
Acuclav 375
Macleods Pharmaceuticals Pvt Ltd - 10 S
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Prescription required
Fluticasone (50mcg) + Azelastine (140mcg)
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Nazomac-Af Spray is used for nazomac-AF Nasal Drops is used for sneezing and runny nose due to allergies. It provides relief from moderate to severe persistent symptoms.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Nazomac-Af Spray contains Fluticasone (50mcg) + Azelastine (140mcg). It belongs to the Inhaled bronchodilator / corticosteroid and Antihistamine / leukotriene antagonist class of medicines.
Nazomac-AF Nasal Drops is used for sneezing and runny nose due to allergies. It provides relief from moderate to severe persistent symptoms.
Nazomac-AF Nasal Drops is a combination of two medicines: Fluticasone Propionate and Azelastine, which relieves sneezing and runny nose caused due to allergies (allergic rhinitis). Fluticasone Propionate is a steroid which works by blocking the release of certain chemical messengers that cause inflammation (swelling) and irritation in the nose. Azelastine is an antiallergic which relieves allergy symptoms like runny nose, watery eyes and sneezing.
Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Tilt your head as far back as possible and hold the dropper close to the nose without touching it. Gently squeeze the dropper and place the medicine in the nose. Bend your head forward for a few minutes.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Apply it as soon as you remember. If it is nearly time for the next application, skip the missed one — applying extra does not make up for it.
An overdose of this medicine can cause a racing heart, marked tremor, headache and a fall in blood potassium. It can cause severe drowsiness, a fast heartbeat, confusion and, in children, agitation and fits. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Nazomac-Af are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Nazomac-AF Nasal Drops may be unsafe to use during pregnancy.<br>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor. |
|---|---|
| Breastfeeding | Nazomac-AF Nasal Drops is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby. |
| Alcohol | No interaction found/established |
| Driving | May cause drowsiness or affect your concentration. Do not drive until you know how it affects you. |
| Kidney | No interaction found/established |
| Liver | No interaction found/established |
| Habit forming | No |
Know which of your inhalers is the reliever and which is the preventer. A preventer must be used every day even when you feel well; a reliever is for symptoms. Seek emergency care if your reliever is not working, if you cannot speak a full sentence, or if you are using the reliever far more often than usual. Rinse your mouth with water and spit it out after every steroid inhaler dose to prevent thrush and hoarseness. Ask your doctor or pharmacist to watch your technique — poor technique is the commonest reason an inhaler seems not to work. Use a spacer if one has been advised, particularly for children. Older antihistamines cause marked drowsiness — do not drive or operate machinery until you know how this affects you. Tell your doctor promptly about any change in mood, sleep, agitation or unusual thoughts while taking montelukast; this is uncommon but recognised. This relieves the symptoms of an allergy; it does not treat the cause, and it is not a treatment for an acute asthma attack. Seek emergency care for swelling of the lips, tongue or throat, or difficulty breathing.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to the propellant used in the inhaler. The sedating antihistamines are not suitable for very young children, or for people with glaucoma or an enlarged prostate, without medical advice.
Beta blockers, including eye drops for glaucoma, can tighten the airways and reduce the effect of your reliever. Alcohol, sleeping tablets and other sedating medicines add to the drowsiness. Tell your doctor about all cold and cough preparations — many already contain an antihistamine.
Store below 30°C, away from direct sunlight and heat. Keep out of the reach of children.
Keep a spare reliever and check the counter so you are not caught with an empty one. Follow your written asthma action plan if you have one. Do not stop a preventer because you feel better — that is the medicine working. Taking it at bedtime reduces the impact of any drowsiness. Identify and avoid your triggers where you can — dust, pollen, cold air.
Medicines with the same active ingredient (Fluticasone (50mcg) + Azelastine (140mcg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Nazomac-Af Spray |
|---|---|---|---|
| Rhinoprl Nasal SprayPRISTINE PEARL PHARMA | spray · 1`S | ₹473 | 33% more |

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The information on Nazomac-Af Spray is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.