I am 62, female, healthy otherwise. My symptoms are all mild; vertigo, nausea, sinus pressure, and hearing loss. Yesterday I was given Dymista to use it 2x/day by a doctor to help dry up fluid in my inner ear. I was also asked to take psedofed once in the morning. After an exam my doctor determined I do not have an infection but rather fluid build up. No culture was taken. I am to return to her on Friday to see also about removing wax from my ears once the fluid has dried up more. My question is, do I take Dymista on an empty stomach? It smells like shellac and is disconcerting.