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This medication comes with several important safety warnings and precautions. Please read them carefully and discuss any questions or concerns with your healthcare provider.

• Drowsiness: Dymista (azelastine / fluticasone) may cause sleepiness. Avoid driving or engaging in activities that require alertness until you understand how the medication affects you. Alcohol consumption is discouraged as it can intensify this side effect.

• Nasal Issues: Users might experience nosebleeds, nasal discomfort, or damage. In serious cases, this can lead to injury of the nasal septum. Healing of existing nasal injuries may also be impaired. Increased risk exists for those with recent nasal surgery or injuries.

• Infection Risk: The fluticasone component can increase susceptibility to infections, including fungal and viral infections such as chickenpox. This risk is heightened with prolonged use or concurrent use of immune-suppressing medications.

• Hormonal Effects: Long-term or excessive use of Dymista can alter stress hormone levels due to systemic absorption of fluticasone. This effect mimics the body's natural cortisol and may have various impacts.

• Growth Concerns in Children: Corticosteroids like fluticasone may slow growth in children. Use the smallest effective dose for the shortest duration. Consult with a pediatrician to evaluate the appropriateness of this medication for your child.

• Allergic Reactions: There is a risk of severe allergic reactions, including anaphylaxis, characterized by facial swelling, hives, or breathing difficulties. Seek immediate medical attention if these occur.

• Eye and Vision Problems: Fluticasone may increase eye pressure, potentially leading to glaucoma or cataracts. Individuals with a history of these conditions should consult an eye specialist before use and monitor for any vision changes during treatment.

Please note, no specific contraindications are listed for this medication.

When using this medication, some common side effects may include drowsiness, nasal dryness or irritation, mild nosebleeds, and a change in the sense of taste. These effects are generally mild, but if they persist or worsen, it's advisable to consult your healthcare provider. It's reassuring to know that many people do not experience serious side effects with this medication.

More serious side effects, although rare, should be promptly addressed. These include severe nosebleeds, pain in the nose, a whistling sound when breathing, eye pain, and signs of infection such as a persistent sore throat, white patches in the nose or back of the throat, fever, or chills. In rare instances, the medication's corticosteroids might be absorbed into the bloodstream, potentially leading to symptoms like unusual tiredness, weight loss, headaches, swelling of the ankles or feet, increased thirst or urination, and vision problems. These effects are of higher concern in children and those on long-term or high-dose therapy.

A very serious allergic reaction is also rare but requires immediate medical attention. Symptoms of such a reaction include a rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, and difficulty breathing. If you observe any effects not listed here, contact your healthcare provider for further advice.