Azelastine

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An antihistamine used to treat allergic rhinitis and conjunctivitis


Chemical structure of Azelastine

Azelastine is a pharmaceutical drug used primarily as an antihistamine for the treatment of allergic rhinitis and allergic conjunctivitis. It is available in various forms, including nasal sprays and eye drops, and is known for its ability to relieve symptoms such as sneezing, itching, and runny nose.

Pharmacology[edit | edit source]

Azelastine is a selective histamine H1 receptor antagonist. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms. Azelastine also exhibits anti-inflammatory properties, which contribute to its effectiveness in treating allergic conditions.

Medical Uses[edit | edit source]

Azelastine is indicated for the treatment of:

  • Allergic rhinitis: Azelastine nasal spray is used to relieve nasal symptoms such as congestion, sneezing, and runny nose associated with seasonal and perennial allergic rhinitis.
  • Allergic conjunctivitis: Azelastine eye drops are used to treat itching of the eyes caused by allergic conjunctivitis.

Administration[edit | edit source]

Azelastine is administered as a nasal spray or eye drops. The nasal spray is typically used twice daily, while the eye drops are used as needed, usually up to four times a day.

Side Effects[edit | edit source]

Common side effects of azelastine include:

Less common side effects may include:

Mechanism of Action[edit | edit source]

Azelastine works by inhibiting the release of histamine from mast cells and blocking the H1 receptor, preventing histamine from binding and causing allergic symptoms. It also stabilizes mast cells and has anti-inflammatory effects, reducing the overall allergic response.

Chemical Properties[edit | edit source]

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3D structure of Azelastine

Azelastine is chemically classified as a phthalazinone derivative. Its molecular formula is C22H24ClN3O, and it has a molecular weight of 381.9 g/mol. The compound is a white, crystalline powder that is slightly soluble in water.

History[edit | edit source]

Azelastine was first developed in the 1970s and was approved for medical use in the 1980s. It has since become a widely used medication for the treatment of allergic conditions.

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