Astepro Allergy is the first and only 24 hour, steroid-free nasal spray for allergy relief. While steroid allergy nasal sprays may take hours to start working on the first day, Astepro, full-prescription strength allergy medicine, starts working in 30 minutes. This steroid-free allergy nose spray provides long-lasting allergy relief of indoor and outdoor nasal allergy symptoms; nasal congestion, runny nose, sneezing, and itchy nose for up to 24 hours. Astepro allergy is available at its full prescription strength. Astepro allergy has flexible dosing, so it can be used either once or twice daily for allergy relief . This nasal decongestant spray is steroid-free, alcohol-free and fragrance-free. One spray contains 205.5 mcg of azelastine HCl. This pack contains Astepro Allergy antihistamine nasal spray powerful steroid-free allergy relief, along with a single pack of tissues.