Note: This column originally ran with no Q&A. It\u2019s been updated to include the text. <\/p>\n
Q. Astepro has been a great help for my seasonal allergies. I\u2019ll now use it as a preventative against flu or COVID-19. The downside for many people is the price and the taste.<\/p>\n
Here\u2019s a solution. Astepro comes in a better-tasting children\u2019s version. It is the same strength, except it has an additive so that the taste is not objectionable. Even better, it doesn\u2019t seem to move off the shelf as well, so I frequently find it discounted at drugstores. Whenever I find it marked down, I typically stock up for my whole family!<\/p>\n
A. Thank you for the helpful tip. Both children\u2019s and adult versions of Astepro contain 205.5 micrograms of azelastine per spray. We were excited to learn of a study showing that this over-the-counter antihistamine nasal spray can reduce the risk of coming down with COVID-19 (JAMA Internal Medicine, Sept. 2, 2025). The authors mention the possibility that it may also have broader antiviral activity.<\/p>\n
We will need larger clinical trials to verify the effectiveness of azelastine against COVID-19, cold or flu viruses before we can recommend routine use of this nasal spray. On the other hand, it seems reasonably safe. It may work best when used before travel or large gatherings, especially if accompanied by wearing an N95 face mask.<\/p>\n
* * *<\/p>\n
In their column, Joe and Teresa Graedon answer letters from readers. Write to them in care of King Features, 628 Virginia Drive, Orlando, FL 32803, or email them via their website: www.PeoplesPharmacy.com. Their newest book is \u201cTop Screwups Doctors Make and How to Avoid Them.\u201d<\/p>\n
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