

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
ʻO ka azelastine a me ka fluticasone nasal spray he lāʻau lapaʻau i kauoha ʻia e hui pū ana i ʻelua mea ikaika e hakakā i nā hōʻailona maʻi maʻi ihu paʻakikī. Hana kēia spray hana pālua ma ka pale ʻana i nā hopena histamine i ka wā e hōʻemi ana i ka mumū i loko o kou mau ala ihu, e hāʻawi ana iā ʻoe i ka hōʻoluʻolu ke ʻaʻole lawa nā lāʻau lapaʻau hoʻokahi.
E noʻonoʻo iā ia he ala hui i kāu mau maʻi maʻi. ʻOiai ua loaʻa ka holomua o kekahi poʻe me nā antihistamines wale nō a i ʻole nā steroids nasal wale nō, pono nā mea ʻē aʻe i nā mea ʻelua e hana pū e hanu ʻoluʻolu ma ko lākou ihu.
ʻO kēia lāʻau lapaʻau he hui pū ʻia o ka nasal spray e hui pū ana i ka azelastine hydrochloride a me ka fluticasone propionate i loko o kahi hue kūpono. ʻO ka Azelastine kahi antihistamine e kāohi ana i nā hopena maʻi o kou kino, ʻoiai ʻo fluticasone he corticosteroid e hōʻoluʻolu i ka mumū.
Hiki i kāu kauka ke kauoha i kēia ke hoʻāʻo ʻoe i nā lāʻau lapaʻau maʻi ʻē aʻe me ka loaʻa ʻole o ka hōʻoluʻolu āu e pono ai. ʻO ka hui pū ʻana e hana pinepine maikaʻi ma mua o ka hoʻohana ʻana i kekahi mea hoʻohui wale nō, ʻoiai no ka poʻe me nā hōʻailona maʻi maʻi ihu mai ka maʻi a i ka maʻi nui.
Hāʻawi ka spray i nā lāʻau lapaʻau ʻelua pololei i kou mau ala ihu kahi e pono ai lākou. ʻO kēia ala i manaʻo ʻia e loaʻa iā ʻoe ka hōʻoluʻolu maikaʻi me nā haʻahaʻa haʻahaʻa ma mua o kāu e pono ai inā e lawe ana i kēia mau lāʻau lapaʻau.
Hoʻomaʻamaʻa kēia nasal spray i ka rhinitis maʻi kau a me ka makahiki, i ʻike nui ʻia ʻo ka hay fever a i ʻole nā maʻi maʻi ihu. Ua hoʻolālā ʻia no ka poʻe nona nā hōʻailona i mālama ʻole ʻia me nā lāʻau lapaʻau maʻi hoʻokahi.
He kūpono paha ʻoe no kēia lāʻau lapaʻau inā ʻike ʻoe i ka paʻa mau ʻana o ka ihu, ka ihu e kahe ana, ka hū ʻana, a me ka ʻū ʻana o ka ihu ma muli o nā mea allergens e like me ka pollen, nā mites lepo, ka lauoho holoholona, a i ʻole ka ʻōpala. He hana maikaʻi ka hui ʻana ke ʻano nui ka mumū o kāu mau hōʻailona maʻi.
Manaʻo kekahi poʻe he mea kōkua kēia lāʻau lapaʻau ke loaʻa iā lākou nā hopena maʻi koke a me ka mumū mau o ka ihu. Hoʻoponopono ka hana pālua i nā ʻano ʻelua o ka rhinitis maʻi, hiki ke hana i kahi ʻokoʻa nui i kou ʻoluʻolu i kēlā me kēia lā.
Ua manaʻo ʻia he lāʻau lapaʻau maʻi maʻi ikaika e hana ana ma nā ʻano hana ʻelua. Kāohi ka mea azelastine i nā mea hoʻokipa histamine, e pale ana i kou kino mai ka hoʻokuʻu ʻana i nā kemika e hana ai i ka hū ʻana, ka ʻū ʻana, a me ka ihu e kahe ana.
I kēia manawa, hoʻemi ka mea fluticasone i ka mumū i loko o kou mau ʻiʻo ihu ma ka hoʻopaʻa ʻana i ka pane nui o kāu ʻōnaehana pale i nā allergens. Kōkua kēia i ka hoʻemi ʻana i ka pehu, ka paʻa ʻana, a me ka maʻalahi holoʻokoʻa o kou mau ala ihu.
ʻO ka hui pū ʻana, hana kēia mau mea i kahi ala ʻoi aku ka maikaʻi i ka hōʻoluʻolu maʻi ma mua o kekahi lāʻau lapaʻau wale nō. Hāʻawi ka antihistamine i ka hōʻoluʻolu wikiwiki mai nā hōʻailona koʻikoʻi, ʻoiai ke kōkua nei ka mea steroid i ka pale ʻana i nā hōʻailona mai ka hoʻomohala ʻana i ka wahi mua.
Hoʻomaka ka lāʻau lapaʻau e hana i loko o nā hola no kekahi mau hōʻailona, ʻoiai e hiki ke lawe i nā lā he nui o ka hoʻohana mau ʻana e hoʻomohala piha i nā hopena anti-inflammatory.
E hoʻohana i kēia ʻehu ihu e like me ke kauoha a kāu kauka, maʻamau hoʻokahi a ʻelua paha ʻehu i kēlā me kēia puka ihu ʻelua i ka lā. Hiki iā ʻoe ke lawe me ka ʻole o ka meaʻai, ʻoiai ʻike kekahi poʻe he mea maʻalahi ke hoʻohana ia mea ma ke ʻano he ʻāpana o kā lākou hana kakahiaka a me ke ahiahi.
Ma mua o ka hoʻohana ʻana i ka pīpī, e puhi mālie i kou ihu e hoʻomaʻemaʻe i kou ala ihu. E lūlū maikaʻi i ka ʻōmole, a laila e hoʻokomo i ka piko i loko o kekahi puka ihu me ka pani ʻana i kekahi puka ihu me kou manamana lima. E kuhikuhi i ka pīpī i ka paia o waho o kou puka ihu, ʻaʻole i ke kikowaena septum.
E kaomi ikaika i lalo a e hanu mālie ma kou ihu i ka wā e pīpī ana. E hana hou i kekahi puka ihu, a laila e pale i ka puhi ʻana i kou ihu no ka liʻiliʻi o 15 mau minuke ma hope e hāʻawi i ka manawa i ka lāʻau lapaʻau e komo ai.
Inā ʻoe e hoʻohana ana i ka pīpī no ka manawa mua a i ʻole ʻaʻole i hoʻohana iā ia no kekahi manawa, pono ʻoe e hoʻomākaukau iā ia ma ka pauma ʻana i kekahi mau pīpī hoʻāʻo i ka lewa a hiki i kou ʻike ʻana i ka noe maikaʻi. E hoʻomaʻemaʻe mau i ka piko pīpī me ka wai mahana a e maloʻo i ka ea.
Aia ka lōʻihi o ka mālama ʻana i kāu mau mea hoʻoulu maʻi maʻi a me nā hōʻailona. No nā maʻi maʻi kau, hiki iā ʻoe ke hoʻohana iā ia i ka wā o ka pollen, ʻoiai nā maʻi maʻi makahiki e koi ai i ka hoʻohana ʻana i ka wā lōʻihi.
E hoʻomaka kāu kauka iā ʻoe i kahi manawa hoʻokolokolo e ʻike i ka maikaʻi o ka lāʻau lapaʻau iā ʻoe. ʻIke kekahi poʻe i ka hoʻomaikaʻi ʻana i loko o kekahi mau lā, ʻoiai nā poʻe ʻē aʻe e pono i kekahi mau pule o ka hoʻohana mau ʻana e ʻike i nā pōmaikaʻi piha.
He mea nui e hoʻohana mau i ka pīpī, ʻoiai i nā lā ke maikaʻi ʻoe, e mālama i nā hopena anti-inflammatory. ʻO ka hoʻōki ʻana a me ka hoʻomaka ʻana i ka lāʻau lapaʻau hiki ke hōʻemi i kona pono a ʻae i kou mau hōʻailona e hoʻi.
Mai hooki i ka hoʻohana ʻana i kēia lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka, ʻoiai inā ʻoe e hoʻohana nei iā ia no kekahi mau pule a i ʻole mau mahina. Hiki i kāu kauka ke makemake e hōʻemi mālie i kāu mahele a i ʻole e hoʻololi iā ʻoe i kahi ala lapaʻau ʻokoʻa.
ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i kēia pīpī ihu, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO nā mea maʻamau ka maʻalahi a maʻa mau e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau.
Eia nā hopena ʻē aʻe e ʻike ʻia ana e ʻoe, a ʻo ka ʻike ʻana iā lākou e kōkua iā ʻoe e mākaukau:
ʻAʻole koʻikoʻi kēia mau hopena maʻamau a nalowale pinepine i ka wā e hoʻomau ai ʻoe i ka hoʻohana ʻana i ka lāʻau. ʻO ka ʻono ʻawaʻawa, ʻoiai ʻaʻole ʻoluʻolu, he mea maʻamau loa a hōʻike i ka hana ʻana o ka lāʻau.
ʻIke kekahi poʻe i nā hopena ʻaʻole maʻamau akā ʻoi aku ka hopohopo e pono ai ke kelepona i kāu kauka:
Inā ʻike ʻoe i kekahi o kēia mau hopena ʻoi aku ka koʻikoʻi, e kelepona koke i kāu mea mālama ola. Hiki iā lākou ke kōkua i ka hoʻoholo inā pono ʻoe e hoʻomau i ka lāʻau a i ʻole e hoʻāʻo i kahi ala lapaʻau ʻē aʻe.
I kekahi manawa, ʻike kekahi poʻe i nā hopena maʻi maʻi koʻikoʻi i ka lāʻau lapaʻau, me ka ʻūlū, ka ʻūlū nui, ka pehu, a i ʻole ka pilikia o ka hanu ʻana. Inā hiki kēia, e hooki i ka hoʻohana ʻana i ka pīpī a e ʻimi koke i ka lāʻau lapaʻau.
ʻAʻole kūpono kēia pīpī ihu no nā mea a pau, a e noʻonoʻo pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. Pono paha ka poʻe me kekahi mau maʻi a i ʻole nā kūlana e pale i kēia lāʻau a i ʻole e hoʻohana me ka akahele.
ʻAʻole pono ʻoe e hoʻohana i kēia lāʻau lapaʻau inā he maʻi ʻoe i ka azelastine, fluticasone, a i ʻole kekahi o nā mea ʻaʻole hana i loko o ka pīpī. E akahele nō hoʻi kāu kauka i ka kuhikuhi ʻana inā he mau maʻi olakino kou.
Eia nā kūlana kahi i kūpono ʻole ai kēia lāʻau lapaʻau iā ʻoe:
Makemake nō hoʻi kāu kauka e ʻike e pili ana i nā lāʻau lapaʻau ʻē aʻe a pau āu e lawe nei, me nā lāʻau lapaʻau i kuhikuhi ʻia, nā lāʻau lapaʻau i kūʻai ʻia ma luna o ka pāʻani, a me nā mea hoʻohui, no ka mea, hiki i kekahi ke launa pū me kēia pīpī ihu.
Inā he maʻi diabetes kou, osteoporosis, a i ʻole nā pilikia me kāu ʻōnaehana pale, hiki nō i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau akā e nānā pono iā ʻoe no nā hopena ʻaoʻao.
ʻO ka inoa inoa maʻamau no kēia hui pū ʻana o ka pīpī ihu ʻo Dymista. ʻO kēia ka inoa e lawe pinepine ai nā hale kūʻai lāʻau lapaʻau a e kuhikuhi paha kāu kauka.
Loaʻa paha i kekahi mau hoʻolālā ʻinikua nā makemake no kekahi mau inoa a i ʻole e koi iā ʻoe e hoʻāʻo mua i nā mana generic. Hiki i kāu kauka lāʻau ke kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hana pū me kāu kauka inā pono ʻoe e hoʻololi ma waena o nā ʻano like ʻole.
E hoʻohana mau i ka inoa like me ke kūlike ke ʻole e haʻi pololei kāu kauka iā ʻoe e hoʻololi. Loaʻa paha i nā mea hana like ʻole nā ʻano like ʻole, ʻoiai inā loaʻa nā mea hana like.
Inā ʻaʻole maikaʻi kēia hui ʻana iā ʻoe a i ʻole e hana i nā hopena ʻaoʻao pilikia, nui nā koho ʻē aʻe e pono ai ke kūkākūkā me kāu kauka. ʻO ke koho maikaʻi loa e hilinaʻi ana i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me ke ʻano o kou pane ʻana i nā lāʻau lapaʻau ʻē aʻe.
Hiki i nā pīpī ihu hoʻokahi mea ke hana maikaʻi no kekahi poʻe, me ka fluticasone wale nō (Flonase), budesonide (Rhinocort), a i ʻole azelastine wale nō (Astelin). Hana maikaʻi kekahi poʻe me nā antihistamines waha e like me cetirizine (Zyrtec) a i ʻole loratadine (Claritin) i hui pū ʻia me nā steroids ihu.
ʻO nā koho hui ʻē aʻe e pili ana i nā antihistamines waha i hui pū ʻia me nā decongestants ihu, akā hoʻohana pinepine ʻia kēia mau mea no nā manawa pōkole. No nā maʻi allergies koʻikoʻi, hiki i kāu kauka ke ʻōlelo aku i nā pana allergy (immunotherapy) ma ke ʻano he hopena lōʻihi.
Hiki i nā ala kūlohelohe e like me ka holoi ʻana i ka ihu saline, nā mea hoʻomaʻemaʻe ea, a me ka pale ʻana i nā allergens ke hoʻohui a i kekahi manawa e pani i nā lāʻau lapaʻau, ma muli o kou kūlana.
Hiki i kēia pīpī hui ke ʻoi aku ka maikaʻi ma mua o nā koho hoʻokahi mea no ka poʻe me nā hōʻailona allergy ihu waena a koʻikoʻi. Hōʻike nā haʻawina i ka hui pinepine ʻana i ka hōʻoluʻolu hōʻailona maikaʻi aʻe ma mua o ka hoʻohana ʻana i ka azelastine a i ʻole fluticasone wale nō.
Eia naʻe,
Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo inā pono kēia hui ʻana e hoʻāʻo ʻia e pili ana i ka paʻakikī o kāu mau hōʻailona, nā pane lapaʻau mua, a me nā makemake pilikino. I kekahi manawa, pono e hoʻāʻo i kekahi mau ala like ʻole e ʻike i ka mea e hana maikaʻi ai iā ʻoe.
He palekana maʻamau kēia ʻehu ihu no ka hoʻohana lōʻihi ke hoʻohana ʻia e like me ke kuhikuhi a kāu kauka. He corticosteroid haʻahaʻa ka fluticasone, a he liʻiliʻi ka nui i komo i loko o kou kahe koko me ka hoʻohana ʻana i ka ihu.
Eia naʻe, ʻo ka hoʻohana lōʻihi ʻana i kekahi steroid ihu e koi i ka nānā ʻana i kēlā me kēia manawa e kāu mea mālama ola. Makemake paha lākou e nānā i nā hopena ʻaoʻao e like me nā loli i nā ʻano ulu i nā keiki a i ʻole nā hopena i ka paʻa o ka iwi i nā pākeke.
E loiloi mau kāu kauka inā pono ʻoe i ka lāʻau a hiki ke hoʻololi i kāu hoʻolālā lapaʻau e pili ana i ka loli ʻana o kāu mau maʻi maʻi i ka manawa.
Inā hoʻohana hewa ʻoe i nā ʻehu ʻoi aku ma mua o ke kauoha ʻia, mai hopohopo. He haʻahaʻa ka pilikia o nā pilikia koʻikoʻi mai kahi overdose hoʻokahi, akā hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao ikaika e like me ka hiamoe, ka ʻono ʻawaʻawa, a i ʻole ka huhū ihu.
E holoi i kou waha me ka wai inā he ʻono ʻawaʻawa ikaika kou, a e pale i ka hoʻokele a i ʻole ka hana ʻana i nā mīkini inā hiamoe ʻoe. E kelepona i kāu kauka a i ʻole ka mea lapaʻau inā hopohopo ʻoe e pili ana i ka nui āu i hoʻohana ai a i ʻole ʻoe e ʻike i nā hōʻailona maʻamau.
I ka wā e hiki mai ana, e helu pono i kāu mau ʻehu a e noʻonoʻo e hoʻohana i ka lāʻau i nā manawa like i kēlā me kēia lā e kōkua i ka pale ʻana i nā hewa. Inā poina pinepine ʻoe inā ua hoʻohana ʻoe i kāu ʻehu, e noʻonoʻo e mālama i kahi log maʻalahi a hiki i ka wā e lilo ai i mea maʻamau.
Inā poina iā ʻoe kahi lāʻau, e hoʻohana ia mea i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu lāʻau i hoʻonohonoho ʻia e hiki mai ana. I kēlā hihia, e lele i ka lāʻau i poina a hoʻomau me kāu papa manawa maʻamau.
Mai pāpālua i nā lāʻau e hoʻopiha ai i kahi i poina, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao. Inā poina pinepine ʻoe i nā lāʻau, e hoʻāʻo e hoʻonohonoho i nā mea hoʻomanaʻo kelepona a i ʻole e hoʻokomo i ka pīpī i kāu hana i kēlā me kēia lā, e like me ka palaki ʻana i kou mau niho.
ʻAʻole e hōʻeha iā ʻoe ka poina ʻana i nā lāʻau i kekahi manawa, akā he mea nui ka kūlike no ka mālama ʻana i nā hōʻailona maikaʻi loa. ʻOi aku ka maikaʻi o nā hopena anti-inflammatory o ka mea steroid ke mālama ʻia ma nā pae paʻa.
Hiki iā ʻoe ke hooki i kēia pīpī nasal ke pau kāu kau allergy a i ʻole ke mālama maikaʻi ʻia kāu mau hōʻailona no ka manawa lōʻihi. Eia naʻe, e kūkākūkā mau i ka hooki ʻana me kāu kauka mua, ʻoiai inā ua hoʻohana ʻoe ia mea no kekahi mau pule a i ʻole mau mahina.
Hiki i kāu kauka ke makemake e hōʻemi mālie i kāu lāʻau ma mua o ka hooki ʻana koke, ʻoiai inā ua hoʻohana ʻoe i ka lāʻau no ka manawa lōʻihi. Hiki iā lākou ke kōkua iā ʻoe e hana i kahi hoʻolālā no ka mālama ʻana i nā hōʻailona allergy e hiki mai ana.
Pono paha kekahi poʻe me nā allergies a puni ka makahiki e hoʻomau i ka lāʻau no ka manawa lōʻihi, ʻoiai e hoʻohana ana kekahi i ka wā a i ʻole i ka wā o nā hōʻailona allergy.
Hiki iā ʻoe ke hoʻohana pinepine i kēia pīpī nasal me nā lāʻau allergy ʻē aʻe, akā e nānā mau me kāu kauka a i ʻole ka mea kūʻai lāʻau mua. Hana maikaʻi kekahi mau hui pū, ʻoiai e hoʻonui ana kekahi i kou pilikia o nā hopena ʻaoʻao.
Ma keʻano laulā, palekana ke hoʻohana me nā antihistamines waha, nā holoi saline nasal, a me nā kulu maka no ka conjunctivitis allergic. Eia naʻe, e pale i ka hoʻohana ʻana i nā pīpī steroid nasal ʻē aʻe i ka manawa like ke ʻole i kuhikuhi ʻia e kāu kauka.
Hiki i kāu mea mālama ola ke kōkua iā ʻoe e hana i kahi hoʻolālā mālama maʻi maʻi āpau e hiki ke komo pū i nā lāʻau lapaʻau he nui e hana pū ana me ka palekana a me ka pono.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.