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pediatric

Flexible dosing* for parents to administer as needed 

Astepro® provides flexibility for parents to dose as needed.* It does not need to be used every day, or for several days to achieve maximum efficacy, unlike INS sprays that recommend daily dosing and can take between several days to 2 weeks to reach maximum efficacy levels.1-3,† 

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pediatric

Faster because it works differently

Astepro starts to work faster on the first day, compared with steroid allergy sprays, which require a longer, multi-step process to reach maximum efficacy levels.1-3,†

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pediatric

Steroid-free option for parents who want to avoid steroid use for their children4  

Astepro has no warning regarding pediatric growth suppression in its Drug Facts Label.4

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PROVEN EFFICACY IN PEDIATRIC POPULATION

In a 4-week trial of children 6 to <12:
Astepro significantly improved 12-hour combined AM + PM reflective TNSS 

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Results of a randomized, placebo-controlled, double-blind, parallel-group 4-week study of pediatric patients 6 to <12 years of age with moderate-to-severe symptomatic PAR (n=161 for patients receiving azelastine HCl 0.15% solution, and n=162 for patients receiving placebo). Primary endpoint was change from baseline in 12-hour combined AM + PM reflective TNSS.5 

Pediatric dosing instructions4 

CHILDREN 6 YEARS TO 11 YEARS

  • An adult should supervise use
  • 1 spray in each nostril every 12 hours
  • Do not use more than 2 sprays in nostril in a 24 hour period.
    Do not use for children under 6 years

INS, intranasal steroid; PAR, perennial allergic rhinitis; TNSS, Total Nasal Symptom Score.
 *Up to twice daily.
 †INS onset based on various product information; time to maximum efficacy depends on the INS brand. 
‡12 years and older. 

REFERENCES
1. Flonase website. Frequently Asked Questions About Children’s Sensimist. Accessed February 18, 2022. https://www.flonase.com/products/childrens-sensimist/faqs/  2. Nasacort website. Children’s Nasacort Allergy 24HR. Accessed February 18, 2022. https://www.nasacort.com/for-childrens-allergies/ 3. Rhinocort website. Children’s Rhinocort Allergy Spray. Accessed February 18, 2022. https://www.rhinocort.com/allergy-nasal-spray/childrens-otc-spray 4. NDA 213872. 5. NDA 22-203. 6. Astepro®. Prescribing information. Meda Pharmaceuticals Inc; 2018. 7. van Bavel J, Howland WC, Amar NJ, Wheeler W, Sacks H. Efficacy and safety of azelastine 0.15% nasal spray administered once daily in subjects with seasonal allergic rhinitis. Allergy Asthma Proc. 2009;30(5):512-518. doi:10.2500/aap.2009.30.3284 

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