Seasonal allergies? Get expert advice.

Dr. Berger, Allergist

If you have seasonal nasal allergies, you probably have a few questions about what you can do about the symptoms that are making you miserable.

It's hard to think of someone more qualified than Dr. William E Berger, MD. As one of our nation's foremost experts on allergy, he addresses a variety of topics, including seasonal nasal allergy symptoms and the importance of early treatment, rapid relief, and continuous symptom control.

The answer is yes, absolutely! The sooner you’re properly diagnosed and treated, the better your chances of avoiding problems. Not to mention, if you wait until you’re miserable to see your doctor, it will just take you longer to feel better.

One medicine that is commonly used to treat allergies is the topical corticosteroid. It is an important part of many nasal sprays and inhalers because it can treat the inflammation that causes symptoms of nasal allergy.

See your doctor when any symptom lasts too long.

People who have nasal allergies usually have 4 main symptoms: sneezing, itchy nose, runny nose, and stuffy nose.

Stuffy nose seems to affect people most, as it makes breathing through your nose difficult.

Your seasonal nasal allergy symptoms may not be life threatening, but that doesn’t mean they shouldn’t be taken seriously. Allergies can make you miserable, and you have the right to relief. So talk to your doctor and get tips, suggestions, and medicines that can help you feel better.

Antihistamines treat 3 of the 4 allergy symptoms: sneezing, itchy nose, and runny nose. However, the most bothersome symptom is stuffy nose, but antihistamines do not help this symptom. That’s when a medicine that reduces inflammation, like a corticosteroid, come into play. That’s why I believe that if you’re suffering from all 4 symptoms; sneezing and runny, itchy, and stuffy nose, you need a treatment that blocks histamine and reduces inflammation. Dymista does both.

If you take a pill when your doctor recommends a nasal spray, you may not be getting the treatment that is right for you. Think of it this way: If you had a heart problem, would you intentionally skip a dose of your medicine? Of course not. In the case of your allergies, it’s just as important to take what’s been recommended or prescribed.

There’s a lot of information about allergies—as well as a lot of options for treatment. But it’s important to remember that your doctor is the best source of information and can help decide which treatment is right for you.

Yes! Doctors can prescribe allergy medicines that you don’t have access to without a prescription. Plus, your doctor is the best source to provide the right treatment plan for your specific allergies. If your OTC medicine isn’t working for you, your doctor may help point you to a better option. Why not see your doctor sooner, rather than later, before your seasonal allergies have a chance to make you miserable?

That really depends on the medicine. If you take a nasal antihistamine spray, you can feel better in as little as 30 minutes. If you’re taking a corticosteroid, it may take a few days to weeks before you feel the benefits of treatment.

If you’re taking a combined antihistamine and corticosteroid, you get the benefit of relief that's fast (30 minutes), coupled with the continuous control that is provided by the corticosteroid.

Mylan Specialty L.P. is the manufacturer of Dymista Nasal Spray and provided funding and editorial support for Dr. Berger's participation.


  • DYMISTA can cause sleepiness or drowsiness. Do not drive, operate machinery, or do anything that needs you to be alert until you know how DYMISTA affects you.
  • Do not drink alcohol or take any other medicines that may cause you to feel sleepy while using DYMISTA. It can increase your chances of having serious side effects.

DYMISTA may cause serious side effects including:

  • Sleepiness or drowsiness
  • Nasal Problems. Symptoms of nasal problems may include: crusting in the nose, nosebleeds, runny nose, hole in the cartilage between your nose (nasal septal perforation). A whistling sound when you breathe may be a symptom of nasal septal perforation.
  • Slow wound healing. You should not use DYMISTA until your nose has healed if you have a sore in your nose, if you have had surgery on your nose, or if your nose has been injured.
  • Thrush (Candida), a fungal infection in your nose and throat. Tell your healthcare provider if you have any redness or white colored patches in your nose or mouth.
  • Eye problems, such as glaucoma or cataracts. Some people may have eye problems, including glaucoma and cataracts. You should have regular eye exams when using DYMISTA.
  • Immune system problems that may increase your risk of infections. DYMISTA may cause problems with the way your immune system protects your body against infection and increase your risk of infection. Avoid contact with people who have contagious diseases such as chickenpox or measles while you use DYMISTA. Symptoms of infection may include: fever, aches or pains, chills, feeling tired.
  • Adrenal Insufficiency. Adrenal insufficiency is a condition in which the adrenal glands do not make enough steroid hormones. Symptoms of adrenal insufficiency may include: tiredness, weakness, nausea, vomiting, low blood pressure.
  • Slowed or delayed growth in children. A child’s growth should be checked regularly while using DYMISTA.

Call your healthcare provider or get medical help right away if you have symptoms of any of the serious side effects listed above.

  • The most common side effects of DYMISTA include: changes in taste, nosebleeds, and headache.
  • Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all of the possible side effects of DYMISTA. For more information, ask your healthcare provider or pharmacist.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. DYMISTA and other medicines may affect each other, causing side effects.

Especially tell your healthcare provider if you take:

  • ritonavir (Norvir) or medicines that contain ritonavir (commonly used to treat HIV infection or AIDS)
  • ketoconazole, fluconazole, or itraconazole (for fungal infections)
  • Before using DYMISTA tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known if DYMISTA will harm your unborn baby.


DYMISTA is a prescription medicine used to treat symptoms of seasonal allergic rhinitis in people 6 years of age and older, who need treatment with both azelastine hydrochloride and fluticasone propionate. DYMISTA may help to reduce your nasal symptoms including stuffy nose, runny nose, itching, and sneezing.

Please see the Full Prescribing Information and Patient Information

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit or call 1-800-FDA-1088.