Do I need a prescription to buy Dymista 137mcg/50mcg Nasal Spray?

No. Dymista 137mcg/50mcg Nasal Spray is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Dymista 137mcg/50mcg Nasal Spray contain?

Dymista 137mcg/50mcg Nasal Spray is a nasal spray containing Azelastine Hydrochloride 137mcg per spray and Fluticasone Propionate 50mcg per spray. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Dymista 137mcg/50mcg Nasal Spray come in?

It is supplied in a pack size of 120 doses. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Dymista 137mcg/50mcg Nasal Spray is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Dymista 137mcg/50mcg Nasal Spray?

Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Dymista 137mcg/50mcg Nasal Spray before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

What should I do if I notice side effects after using Dymista 137mcg/50mcg Nasal Spray?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day. Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay. FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Dymista 137mcg/50mcg Nasal Spray be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee. Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Dymista 137mcg/50mcg Nasal Spray registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number. An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre. For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Dymista 137mcg/50mcg Nasal Spray | azelastine fluticasone | allergic rhinitis combination nasal spray | DoctorOnCall Malaysia

15% OFF

Installment Available

Dymista 137mcg/50mcg Nasal Spray

Brand Meda

(0 Reviews)

Fast Delivery
Muslim-Friendly
FDA Approved
Secure Payment

Save: RM30.49 15% OFF

Form

🎟️ Available Vouchers

                                OCT21                            

RM21 OFF

Min Spend RM550.00

Valid till: 27 Oct 2026

                                OCT14                            

RM14 OFF

Min Spend RM380.00

Valid till: 27 Oct 2026

                                OCT7                            

RM7 OFF

Min Spend RM200.00

Valid till: 27 Oct 2026

Click a voucher to copy the code. Automatically applied at checkout if conditions are met.

Have questions? Chat with us on WhatsApp

Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester

Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated: October 18, 2026

Overview

Dymista 137mcg/50mcg Nasal Spray contains Azelastine Hydrochloride 137mcg per spray and Fluticasone Propionate 50mcg per spray and is presented as a nasal spray. It is supplied in a pack size of 120 doses.

It is classified as a non-prescription medicine, so no prescription is needed to order it. Under Malaysian rules for medicine information, this page carries product, safety and handling information only.

You can consult a doctor or pharmacist online on DoctorOnCall about this product before or after you order. Every order is checked by a registered pharmacist before it is delivered. Always read the label and the leaflet supplied with the pack.

Directions for Use

Dymista 137mcg/50mcg Nasal Spray should be used exactly as directed by your prescribing doctor, typically one spray into each nostril twice daily; before first use, prime the pump as instructed in the package leaflet, gently blow your nose to clear it beforehand, tilt your head slightly forward, and avoid spraying directly onto the nasal septum (the middle wall of the nose).

Dosage

The usual prescribed dose for adults and adolescents is one spray per nostril twice daily, morning and evening; do not use more than the prescribed dose or for longer than advised, and follow up with your doctor as scheduled to review your response and ongoing need for treatment.

Shelf Life

Unopened, Dymista 137mcg/50mcg Nasal Spray is generally stable until the expiry date printed on the bottle and carton; once opened, it should be used within the period stated on the packaging, and the spray should be discarded if it has not been used for an extended period, as re-priming may be required.

Storage Instructions

Store Dymista 137mcg/50mcg Nasal Spray below 25°C, upright, away from direct sunlight and moisture, do not freeze, and keep it out of the reach and sight of children.

Side Effects

Nosebleeds
Headache
Bitter taste in the mouth
Drowsiness or fatigue
Nasal dryness or irritation
Sneezing after application
Throat irritation

Contraindications

Known hypersensitivity to azelastine, fluticasone propionate, or any excipient
Recent nasal surgery or nasal trauma that has not fully healed
Untreated fungal, bacterial, or viral infections of the nasal passages
Not generally recommended in children under 12 years unless specifically directed by a doctor
Use with caution in patients with active or recent tuberculosis, or untreated systemic infection
Use with caution with long-term treatment, due to potential effects on growth in children or eye pressure with prolonged corticosteroid exposure

Drug / Food Interactions

Avoid alcohol or other sedating medicines together with this spray, as azelastine may increase drowsiness
Concurrent use with other nasal corticosteroid sprays is not generally recommended unless directed by a doctor
Potent CYP3A4 inhibitors (e.g. ritonavir, ketoconazole) may increase fluticasone levels in the body; inform your doctor if you are taking these
No significant food interactions with normal nasal use

Quick Tips

Shake the bottle gently and prime the pump before first use, as directed in the package leaflet
Blow your nose gently before each use to clear nasal passages
Point the spray tip slightly away from the nasal septum, toward the outer side of each nostril
Avoid spraying near the eyes
Do not exceed the prescribed dose or frequency
Attend follow-up appointments so your doctor can review your progress and check for side effects with prolonged use

Ingredients / Active Ingredients

Azelastine + Fluticasone Propionate

Azelastine Hydrochloride 137mcg per spray (active ingredient)
Fluticasone Propionate 50mcg per spray (active ingredient)
Purified water
Preservative (benzalkonium chloride)
Suspending and stabilising agents

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

Dymista combines an antihistamine and a corticosteroid in a single nasal spray and is commonly prescribed in Malaysia and Singapore for moderate to severe allergic rhinitis that has not responded well to single-ingredient treatments. Because it is a prescription combination product intended for defined courses of treatment, DoctorOnCall requires an online medical consultation before dispensing it, so a doctor can confirm the diagnosis and monitor response over time.