Astepro Allergy is the first and only 24 hour, steroid-free nasal spray for allergy relief. While steroid allergy 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 nasal 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 has flexible dosing, so it can be used either once or twice daily for allergy relief . This nasal spray is steroid-free, alcohol-free and fragrance-free. One nasal spray contains 205.5 mcg of azelastine HCl. This pack contains Astepro Allergy antihistamine nasal spray powerful steroid-free allergy relief.