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AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION

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About the medicine

How to use AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the Patient

Azelastine Vir 0.5 mg/ml Eye Drops Solution

Azelastine Hydrochloride

Read this package leaflet carefully before you start using this medicine, because it contains important information for you.

  • Keep this package leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Azelastine Vir and what is it used for.
  2. What you need to know before you start using Azelastine Vir.
  3. How to use Azelastine Vir.
  4. Possible side effects.
  5. Storage of Azelastine Vir.

Contents of the pack and further information.

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1. What is Azelastine Vir and what is it used for

Azelastine Vir contains the active ingredient azelastine hydrochloride, which belongs to a group of medicines called antiallergics (antihistamines).

Antihistamines prevent the effects of substances like histamine that the body produces as part of an allergic reaction. Azelastine has been shown to reduce ocular inflammation.

Azelastine is used for the treatment and prevention of ocular disorders caused by hay fever (seasonal allergic conjunctivitis) in adults and children from 4 years of age.

Azelastine is also used for the treatment of ocular disorders caused by allergy to substances such as house dust mites or animal hair (perennial allergic conjunctivitis) in adults and children from 12 years of age.

You should consult your doctor if your symptoms worsen or do not improve after 2 days.

Azelastine is not suitable for the treatment of ocular infections.

2. What you need to know before you start using Azelastine Vir

Do not use Azelastine Vir:

  • Ifyou are allergic to azelastine hydrochloride or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to use Azelastine Vir

  • If you are not sure that your eye symptoms are caused by an allergy. In particular, if they only affect one eye; if your vision has worsened; or if you have eye pain and no nasal symptoms, it may be an infection rather than an allergy.
  • If your symptoms worsen or last more than 48 hours without notable improvement despite using Azelastine.
  • If you wear contact lenses.

Children and adolescents

For the treatment of ocular disorders caused by hay fever (seasonal allergic conjunctivitis): Do not give this medicine to children under 4 years of age, as the safety and efficacy have not been established.

For the treatment of ocular disorders caused by allergy (perennial allergic conjunctivitis): Do not give this medicine to children under 12 years of age, as the safety and efficacy have not been established.

Using Azelastine Vir with other medicines

Although it is not known whether azelastine can be affected by other medicines, tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

Pregnancy and breastfeeding

If you are pregnant, breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

Driving and using machines

After using azelastine, your vision may be blurred for a short time. If this happens, wait until your vision returns to normal before driving or using machines.

Azelastine Vir contains benzalkonium chloride

This medicine contains 0.00375 mg of benzalkonium chloride in each drop, equivalent to 0.125 mg/ml.

Benzalkonium chloride can be absorbed by soft contact lenses, altering their color. Remove your contact lenses before using this medicine and wait 15 minutes before putting them back in.

Benzalkonium chloride may cause eye irritation, especially if you have dry eye or other corneal diseases (the transparent layer on the front of the eye). Consult your doctor if you feel any unusual sensation, itching, or pain in the eye after using this medicine.

3. How to use Azelastine Vir

Follow the instructions for administration of this medicine exactly as indicated by your doctor or pharmacist. If you are unsure, ask your doctor or pharmacist.

Remember:

Azelastine should only be applied to the eyes.

The recommended dose is:

Ocular disorders caused by hay fever (seasonal allergic conjunctivitis)

  • Use in adults and children from 4 years of age.
  • The normal dose is one drop in each eye, in the morning and at night.

If you expect to be exposed to pollen, you can take the normal dose of azelastine as a preventive measure before going outside.

Ocular disorders caused by allergy (perennial allergic conjunctivitis)

  • Use in adults and children from 12 years of age.
  • The normal dose is one drop in each eye, in the morning and at night.

If your symptoms are severe, your doctor may increase the dose to one drop in each eye up to four times a day.

Relief from the symptoms of allergic conjunctivitis should be observed within 15-30 minutes.

Instructions for the proper use of Azelastine Vir

To facilitate the application of the eye drops, it may be helpful to sit in front of a mirror so you can see what you are doing.

  1. Wash your hands.
  2. Gently clean the area around your eyes to remove any moisture (Scheme 1)
  3. Remove the cap from the bottle and check that the dropper is clean.
  4. Gently pull your lower eyelid down (Scheme 2).
  5. Place one drop carefully into the middle of the lower eyelid (Scheme 3). Make sure the dropper does not touch the eye.
  6. Release your lower eyelid and gently press the inner corner of your eye against the bridge of your nose (Scheme 4). Keeping your finger pressed against your nose, blink slowly a few times to spread the drop across the surface of your eye.
  7. Wipe away any excess medicine with a tissue.
  8. Repeat this procedure in the other eye.

Stylized eye with open eyelids and a hand holding a thin applicator or swab underneathStylized human eye with a tear dropping and a finger pointing downwardsSyringe needle inserted into the skin at a 90-degree angle showing the tip and the plunger pressedScheme of arm showing the site of intramuscular injection with a needle inserted into the deltoid muscle

Scheme 1 Scheme 2 Scheme 3 Scheme 4

Duration of treatment

If possible, you should use Azelastine Vir regularly until your symptoms have disappeared.

Do not use Azelastine Vir for more than 6 weeks.

If you use more Azelastine Vir than you should

If you have accidentally administered too much azelastine in your eyes, you are unlikely to have any problems. But if you are concerned, consult your doctor. In case of accidental ingestion, consult your doctor immediately, or go to the emergency department of the nearest hospital or call the Toxicology Information Service Telephone (91) 562 04 20, indicating the medicine and the amount administered.

If you forget to use Azelastine Vir

Use your eye drops as soon as you remember and administer the next dose at the usual time.

Do not use a double dose to make up for forgotten doses.

If you stop using Azelastine Vir

If you stop using Azelastine Vir, your symptoms will probably come back.

If you have any further questions about the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

These effects include:

  • Common (may affect up to 1 in 10 patients): Mild irritation (itching, stinging, tearing) in the eyes after using Azelastine. These effects should not last long.
  • Uncommon (may affect up to 1 in 100 patients): Bitter taste in the mouth. This effect should disappear quickly, especially if you have a drink.
  • Rare (may affect up to 1 in 10,000 patients): Allergic reaction (rash and itching).

Reporting of side effects:

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Azelastine Vir

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the label and carton. The expiry date is the last day of the month stated.

After opening:Do not use this medicine if the bottle has been open for more than 28 days.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and further information

Composition of Azelastine Vir

The active substance is azelastine hydrochloride 0.05% (0.5 mg/ml). Each drop contains 0.015 mg of azelastine hydrochloride.

The other ingredients are benzalkonium chloride, disodium edetate, hypromellose (E464), liquid sorbitol (crystallizable) (E420i), sodium hydroxide (E524) (for pH adjustment), and water for injections.

Appearance of the product and pack contents

Azelastine Vir is a colorless and transparent solution.

Azelastine Vir is presented in a plastic bottle with a dropper.

One bottle contains 6 ml of eye drops solution.

Marketing Authorization Holder

Industria Química y Farmacéutica VIR, S.A.

C/ Laguna 66-70, Polígono Industrial URTINSA II

28923 Alcorcón (Madrid)

Spain

Manufacturer

Kymos Pharma Services, S.L.

Parc Tecnològic del Vallès

Ronda de Can Fatjó, 7B

08290 Cerdanyola del Vallès (Barcelona)

Spain

Date of last revision of this package leaflet:June 2019

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es/)

Online doctors for AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

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  • muscle or joint pain, mild injuries, sprains
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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
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Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

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Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
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Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Bulat Garipov

General medicine 15 years exp.

Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

Over the years, he has gained solid experience in interpreting MRI studies in various areas, including:

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  •  Abdomen and pelvis
  •  Soft tissues

Additionally, Dr. Garipov is open to new collaboration opportunities in radiology and teleradiology projects. He offers his expertise in MRI, providing both first and second readings of studies, as well as advanced image interpretation, ensuring accurate and high-quality diagnostics.

You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

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Frequently Asked Questions

Is a prescription required for AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION?
AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION?
The active ingredient in AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION is azelastine. This information helps identify medicines with the same composition but different brand names.
Who manufactures AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION?
AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION is manufactured by Industria Quimica Y Farmaceutica Vir S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to AZELASTINE VIR 0.5 mg/ml EYE DROPS SOLUTION?
Other medicines with the same active substance (azelastine) include AFLUON 0.5 mg/ml EYE DROPS SOLUTION, AZELASTINE ABAMED 0.5 mg/ml EYE DROPS SOLUTION, AZELASTINE MABO 0.5 mg/ml EYE DROPS SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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