Potential side-effects to the ingredients in Allermi can be reviewed below. Side-effects are not common, are generally minor and can usually be alleviated with a formula change, technique adjustment or both.
The information below is not an exhaustive list, and individual-patient responses to medications will vary.
If you are experiencing side-effects to your Allermi Super Spray, please discontinue use and reach out to your Care Team by logging into my.allermi.com and clicking on Treatment > Manage Symptoms so that we can help troubleshoot.
Triamcinolone
Triamcinolone nasal spray is generally well-tolerated with few side effects in most people, especially when used correctly. Common side effects include nasal irritation or burning, sore throat, sneezing, headache, or nosebleeds. Some individuals may experience dryness or crusting inside the nose.
To minimize nasal irritation, it’s important to use the spray as directed and to avoid spraying directly onto the nasal septum. If you’ve had nasal surgery or an injury in the past, your midline septum may be more sensitive and fragile, and extra care should be taken to avoid contact. Always insert your nozzle as deep as comfortable and angle towards the outer eye.
Rare side effects can include nasal septal perforation, slowed wound healing, or allergic reactions such as rash, itching, or swelling. Long-term use at very high doses may slightly affect growth in children or suppress the immune system. This is not anticipated with the dosages of localized triamcinolone prescribed in Allermi.
Additionally, triamcinolone can, rarely, increase intraocular pressure in some individuals; people with glaucoma or a history of elevated eye pressure should have their eye pressures monitored regularly while using this medication. Ophthalmologist approval is required for patients with a glaucoma diagnosis before starting Allermi.
Azelastine
Azelastine is generally well tolerated at the dosage range used by Allermi. Common side effects include a bitter taste in the mouth, nasal irritation, headache, drowsiness, sneezing, and nosebleeds. Some people may also experience fatigue, nausea, dry mouth, or a burning sensation in the nose.
Tilting your head forward slightly and avoiding strong sniffing when using the spray can also help. Always follow dosing instructions carefully.
Less commonly, it can cause dizziness or changes in smell or taste. Though rare, allergic reactions such as rash, itching, or swelling can occur.
Oxymetazoline
At the micro-dosage used by Allermi, and when combined with anti-inflammatory nasal corticosteroid triamcinolone, there are few long-term side effects associated with oxymetazoline.
Short-term side effects may include minor nasal irritation, elevated heart rate, or anxiety, but these are often resolved with spray technique adjustments or a formula change.
We generally do not see worsened congestion or rebound congestion when oxymetazoline is prescribed at Allermi’s micro-dosage, in combination with anti-inflammatory triamcinolone.
Rare side effects may include headache, dizziness, nausea, trouble sleeping, elevated blood pressure, or heart palpitations, particularly in people with cardiovascular conditions.
If you’ve had nasal surgery or an injury in the past, your midline septum may be more sensitive and fragile, and extra care should be taken to avoid contact. Always insert your nozzle as deep as comfortable and angle towards the outer eye.
Ipratropium
There are few side effects associated with ipratropium at the dosage range used by Allermi. Short-term side effects may include nasal irritation, dryness, or nasal bleeding, but these are often resolved with a spray technique adjustment, increased saline use or formula change.
To minimize nasal irritation, it’s important to use the spray as directed and to avoid spraying directly onto the nasal septum. If you’ve had nasal surgery or an injury in the past, your midline septum may be more sensitive and fragile, and extra care should be taken to avoid contact.
Less common side effects include headache, sore throat, or an unusual taste in the mouth. Rare side effects can include dizziness, blurred vision, or dry mouth.
We generally avoid prescribing ipratropium for individuals with an enlarged prostate or urinary retention, due to reports of increased urinary retention in these settings.
Additionally, ipratropium can, rarely, increase intraocular pressure in some individuals; people with glaucoma or a history of elevated eye pressure should have their eye pressures monitored regularly while using this medication. Ophthalmologist approval is required for patients with a glaucoma diagnosis before starting Allermi.
If you are experiencing side-effects to your Allermi Super Spray, please discontinue use and reach out to your Care Team by logging into my.allermi.com and clicking on Treatment > Manage Symptoms so that we can help troubleshoot.
