma attack right now or cannot breathe normally and your blue reliever inhaler isn't helping or if you don’t have one, please call 999 for an ambulance.