- Real-world effectiveness of fluticasone propionate-azelastine nasal spray in moderate-to-severe nonallergic and perennial allergic rhinitis. [Journal Article]World Allergy Organ J. 2026 Sep; 19(9):101461.WA
- CONCLUSIONS: The effectiveness of FP-Aze in moderate-to-severe NAR was noninferior to PAR on the VAS for rhinitis, supporting its use in this population. These findings help address an important evidence gap, as data supporting FP-Aze in NAR remain limited.
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- Azelastine-Fluticasone Intranasal Combination Therapy in Otorhinolaryngology: Clinical Evidence, Current Practice Patterns and Future Perspectives. [Journal Article]Clin Otolaryngol. 2026 Sep 02. [Online ahead of print]CO
- CONCLUSIONS: Azelastine-fluticasone combination therapy represents an evidence-based, guideline-recommended option for moderate-to-severe AR in ENT practice. Its dual mechanism, rapid onset, favourable safety profile and high patient acceptability support its integration into contemporary treatment algorithms, particularly for patients requiring enhanced symptom control beyond monotherapy. The combination represents a meaningful therapeutic advancement, and further research is needed to fully characterise its role in perennial AR management.
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- Effects of intranasal antihistaminic and corticosteroid therapies on olfactory dysfunction in adults with perennial allergic rhinitis: a prospective comparative study. [Journal Article]
- CONCLUSIONS: In adults with perennial allergic rhinitis and objectively confirmed hyposmia, intranasal corticosteroid-containing regimens were associated with greater improvement in olfactory function than azelastine monotherapy. These findings suggest that intranasal corticosteroid-containing regimens may be preferable when olfactory dysfunction accompanies perennial allergic rhinitis. However, given the non-randomized and open-label design of the study, the results should be interpreted with caution.
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- Intranasal Azelastine for Recurrent Acute Rhinosinusitis Prophylaxis: A Multicenter Retrospective Study. [Journal Article]Int Forum Allergy Rhinol. 2026 Aug 14. [Online ahead of print]IF
- CONCLUSIONS: Self-controlled analysis: mean episodes reduced from 2.72 to 1.18 per year; 56.6% reduction. Treatment effect consistent across subgroups, from patients using intranasal corticosteroids (ICS) to those with concurrent chronicc rhinosinusitis (CRS). Findings support prospective randomized controlled trial evaluation of azelastine for recurrent acute rhinosinusitis (RARS).
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- Characterization of adverse reactions to two antihistamine drugs: A descriptive analysis from WHO-VigiAccess. [Journal Article]
- CONCLUSIONS: Clinicians should note antihistamine ADRs. This study identifies common and specific reactions reported to the WHO, aiming to guide safer, more judicious use of these drugs.
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- A retrospective study on the effectiveness and safety of the combination of intranasal corticosteroid and intranasal antihistamine in the management of patients with allergic rhinitis. [Journal Article]Front Allergy. 2026; 7:1863171.FA
- CONCLUSIONS: The study concluded that intranasal MF-Az spray significantly alleviated nasal and non-nasal symptoms and was well tolerated.
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- Electrochemical determination of Azelastine using a Calix[4]arene-doped polyaniline screen-printed sensor in pharmaceutical and biological samples. [Journal Article]Talanta. 2027 Jan 01; 311:130255.T
- Careful choice of ion-sensing components and substrates is the primary focus when developing ion-selective electrodes to achieve maximum sensitivity, selectivity, stability and accuracy. This study aims to develop and optimize two miniaturized screen-printed solid-contact ion-selective electrodes to quantify Azelastine HCl (AZE) in various pharmaceutical preparations and complex spiked biological…
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- Effectiveness of the P2X3 Antagonist Gefapixant for Refractory Atopic Cough: A Retrospective Cohort Study. [Journal Article]J Asthma Allergy. 2026; 19:603501.JA
- CONCLUSIONS: The P2X3 antagonist gefapixant appeared to improve patient-reported symptoms and cough reflex hypersensitivity in a retrospective cohort of patients with refractory atopic cough. These findings suggest P2X3 antagonists may be a treatment option for refractory atopic cough, possibly through possibly through reducing hypersensitivity of airway C fibers.
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- Pharmacovigilance Analysis of Azelastine-Related Adverse Events: Insights from the FDA FAERS Database (2006-2024). [Journal Article]Curr Drug Saf. 2026 Jun 02. [Online ahead of print]CD
- CONCLUSIONS: This study systematically depicts the safety profile of azelastine by analysing large-scale adverse reaction data and provides empirical evidence for the improvement of clinical dosing guidelines and risk communication strategies. Pharmacovigilance departments should maintain vigilance for rare but serious adverse reactions to azelastine to optimize its risk-benefit profile.
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- Efficacy and Adherence of Combined Fluticasone Propionate and Azelastine Nasal Spray Versus Fluticasone Propionate Alone in Pediatric Allergic Rhinitis. [Journal Article]Allergy Asthma Immunol Res. 2026 May; 18(3):417-427.AA
- CONCLUSIONS: AzeFlu therapy may be preferred in patients with persistent symptoms and unresponsive to other treatments. Especially in adolescent children with persistent AR, AzeFlu should be considered as first-line treatment to increase treatment adherence.
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- Retrospective analysis of clinical efficacy and safety of fluorometholone combined with azelastine eye drops for seasonal allergic conjunctivitis. [Journal Article]Front Med (Lausanne). 2026; 13:1807309.FM
- CONCLUSIONS: Fluorometholone combined with azelastine is more effective than azelastine monotherapy in treating SAC, providing faster symptom relief, higher efficacy, lower recurrence, and a comparable safety profile.
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- Availability and Costs of Allergic Rhinitis Treatments Across the World: A Survey of ARIA Experts. [Journal Article]
- CONCLUSIONS: There is an important across-country and across-class variability in terms of costs of allergic rhinitis medications. The results of this study will inform the ARIA-EAACI 2024-2025 guidelines.
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- An Observational Study to Determine the Real-Life Effectiveness of MP-AzeFlu in Asian Patients with Allergic Rhinitis. [Journal Article]
- CONCLUSIONS: In this real-world study, MP-AzeFlu provided rapid and sustained improvement in AR symptoms and quality of life in Asian patients with moderate-to-severe AR. MP-AzeFlu has also shown beneficial effects in patients with comorbid asthma. These results support the effectiveness of MP-AzeFlu in AR management in Asian populations.
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- Green DOE based RP-HPLC method for the simultaneous determination of Azelastine and Losartan in spiked human plasma samples. [Journal Article]
- A green RP-HPLC approach coupled with spectrofluorometric detection was established for the simultaneous estimation of the co-administered drugs Azelastine (AZL) and Losartan (LOS) in spiked human plasma samples. Preliminary trials were carried out for determination of the Critical Method Parameters (CMPs) and Critical Quality Attributes (CQAs). Design of Experiment (DOE) was developed relying on…
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- Azelastine-fluticasone intranasal therapy: A paradigm shift in pediatric allergic rhinitis management. A point of view of the Italian Society of Pediatric Allergy and Immunology. [Journal Article]Pediatr Allergy Immunol. 2026 Mar; 37(3):e70320.PA
- CONCLUSIONS: Azelastine-fluticasone combination intranasal therapy represents a significant paradigm shift in pediatric allergic rhinitis management. It offers superior efficacy, an excellent safety profile, and practical advantages that foster better treatment adherence. This therapeutic approach is well-aligned with contemporary guidelines and is increasingly being adopted in clinical practice for the management of moderate to severe AR in children and adolescents.
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