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Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: severe nosebleeds, pain in your nose, a whistling sound when you breathe, eye pain, signs of infection (such as sore throat that doesn't go away, white patches in your nose/back of your throat, fever, chills) Rarely, it is possible that corticosteroids given in the nose will be absorbed into the bloodstream. Azelastine (astelin) pkg. 10 ml 1 the amount of packaging.

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