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Can Azelastine Spray Cause Urinary Retention Issues?

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Posted on Thu, 23 Jan 2014
Question: my doctor wants me to take Azelastine spray for allergies but I have mild urinary retention since I had prostate surgery 5 years ago will this nasal spray cause urinary retention issues? I read one of the follow-up studies that said it could be an issue but its not in the pdr etc.
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Answered by Dr. Abhishek Sharma (2 hours later)
Brief Answer: Spray can be used in proper dose Detailed Answer: Hello, There is very less absorption if occurs with the new azelastine and steroid nasal sprays. You need not worry with that. Further there are combination of azelastine with steroid sprays which are even more effective . These sprays are in market because of their benefit of very little absorption in the body. But yes, there is a dose for these sprays and which your doctor can advice, so should not be used excessively, to prevent drug absorption . I advice to my patients two puffs both nostril one daily. In addition you can use normal saline nasal sprays which are easily available and which will keep your nose clean and do not allow allergen to sit and react in nose. Hope this helps. Let me know if you need clarifications. Regards
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Abhishek Sharma (1 hour later)
Thank you I will follow your advice a nd use the spray in moderation I just would hate to have a bladder shut down incident, Blessings,XXXX
doctor
Answered by Dr. Abhishek Sharma (21 hours later)
Brief Answer: Thankyou Detailed Answer: Thanks for using this service.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Abhishek Sharma

ENT Specialist

Practicing since :2005

Answered : 1110 Questions

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Can Azelastine Spray Cause Urinary Retention Issues?

Brief Answer: Spray can be used in proper dose Detailed Answer: Hello, There is very less absorption if occurs with the new azelastine and steroid nasal sprays. You need not worry with that. Further there are combination of azelastine with steroid sprays which are even more effective . These sprays are in market because of their benefit of very little absorption in the body. But yes, there is a dose for these sprays and which your doctor can advice, so should not be used excessively, to prevent drug absorption . I advice to my patients two puffs both nostril one daily. In addition you can use normal saline nasal sprays which are easily available and which will keep your nose clean and do not allow allergen to sit and react in nose. Hope this helps. Let me know if you need clarifications. Regards