Background pattern
LARITILEN

LARITILEN

Ask a doctor about a prescription for LARITILEN

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use LARITILEN

INSTRUCTIONS for medical use of the medicinal product ALLERGODIL®(ALLERGODIL®)

Composition

active substance: azelastine hydrochloride; 1 ml of solution contains azelastine hydrochloride 1 mg; excipients: hypromellose, disodium edetate, anhydrous citric acid, sodium hydrogen phosphate, dodecahydrate, sodium chloride, purified water.

Pharmaceutical form

Nasal spray, dosed.

Main physical and chemical properties

Transparent colorless solution.

Pharmacotherapeutic group

Agents used in diseases of the nasal cavity. Antiallergic agents, excluding corticosteroids. ATC code R01A C03.

Pharmacological properties

Pharmacodynamics

Azelastine hydrochloride is an H1-receptor antagonist and, as a result, is an antiallergic substance with a relatively long half-life (t1/2 @ 20 hours).

In addition, in vivo studies in guinea pigs have shown that when used in therapeutic doses for humans, azelastine hydrochloride inhibits bronchial spasm caused by leukotrienes and platelet-activating factor (PAF) inhibitors.

Due to these properties, in animal experiments, azelastine hydrochloride is also able to inhibit inflammation in the airways caused by hypersensitivity reactions. The significance of the findings obtained in animal studies has not been clarified regarding the therapeutic application of the drug in humans.

Pharmacokinetics

Azelastine hydrochloride is quickly and almost completely absorbed after oral administration and is mainly distributed in peripheral organs, primarily in the lungs, skin, muscles, liver, and kidneys, and to a minor extent in the brain. Dose-dependent linear kinetics have been demonstrated. Azelastine hydrochloride and its metabolites are excreted approximately 75% with feces and approximately 25% by the kidneys. The most important metabolic pathways are hydroxylation of the ring, N-demethylation, and oxidative opening of the azepine ring.

In patients with allergic rhinitis, the steady-state average concentration of azelastine hydrochloride in plasma, observed 2 hours after administration of the total daily dose of 0.56 mg of azelastine hydrochloride (1 spray in each nostril 2 times a day), was approximately 0.65 ng/ml, but this did not lead to clinically significant systemic side effects.

As a result of the dose-dependent linear effect, an increase in average plasma levels can be expected with an increase in the daily dose.

Clinical characteristics

Indications

Symptomatic treatment of seasonal allergic rhinitis (hay fever) and non-seasonal (perennial) allergic rhinitis.

Contraindications

Increased sensitivity to the active substance, ethylenediaminetetraacetic acid (EDTA), or to any other component of the drug.

The drug is contraindicated in children under 6 years of age.

Interaction with other medicinal products and other types of interactions

So far, no interaction with other drugs has been detected.

Special warnings and precautions for use

None.

Use during pregnancy or breastfeeding

Clinical data on the use of azelastine hydrochloride in women during pregnancy or breastfeeding are absent. Studies in animals with high oral doses of azelastine led to embryo death, delayed development, and skeletal defects.

Therefore, it is not recommended to use the drug during pregnancy or breastfeeding.

Ability to influence the reaction rate when driving vehicles or operating other mechanisms

When using the drug, in individual cases, increased fatigue, exhaustion, fatigue, dizziness, or weakness may occur, which can also be caused by the disease itself. In these cases, the reaction rate when driving a vehicle or working with other mechanisms may be reduced. Special attention should be paid to the fact that these symptoms can be exacerbated by the simultaneous use of alcohol and other drugs that negatively affect the reaction rate.

Method of administration and dosage

For nasal use.

Unless otherwise prescribed, the spray should be administered 1 dose in each nostril 2 times a day (in the morning and evening; corresponds to a daily dose of azelastine hydrochloride 0.56 mg/day).

When using the spray, the head should be kept straight.

The duration of therapy depends on the type, severity, and development of symptoms and is determined by the doctor individually.

The drug can be used for long-term therapy.

Children

Can be used in children from 6 years of age.

Overdose

There is no experience with the use of toxic doses of azelastine hydrochloride in humans. In case of overdose or intoxication, central nervous system disorders are expected based on the results of experiments on animals. Treatment of these disorders should be symptomatic. There is no known antidote.

Side effects

Side effects that may occur during the use of azelastine hydrochloride are classified according to the following frequency: very often (≥ 1/10), often (≥ 1/100 – < 1/10), uncommon (≥ 1/1000 – <1/100), rare (≥ 1/10000 – < 1/1000), very rare (< 1/10000), unknown (cannot be determined from available data).

From the immune system: very rare – hypersensitivity reactions.

From the nervous system: often – dysgeusia (in case of incorrect use (head thrown back) may cause symptoms of a bitter taste in the mouth, which can cause nausea); very rare – dizziness.

From the respiratory system: uncommon – irritation of the nasal mucosa with inflammation after spraying (such as burning and itching), sneezing, and nasal bleeding.

From the gastrointestinal tract: rare – nausea.

General disorders: very rare – increased fatigue (feeling of fatigue and exhaustion), dizziness or weakness, which can also be caused by the disease itself.

From the skin: very rare – rash, itching, urticaria.

Also, reports of drowsiness, headache, and dry mouth have been reported in some patients.

Shelf life

3 years.

After opening the bottle, the drug should be used within 6 months.

Storage conditions

Store at a temperature not exceeding 25 °C. Do not cool. The drug should be stored in a place inaccessible to children.

Packaging

10 ml in a bottle with a screwed-on sprayer; 1 bottle in a cardboard box.

Release category

Without a prescription.

Manufacturer

Madaus GmbH / Madaus GmbH.

Location of the manufacturer and its address

Lutticher Strasse 5, 53842 Troisdorf, Germany / Lutticher Strasse 5, 53842 Troisdorf, Germany.

Online doctors for LARITILEN

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for LARITILEN – subject to medical assessment and local rules.

5.0(18)
Doctor

Farouk Laafif

Psychiatry3 years of experience

Dr. Farouk Laafif is a psychiatrist providing online consultations for adults and adolescents facing emotional or mental health challenges. His clinical approach integrates psychopharmacology with psychotherapy, with a strong focus on the connection between mental and physical well-being.

He offers compassionate, evidence-based support for individuals dealing with:

  • depression and anxiety disorders
  • bipolar affective disorder
  • schizophrenia and other psychotic conditions
  • psychosomatic symptoms and chronic stress
  • treatment planning and medication adjustment
Dr. Laafif combines scientific expertise with human empathy, helping patients restore emotional balance, improve daily functioning, and regain confidence in their recovery journey.
CameraBook a video appointment
€110
Today17:15
Today18:00
Today18:45
December 1816:30
December 1817:15
More times
5.0(6)
Doctor

Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
CameraBook a video appointment
€50
Today17:30
Today18:20
Today19:10
Today20:00
Today20:50
More times
5.0(142)
Doctor

Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

CameraBook a video appointment
€80
Today19:30
December 1816:00
December 1816:30
December 1817:00
December 1817:30
More times
0.0(0)
Doctor

Nikita Savin

Pediatrics4 years of experience

Dr. Nikita Savin is a paediatrician providing online consultations for children of all ages. He offers comprehensive medical care with a focus on preventive health, proper development, and long-term management of chronic and complex conditions.

His areas of expertise include:

  • Preventive care and vaccination planning, including catch-up schedules for children.
  • Assessment of psychomotor, emotional, and physical development.
  • Diagnosis, treatment planning, and clinical monitoring for paediatric conditions.
  • Nutritional guidance for infants, including the choice of adapted milk formulas tailored to medical needs.
  • Early identification of rare and orphan diseases.
  • Ongoing care for children with chronic or complex health conditions.
By combining paediatrics with a personalised approach, Dr. Savin ensures professional support that addresses both the physical health and overall well-being of children, while guiding parents at every stage of their child’s growth.
CameraBook a video appointment
€79
December 1810:55
December 1908:00
December 1909:00
December 1910:00
December 1911:00
More times
0.0(0)
Doctor

Eteri Tabeshadze

Cardiology32 years of experience

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

  • Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
  • Management of arrhythmias and conduction disorders, including paroxysmal events
  • Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
  • Post-thromboembolism care and evaluation of cardiomyopathies
  • Treatment of vegetative dysfunction and autonomic disorders
  • Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)
Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.
CameraBook a video appointment
€50
December 1811:00
December 1812:00
December 1813:00
December 1814:00
December 1815:00
More times
5.0(7)
Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
CameraBook a video appointment
€55
December 1811:00
December 1911:00
December 2211:00
December 2311:00
December 2411:00
More times
0.0(0)
Doctor

Hocine Lokchiri

General medicine20 years of experience

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.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
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:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
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.
CameraBook a video appointment
€58
December 1811:00
December 1811:30
December 1812:30
December 1813:15
December 1814:30
More times
5.0(15)
Doctor

Giorgi Eremeishvili

Urology21 years of experience

Giorgi Eremeishvili is a top-category urologist, a Candidate of Medical Sciences, and a licensed physician in Spain. He provides expert assistance in the diagnosis and treatment of a wide range of urological conditions in both men and women, employing a comprehensive approach and evidence-based principles.

Key areas of expertise:

  • Erectile dysfunction, decreased libido, premature ejaculation.
  • Male infertility: comprehensive diagnosis and modern treatment methods.
  • Prostate gland diseases: acute and chronic prostatitis, prostatic adenoma (benign prostatic hyperplasia), prostate cancer.
  • Inflammatory diseases of the genitourinary system: acute and chronic cystitis, pyelonephritis, epididymitis, orchitis, urethritis.
  • Sexually transmitted infections (STIs): chlamydia, ureaplasmosis, mycoplasmosis, gardnerellosis, candidiasis, herpetic infections, HPV, CMV, trichomoniasis, and others.
  • Urination disorders: urinary retention, frequent urination, urinary incontinence, overactive bladder, neurogenic bladder.
  • Neoplasms: cysts, tumors of the kidneys, bladder, testicles, prostate gland (including prostate cancer).
  • Surgical interventions: determining indications and selecting optimal minimally invasive methods.

Dr. Eremeishvili applies an integrated approach to each case. This includes thorough preoperative preparation, postoperative observation, and regular dynamic follow-up during the treatment process to achieve the best possible outcomes. All diagnostic and therapeutic recommendations are based on current evidence-based medicine and comply with the recommendations of the European Association of Urology, guaranteeing high-quality and effective care.

If you are seeking qualified assistance in diagnosing or treating urological conditions, book an online consultation with Dr. Giorgi Eremeishvili. Get expert support, accurate diagnosis, and a personalized treatment plan from the comfort of your home.

CameraBook a video appointment
€60
December 1812:00
December 1812:40
December 1912:40
December 2012:00
December 2012:40
More times
0.0(0)
Doctor

Nataliia Lifantieva

Cardiology21 years of experience

Dr. Nataliia Lifantieva is a cardiologist and cardiac electrophysiologist with extensive experience in the diagnosis and treatment of arrhythmias. She offers online consultations for patients with chronic cardiovascular conditions, including medication management and post-operative follow-up.

Main areas of expertise:

  • Diagnosis and treatment of arrhythmias: extrasystole, atrial fibrillation and flutter, supraventricular and ventricular tachycardia
  • Conduction disorders: AV blocks, sinoatrial block, bradyarrhythmias
  • ECG and Holter monitor interpretation, including data from smartwatches
  • Evaluation for interventional treatment: stenting, bypass surgery, valve replacement
  • Anticoagulant management (e.g., warfarin, DOACs) based on kidney function and clinical context
  • Perioperative advice on anticoagulant/antiplatelet therapy before dental procedures
CameraBook a video appointment
€85
December 1813:00
December 1813:55
December 1814:50
December 2108:00
December 2108:55
More times
5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

CameraBook a video appointment
€55
December 1814:00
December 1814:40
December 1815:20
December 1816:00
December 1910:00
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe