Skip to product information
1 of 1

  • Images are for illustration purposes only

Rhinolast 0.1% Nasal Spray (22ml)

Rhinolast 0.1% Nasal Spray (22ml)

  • 1. Ozempic®️-equivalent therapy now available for weight management
  • 2. Average weight loss of 17%, with 1 in 3 patients achieving over 20%
  • 3. May help reduce osteoarthritis-related pain
  • 4. Wegovy®️ is not expected to impact the effectiveness of oral contraceptives
  • 5. Supports cardiovascular risk reduction
  • 6. Over 22 million patients treated with semaglutide-based therapies since 2018

  • ✔️ Targets hay fever and allergic rhinitis symptoms directly in the nose
  • ✔️ Azelastine antihistamine blocks histamine to stop sneezing and itching
  • ✔️ Suitable for adults and children aged 6 years and over
  • ✔️ Each 22ml bottle provides approximately 140 metered doses
  • ✔️ Low systemic absorption reduces risk of drowsiness versus oral tablets

Price Checker

Regular price £17.99
Sale price £17.99
Sale Sold out
  • Lowest price guarantee
  • Includes FREE private prescription
View full details

 

What Is Rhinolast Azelastine Nasal Spray?

 

If hay fever or year-round nasal allergies are making your life miserable, you are not alone. Allergic rhinitis affects around one in five people in the UK, causing sneezing, a runny or blocked nose, and that relentless itchy feeling that just will not quit. Rhinolast 0.1% Nasal Spray is a clinically established treatment that targets these symptoms directly at the source — your nasal passages — rather than relying on a tablet that has to travel through your whole system first. You can explore our full range of allergy and hay fever treatments if you want to compare your options before deciding.

Each 22ml bottle contains azelastine hydrochloride at a concentration of 0.1%, delivering 140 micrograms per actuation. It is available over the counter, meaning you do not need a prescription to buy it. Suitable for adults and children aged 6 and over, it covers both seasonal allergic rhinitis (the kind triggered by pollen) and perennial allergic rhinitis (triggered by year-round allergens like dust mites or pet dander).

 

How Does Rhinolast Nasal Spray Work?

 

Azelastine hydrochloride belongs to a class of medicines called antihistamines. When you encounter an allergen — pollen, dust, animal fur — your immune system releases histamine, a chemical that triggers the classic allergy symptoms. Rhinolast works by blocking the H1 histamine receptors in the lining of your nose, interrupting that chain reaction before it can cause significant discomfort.

  • Allergen enters the nasal passage and triggers mast cell degranulation
  • Histamine is released and binds to H1 receptors in nasal tissue
  • Azelastine competitively blocks these receptors, preventing histamine binding
  • Nasal inflammation, swelling, and secretion are reduced
  • Symptoms — sneezing, itching, congestion — are relieved locally and quickly

Because it acts directly in the nose, systemic absorption is low compared to oral antihistamines. That means a reduced risk of the drowsiness sometimes associated with older antihistamine tablets, though some people may still experience mild sedation.

 

Who Should Use Rhinolast Nasal Spray?

 

Rhinolast is suitable for a broad range of patients dealing with nasal allergy symptoms. It is particularly useful if oral antihistamines have not fully controlled your symptoms, or if you prefer a targeted nasal treatment rather than a systemic tablet. That said, it is not right for everyone — always read the label and check with your pharmacist if you are unsure.

  • Adults and children aged 6 years and over with seasonal allergic rhinitis (hay fever)
  • Adults and children aged 6 years and over with perennial (year-round) allergic rhinitis
  • People who want a non-oral option to avoid systemic antihistamine effects
  • Those who need targeted nasal symptom relief alongside other allergy treatments

 

How Does Rhinolast Compare to Other Nasal Sprays?

 

Feature Rhinolast 0.1% Nasal Spray Corticosteroid Nasal Spray (e.g. Flixonase)
Active ingredient Azelastine hydrochloride Fluticasone propionate
Drug class Antihistamine Corticosteroid
Onset of action Within 15–30 minutes Several days of regular use
Best for Immediate symptom relief Ongoing inflammation control
Suitable age 6 years and over 4 years and over (varies by brand)

 

Is Rhinolast Nasal Spray Safe to Store at Home?

 

The azelastine nasal spray in Rhinolast should be stored below 25°C, kept upright, and away from direct sunlight. Do not freeze it. Once opened, the bottle should be used within six months — the 22ml size provides approximately 140 metered doses, which is plenty for a full allergy season. Keep it out of reach of children, even though it is a treatment suitable for older children under adult supervision. If you are managing multiple allergy-related conditions, our ear, nose and throat range includes complementary products that may help.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Rhinolast 0.1% Nasal Spray (22ml) specifications
Treatment category Allergic rhinitis (seasonal and perennial)
Active ingredient Azelastine hydrochloride 0.1% (140 micrograms per actuation)
Drug class Antihistamine (H1 receptor antagonist)
Mechanism of action Blocks H1 histamine receptors in nasal mucosa
Preparation Aqueous nasal spray solution
Route of administration Intranasal
Pack size 22ml (approximately 140 metered doses)
Strength 0.1% w/v
UK classification P (Pharmacy medicine)
Suitable for Adults and children aged 6 years and over
Effective for Sneezing, nasal itching, runny nose, nasal congestion due to allergic rhinitis

Specifications of Rhinolast 0.1% Nasal Spray (22ml)

 

What Is Rhinolast 0.1% Nasal Spray and What Is It Used For?

 

Rhinolast 0.1% Nasal Spray contains azelastine hydrochloride, an antihistamine medicine used to relieve the nasal symptoms of allergic rhinitis. These symptoms include sneezing, an itchy or runny nose, and nasal congestion. It is licensed for use in both seasonal allergic rhinitis — commonly known as hay fever — and perennial allergic rhinitis, which is triggered by year-round allergens such as house dust mites, mould spores, or pet dander. The NHS recognises antihistamines as a first-line treatment option for allergic rhinitis symptoms.

 

What Do You Need to Know Before Using Rhinolast Nasal Spray?

 

Before using this medicine, it is important to check whether it is appropriate for you. Do not use Rhinolast if any of the following apply:

  • You are allergic to azelastine hydrochloride or any other ingredient in the spray
  • You are under 6 years of age
  • You are pregnant or breastfeeding — seek medical advice before use
  • You have a known hypersensitivity to any component of the formulation

You should also be aware of the following warnings and interactions:

  • Alcohol and central nervous system (CNS) depressants may enhance any sedative effect of azelastine — avoid alcohol during treatment if possible
  • Cimetidine (used for indigestion) may increase azelastine blood levels — speak to your pharmacist if you take this medicine
  • Rhinolast may cause mild drowsiness in some people — do not drive or operate machinery if affected
  • Avoid contact with eyes; if accidental eye contact occurs, rinse thoroughly with water

 

How Should You Use Rhinolast 0.1% Nasal Spray?

 

Always use Rhinolast exactly as directed on the label or as advised by your pharmacist. Do not exceed the recommended dose. Here is how to use it correctly:

  1. Blow your nose gently to clear the nasal passages before use
  2. Remove the protective cap from the nozzle
  3. If using for the first time, prime the pump by pressing it several times until a fine mist appears
  4. Hold the bottle upright and tilt your head slightly forward
  5. Insert the nozzle gently into one nostril, pointing it slightly away from the nasal septum
  6. Press the pump once while breathing in gently through your nose
  7. Repeat in the other nostril
  8. Replace the cap after use and store the bottle upright
Indication Age Group Dose Frequency
Seasonal allergic rhinitis Adults and children aged 6+ 1 spray per nostril Twice daily (morning and evening)
Perennial allergic rhinitis Adults and children aged 6+ 1 spray per nostril Twice daily (morning and evening)
Severe symptoms (on medical advice) Adults only 2 sprays per nostril Twice daily

 

What Are the Possible Side Effects of Rhinolast Nasal Spray?

 

Like all medicines, Rhinolast can cause side effects, although not everyone experiences them. If you are concerned about any side effect, stop using the spray and speak to your pharmacist or GP. You can also find additional support products in our ear, nose and throat range.

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

  • Bitter or unpleasant taste in the mouth after use — keeping your head tilted slightly forward during application can help reduce this
  • Nasal irritation or burning sensation
  • Sneezing immediately after application

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

  • Nosebleeds (epistaxis)
  • Headache
  • Mild drowsiness or fatigue
  • Nausea
  • Dry nose or nasal crusting

Serious allergic reactions to azelastine are rare but possible. Seek immediate medical attention if you develop a rash, swelling of the face or throat, difficulty breathing, or feel faint after using this spray.

 

How Should You Store Rhinolast 0.1% Nasal Spray?

 

Correct storage helps maintain the effectiveness of the spray throughout its shelf life. If you are managing multiple allergy treatments, our allergy and hay fever collection has further options to consider alongside Rhinolast.

  • Store below 25°C in a cool, dry place
  • Keep the bottle upright at all times
  • Do not freeze
  • Keep away from direct sunlight and heat sources
  • Keep out of the sight and reach of children
  • Do not use after the expiry date printed on the label
  • Once opened, use within 6 months
  • Do not dispose of medicines via wastewater or household waste — return unused medicine to your pharmacy

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Rhinolast nasal spray online in the UK?

You can buy Rhinolast 0.1% Nasal Spray (22ml) directly from Cured Pharmacy, a GPhC-registered online pharmacy, for £17.99 with fast UK delivery. It is available as an over-the-counter pharmacy medicine, so no prescription is needed. Simply add it to your basket and complete a short health check at checkout to confirm suitability.

How does azelastine nasal spray work in the body?

Azelastine hydrochloride works by blocking H1 histamine receptors in the lining of your nasal passages, preventing histamine from triggering the allergic response that causes sneezing, itching, and congestion. Because it acts locally in the nose rather than systemically, it tends to have a faster onset than oral antihistamine tablets. It also has some anti-inflammatory properties that may contribute to its effectiveness in reducing nasal swelling.

How do I use Rhinolast nasal spray step by step?

Start by blowing your nose gently, then shake the bottle and prime the pump if it is your first use. Tilt your head slightly forward, insert the nozzle into one nostril pointing slightly away from the septum, and press the pump once while breathing in gently through your nose. Repeat in the other nostril, then replace the cap and store the bottle upright.

What is the correct dose of Rhinolast for adults?

The standard adult dose is one spray into each nostril twice daily — once in the morning and once in the evening. In cases of more severe symptoms, a doctor may advise two sprays per nostril twice daily, but you should not increase the dose yourself without medical guidance. Always follow the instructions on the product label or as directed by your pharmacist.

Can children use Rhinolast 0.1% Nasal Spray?

Yes, Rhinolast is suitable for children aged 6 years and over at the same dose as adults — one spray per nostril twice daily. It must not be used in children under 6 years of age. If your child is between 6 and 12 years old, it is a good idea to speak to your pharmacist or GP before starting treatment to confirm it is the right choice for them.

What are the side effects of Rhinolast nasal spray?

The most commonly reported side effect is a bitter or unpleasant taste after use, which can be minimised by keeping your head tilted slightly forward during application so the spray does not run down the back of your throat. Other possible side effects include nasal irritation, sneezing immediately after use, headache, or mild drowsiness. Serious reactions are rare — stop use and seek medical advice if you develop swelling, a rash, or difficulty breathing.

How do I manage the bitter taste from Rhinolast?

The bitter taste occurs when the spray drains down the back of the throat rather than staying in the nasal passages. To reduce this, tilt your head slightly forward (not back) when spraying, and avoid sniffing hard immediately after use. Drinking a small amount of water after application can also help neutralise the taste quickly.

Who is eligible to use Rhinolast nasal spray?

Rhinolast is suitable for adults and children aged 6 and over who have been diagnosed with or who experience symptoms consistent with seasonal or perennial allergic rhinitis. It is not suitable for those with a known allergy to azelastine hydrochloride, children under 6, or those who are pregnant or breastfeeding without first seeking medical advice. If you take other medicines or have an underlying health condition, check with your pharmacist before use.

What happens if I miss a dose of Rhinolast?

If you forget a dose, simply use it as soon as you remember — unless it is nearly time for your next scheduled dose, in which case skip the missed one and carry on as normal. Never use a double dose to make up for a missed one. Consistent twice-daily use tends to give the best symptom control, particularly during peak allergy season.

How long can you use Rhinolast nasal spray for?

For seasonal allergic rhinitis, Rhinolast can be used throughout the relevant pollen season — typically spring and summer in the UK. For perennial rhinitis, it may be used on an ongoing basis, but if you have been using it for more than six months without review, it is worth speaking to your GP or pharmacist. Long-term use should be monitored to ensure it remains the most appropriate treatment for your needs.

Is Rhinolast nasal spray non-drowsy?

Rhinolast is a second-generation antihistamine with low systemic absorption, which means drowsiness is much less likely than with older, first-generation antihistamines. However, some people may still experience mild sedation, particularly when first starting treatment. If you notice drowsiness, avoid driving or operating heavy machinery until you know how the spray affects you.

What are the alternatives to Rhinolast nasal spray?

Alternatives include corticosteroid nasal sprays such as fluticasone or beclometasone, which are particularly effective for ongoing nasal inflammation but take several days to reach full effect. Oral antihistamines such as cetirizine or loratadine are another option for broader allergy symptom relief. You can browse our full allergy and hay fever range to compare available treatments.

Can I use Rhinolast nasal spray with other hay fever medicines?

Rhinolast can sometimes be used alongside other allergy treatments, such as antihistamine eye drops for eye symptoms or a corticosteroid nasal spray for more severe nasal inflammation — but always check with your pharmacist before combining medicines. Alcohol and CNS depressants should be avoided or used with caution alongside Rhinolast as they may enhance any sedative effect. Cimetidine (an indigestion medicine) is known to interact with azelastine, so mention all your current medicines to your pharmacist.

What does the latest research say about azelastine nasal spray for allergic rhinitis?

Clinical evidence consistently supports azelastine hydrochloride nasal spray as an effective and well-tolerated treatment for both seasonal and perennial allergic rhinitis, with studies showing significant reductions in nasal symptom scores compared to placebo. Research also suggests it may have additional anti-inflammatory effects beyond simple H1 receptor blockade, which could contribute to its clinical effectiveness. The NHS and BNF both recognise azelastine as an established treatment option for allergic rhinitis.

Can I use Rhinolast nasal spray if I am pregnant?

If you are pregnant or planning to become pregnant, you should seek medical advice before using Rhinolast nasal spray. The safety of azelastine during pregnancy has not been fully established, and your GP or midwife can advise on the most appropriate treatment for managing allergic rhinitis during pregnancy. Do not use this medicine while breastfeeding without first consulting a healthcare professional. You can also explore our women's health range for further guidance on suitable products.

How Should You Use Rhinolast Nasal Spray?

Using Rhinolast correctly makes a real difference to how well it works. Before you start, blow your nose gently to clear the nasal passages so the spray can reach the nasal lining effectively.

Avoid sniffing hard immediately after spraying, as this can push the medicine to the back of the throat and cause the bitter taste that some people notice. Wiping the nozzle with a clean tissue after each use helps keep it hygienic.

What Is the Correct Dose of Rhinolast Nasal Spray?

The dose depends on your age and the severity of your symptoms. Always follow the instructions on the label or as directed by your pharmacist. Do not exceed the recommended dose without medical advice.

Each actuation delivers 140 micrograms of azelastine hydrochloride. The 22ml bottle provides approximately 140 metered doses in total, which is sufficient for a full allergy season at the standard dose.

When Is the Best Time to Use Rhinolast Nasal Spray?

Rhinolast works best when used consistently at regular intervals — ideally once in the morning and once in the evening, roughly 12 hours apart. Using it at the same times each day helps maintain a steady level of the medicine in your nasal tissue, which gives more reliable symptom control throughout the day and night. If you know your allergy symptoms tend to peak at a particular time — for example, early morning when pollen counts are highest — try to ensure your morning dose is taken before you go outside.

How Long Can You Use Rhinolast Nasal Spray For?

For seasonal allergic rhinitis, you can use Rhinolast throughout the relevant allergy season — typically spring and summer for grass and tree pollen sufferers in the UK. For perennial allergic rhinitis triggered by year-round allergens, longer-term use may be appropriate, but this should be reviewed by your pharmacist or GP periodically. If your symptoms have not improved after two weeks of regular use, or if they worsen at any point, seek medical advice rather than continuing to self-treat. Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

Customer Reviews

Be the first to write a review
0%
(0)
0%
(0)
0%
(0)
0%
(0)
0%
(0)

What Are the Most Common Side Effects of Rhinolast Nasal Spray?

Most people tolerate Rhinolast well, but like all medicines it can cause side effects in some users. The most frequently reported issue is a bitter or unpleasant taste in the mouth after use. This happens when the spray drains down the back of the throat rather than staying in the nasal passages — keeping your head tilted slightly forward during application significantly reduces this.

  • Bitter or unpleasant taste after use
  • Nasal irritation or a burning sensation inside the nose
  • Sneezing immediately after application

What Are the Less Common Side Effects of Rhinolast Nasal Spray?

Less common side effects occur in fewer people but are still worth being aware of, particularly if you are using Rhinolast for the first time or increasing your dose. These effects are generally mild and tend to resolve on their own as your body adjusts to the medicine.

  • Nosebleeds (epistaxis)
  • Headache
  • Mild drowsiness or fatigue
  • Nausea
  • Dry nose or nasal crusting
  • Nasal discomfort or dryness

What Are the Serious Side Effects of Rhinolast Nasal Spray?

Serious side effects from Rhinolast are rare, but you should be aware of the signs of a severe allergic reaction (anaphylaxis). If you experience any of the following after using this spray, stop immediately and seek emergency medical attention by calling 999 or going to your nearest A&E department.

  • Swelling of the face, lips, tongue, or throat
  • Difficulty breathing or swallowing
  • Severe skin rash or hives
  • Sudden dizziness or feeling faint
  • Rapid or irregular heartbeat

What Should You Do If You Experience Side Effects of Rhinolast?

For mild side effects such as nasal irritation or a bitter taste, adjusting your technique — particularly keeping your head tilted forward — often resolves the problem without needing to stop treatment. If side effects persist or become bothersome, speak to your pharmacist who can advise whether to continue, reduce the dose, or switch to an alternative treatment. You can also report suspected side effects directly to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk.

Can Rhinolast Nasal Spray Interact With Other Medicines?

Azelastine hydrochloride has a small number of known interactions that are worth being aware of before you start using Rhinolast. Alcohol and other central nervous system depressants — including some sleeping tablets, anxiety medicines, and strong pain relief — may enhance any sedative effect of azelastine, so use caution if you take these. Cimetidine, a medicine used to treat indigestion and stomach ulcers, has been shown to increase blood levels of azelastine and should be used with care alongside this spray. Always tell your pharmacist about all medicines, supplements, and herbal remedies you are currently taking before starting Rhinolast. If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

We’re a safe and
regulated UK service

Registered Pharmacy Badge

Lowest Price Guarantee

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more

100% discreet packaging

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more

Agent

Need help?
Talk to our friendly experts now

How our service works

Service Setup

Service setup

Discreet Packaging

Discreet packaging

Express Delivery

Express delivery