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What Are Azelastine Eye Drops and How Do They Help?
If your eyes turn red, itchy, and watery every time pollen season arrives — or whenever you're around cats, dust, or other allergens — you'll know just how disruptive that can be. Optilast Eye Drops (8ml) contain azelastine eye drops in a 0.05% solution, formulated specifically to relieve the symptoms of allergic conjunctivitis. That includes the itching, redness, swelling, and excessive tearing that make allergy season genuinely miserable. Available from our eye care collection, Optilast offers targeted, localised relief directly where you need it most.
Allergic conjunctivitis is one of the most common eye conditions in the UK, frequently occurring alongside hay fever. According to the NHS, hay fever affects around 1 in 5 people in the UK at some point in their lives, and eye symptoms are among the most frequently reported complaints. Optilast is designed to address those symptoms directly, without the drowsiness that oral antihistamines can sometimes cause.
How Do Optilast Eye Drops Work in the Eye?
Azelastine hydrochloride works through two complementary mechanisms, which is part of what makes it effective for allergic eye conditions. When an allergen — pollen, pet dander, dust mites — comes into contact with your eye, your immune system triggers a release of histamine. That histamine binds to receptors in the eye tissue and causes the classic symptoms: itching, redness, and watering.
- H1 receptor antagonism: Azelastine blocks histamine H1 receptors in the conjunctiva, directly interrupting the allergic response.
- Mast cell stabilisation: It also helps stabilise mast cells, reducing the release of further inflammatory mediators like leukotrienes and prostaglandins.
- Anti-inflammatory action: This dual action means it not only relieves existing symptoms but may also help prevent them from worsening during continued allergen exposure.
- Rapid onset: Relief can begin within minutes of instillation, making it practical for use during acute flare-ups.
Who Should Use Optilast Eye Drops?
Optilast is suitable for adults and children aged 4 years and over who experience eye symptoms related to allergic conditions. It's particularly useful if you find that oral antihistamines don't fully control your eye symptoms, or if you'd prefer a targeted treatment that acts locally rather than systemically. If you're managing broader allergy symptoms alongside eye irritation, you might also want to explore our allergy and hay fever collection for complementary options.
Optilast is appropriate for you if you experience:
- Seasonal allergic conjunctivitis triggered by pollen, grass, or tree allergens
- Perennial allergic conjunctivitis caused by year-round allergens such as dust mites or pet dander
- Eye symptoms accompanying hay fever, including itching, redness, and watering
- Mild to moderate allergic eye inflammation without infection
How Do Optilast Eye Drops Compare to Other Allergy Eye Drops?
| Feature | Optilast (Azelastine 0.05%) | Sodium Cromoglicate Eye Drops |
|---|---|---|
| Mechanism | Antihistamine + mast cell stabiliser | Mast cell stabiliser only |
| Onset of action | Within minutes | Several days of regular use |
| Dosing frequency | Twice daily | Four times daily |
| Suitable age | 4 years and over | Generally 6 years and over |
How Should You Store Optilast Eye Drops?
Store Optilast below 25°C, away from direct sunlight and out of reach of children. Once opened, the bottle should be discarded after 4 weeks — even if solution remains — to reduce the risk of contamination and infection. Do not use the drops if the solution appears cloudy or discoloured. These azelastine eye drops come in an 8ml bottle, which is sufficient for a full course of seasonal treatment when used as directed.
This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.
Optilast Eye Drops (8ml) specifications
| Treatment category | Allergic conjunctivitis / Ocular antihistamine |
| Active ingredient | Azelastine hydrochloride 0.05% (0.5 mg/ml) |
| Mechanism of action | H1 antihistamine and mast cell stabiliser |
| Drug class | Antihistamine (ophthalmic) |
| Route of administration | Ophthalmic (instilled into the eye) |
| Preparation | Eye drops, solution |
| Pack size | 8ml |
| Strengths | 0.05% (0.5 mg/ml) |
| UK classification | P (Pharmacy medicine) |
| Suitable for | Adults and children aged 4 years and over |
| Effective for | Seasonal and perennial allergic conjunctivitis |
Specifications of Optilast Eye Drops (8ml)
What Is Optilast and What Is It Used For?
Optilast Eye Drops contain azelastine hydrochloride 0.05%, an antihistamine medicine applied directly to the eye. They are used to treat the symptoms of allergic conjunctivitis — an inflammation of the conjunctiva (the thin membrane covering the white of the eye and inner eyelids) triggered by allergens. Common triggers include grass and tree pollen, house dust mites, mould spores, and animal dander. Symptoms typically include itching, redness, swelling of the eyelids, and a watery or mucous discharge.
Optilast is classified as a Pharmacy (P) medicine in the UK, meaning it can be purchased without a prescription but should be used under the guidance of a pharmacist. It is suitable for seasonal allergic conjunctivitis (occurring during pollen season) and perennial allergic conjunctivitis (occurring year-round). If you're also managing nasal hay fever symptoms, our allergy and hay fever range includes complementary treatments.
What Do You Need to Know Before Using Optilast?
Before using Optilast Eye Drops, it's important to check whether they are appropriate for you. Do not use Optilast if any of the following apply:
- You are allergic to azelastine hydrochloride or any other ingredient in the formulation
- You are pregnant or breastfeeding — consult your GP or pharmacist before use
- Your child is under 4 years of age
- You have an eye infection — Optilast treats allergic, not infective, conjunctivitis
- You are wearing soft contact lenses at the time of instillation (remove lenses first; wait 15 minutes before reinserting)
There are no clinically significant drug interactions known at ophthalmic doses. However, if you are using other eye drops or eye ointments, allow at least 5 minutes between applications. Always tell your pharmacist about all medicines you are currently taking.
- No significant interactions with systemic antihistamines at ophthalmic doses
- Avoid concurrent use with other ophthalmic preparations without pharmacist advice
How Should You Use Optilast Eye Drops?
Using eye drops correctly makes a real difference to how well they work. Follow these steps each time you apply Optilast:
- Wash your hands thoroughly with soap and water before handling the bottle.
- If you wear soft contact lenses, remove them before instilling the drops.
- Tilt your head back slightly and gently pull down your lower eyelid to create a small pocket.
- Hold the bottle above your eye and squeeze one drop into the pocket — avoid touching the dropper tip to your eye, eyelid, or any surface.
- Close your eye gently and press lightly on the inner corner (near the nose) for about one minute to reduce systemic absorption.
- Repeat in the other eye if both are affected.
- Replace the cap immediately after use.
- Wait at least 15 minutes before reinserting soft contact lenses.
| Patient Group | Dose | Frequency |
|---|---|---|
| Adults | 1 drop per affected eye | Twice daily |
| Children (4 years and over) | 1 drop per affected eye | Twice daily |
| Children under 4 years | Not recommended | — |
| Elderly | 1 drop per affected eye | Twice daily (no dose adjustment needed) |
What Are the Possible Side Effects of Optilast Eye Drops?
Like all medicines, Optilast can cause side effects, although not everyone experiences them. Most side effects are mild and occur immediately after instillation.
Common side effects (may affect up to 1 in 10 people):
- Transient stinging or burning sensation in the eye immediately after application
- Bitter or unpleasant taste (due to drainage through the nasolacrimal duct)
- Mild eye irritation
Less common side effects (may affect up to 1 in 100 people):
- Blurred vision immediately after instillation (usually clears within a few minutes)
- Dry eye sensation
- Headache
- Eye discharge or increased lacrimation
Stop using Optilast and seek medical advice if you experience severe eye pain, significant vision changes, or signs of an eye infection such as increased discharge or crusting. These are not typical side effects of Optilast and may indicate a separate condition requiring treatment. You can also explore our broader eye care products if you need additional support.
How Should You Store Optilast Eye Drops?
- Store below 25°C — do not refrigerate or freeze
- Keep the bottle tightly closed when not in use
- Store away from direct sunlight and heat sources
- Keep out of the sight and reach of children
- Discard the bottle 4 weeks after first opening, even if solution remains
- Do not use if the solution appears cloudy, discoloured, or if the bottle seal is broken on arrival
- Do not use after the expiry date printed on the label
References
- https://www.nhs.uk/conditions/conjunctivitis/
- https://www.nhs.uk/conditions/hay-fever/
- https://www.nhs.uk/conditions/allergies/
- https://www.nhs.uk/conditions/antihistamines/
- https://bnf.nice.org.uk/drugs/azelastine-hydrochloride/
Written and reviewed by our qualified team
Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.
Frequently Asked Questions
Where can I buy Optilast Eye Drops online in the UK?
You can buy Optilast Eye Drops (8ml) directly from Cured Pharmacy, a GPhC-registered UK online pharmacy. Simply browse our eye care collection, add the product to your basket, and complete checkout for fast UK delivery. No prescription is required as Optilast is a Pharmacy (P) medicine.
How do azelastine eye drops work in the body?
Azelastine hydrochloride works by blocking histamine H1 receptors in the conjunctiva, which interrupts the allergic response that causes itching, redness, and watering. It also stabilises mast cells, reducing the release of additional inflammatory chemicals like leukotrienes. This dual action means it can both relieve existing symptoms and help prevent them from worsening during continued allergen exposure.
How do I use Optilast Eye Drops step by step?
Wash your hands first, then tilt your head back and gently pull down your lower eyelid to form a small pocket. Squeeze one drop into the pocket without letting the dropper tip touch your eye, then close your eye gently and press lightly on the inner corner for about one minute. Repeat in the other eye if needed, and wait 15 minutes before reinserting soft contact lenses.
What is the correct dose of Optilast Eye Drops for adults?
The recommended dose for adults is one drop into each affected eye, twice daily. You should use the drops consistently throughout the allergy season for best results. Do not exceed the recommended dose unless specifically advised to do so by your doctor.
When is the best time to use Optilast Eye Drops?
There is no strict time requirement, but many people find it helpful to use one dose in the morning and one in the evening to maintain consistent symptom control throughout the day. If you know you'll be exposed to a specific allergen — such as going outdoors during high pollen counts — applying the drops beforehand may help reduce the severity of your reaction. Consistency is key for managing allergic conjunctivitis effectively.
What are the side effects of Optilast Eye Drops and how do I manage them?
The most common side effects are a brief stinging or burning sensation immediately after instillation and a bitter taste caused by drainage through the tear duct — both are usually mild and pass within seconds. Pressing gently on the inner corner of your eye after instillation can help reduce the bitter taste by slowing nasolacrimal drainage. If you experience persistent eye pain, significant vision changes, or worsening redness, stop using the drops and speak to your pharmacist or GP.
Who is eligible to use Optilast Eye Drops?
Optilast is suitable for adults and children aged 4 years and over who have symptoms of allergic conjunctivitis. It is not recommended for children under 4 years of age, and those who are pregnant or breastfeeding should consult a GP or pharmacist before use. People with known hypersensitivity to azelastine hydrochloride or any excipient in the formulation should not use this product.
Can I use Optilast Eye Drops with contact lenses?
You should remove soft contact lenses before applying Optilast Eye Drops, as the preservative benzalkonium chloride in the formulation can be absorbed by soft lens material and may cause irritation. After instilling the drops, wait at least 15 minutes before reinserting your lenses. If you wear hard (rigid gas-permeable) contact lenses, it is still advisable to remove them before use and seek pharmacist advice.
What happens if I miss a dose of Optilast Eye Drops?
If you miss a dose, simply apply it as soon as you remember — unless it is nearly time for your next scheduled dose, in which case skip the missed one and continue as normal. Do not apply two drops at once to make up for a missed dose. Consistent twice-daily use gives the best symptom control, so try to build it into your daily routine.
How long can you use Optilast Eye Drops for?
Optilast can be used throughout the allergy season or for as long as your symptoms persist, typically up to 6 weeks. If your symptoms continue beyond 6 weeks without improvement, or if they worsen at any point, you should seek advice from your GP or pharmacist. The bottle must be discarded 4 weeks after opening regardless of how much solution remains.
Are Optilast Eye Drops suitable for children?
Yes, Optilast Eye Drops are suitable for children aged 4 years and over at the same dose as adults — one drop per affected eye, twice daily. They are not recommended for children under 4 years of age. Always supervise young children during application and consult a pharmacist or GP if you have any concerns about using eye drops in a child.
What are the alternatives to Optilast Eye Drops for allergic conjunctivitis?
Common alternatives include sodium cromoglicate eye drops (a mast cell stabiliser requiring four-times-daily dosing) and ketotifen eye drops (another antihistamine). Oral antihistamines such as cetirizine or loratadine can also help with eye symptoms as part of broader hay fever management — you can explore options in our allergy and hay fever collection. Your pharmacist can help you choose the most appropriate option based on your symptoms and lifestyle.
Can I use Optilast Eye Drops if I am pregnant?
There is limited data on the use of azelastine eye drops during pregnancy, so you should consult your GP or midwife before using Optilast if you are pregnant or planning to become pregnant. The same applies if you are breastfeeding, as it is not known whether azelastine passes into breast milk in clinically significant amounts. Your healthcare provider can help weigh the potential benefits against any risks.
Do Optilast Eye Drops cause drowsiness?
Because Optilast is applied directly to the eye rather than taken orally, systemic absorption is minimal and drowsiness is not a recognised side effect at the recommended ophthalmic dose. This makes it a practical option for people who need to drive or operate machinery during allergy season. However, if you experience any unexpected drowsiness or systemic effects, stop use and speak to your pharmacist.
What are the latest findings on azelastine eye drops for hay fever eyes?
Azelastine hydrochloride has been used clinically for allergic conjunctivitis for several decades and remains a well-established treatment option supported by published clinical evidence. Studies have consistently demonstrated its efficacy in reducing ocular itching, redness, and tearing compared to placebo, with a rapid onset of action. Current clinical guidelines, including those referenced in the BNF, continue to recommend topical antihistamines like azelastine as a first-line option for allergic conjunctivitis.
Description
What Are Azelastine Eye Drops and How Do They Help?
If your eyes turn red, itchy, and watery every time pollen season arrives — or whenever you're around cats, dust, or other allergens — you'll know just how disruptive that can be. Optilast Eye Drops (8ml) contain azelastine eye drops in a 0.05% solution, formulated specifically to relieve the symptoms of allergic conjunctivitis. That includes the itching, redness, swelling, and excessive tearing that make allergy season genuinely miserable. Available from our eye care collection, Optilast offers targeted, localised relief directly where you need it most.
Allergic conjunctivitis is one of the most common eye conditions in the UK, frequently occurring alongside hay fever. According to the NHS, hay fever affects around 1 in 5 people in the UK at some point in their lives, and eye symptoms are among the most frequently reported complaints. Optilast is designed to address those symptoms directly, without the drowsiness that oral antihistamines can sometimes cause.
How Do Optilast Eye Drops Work in the Eye?
Azelastine hydrochloride works through two complementary mechanisms, which is part of what makes it effective for allergic eye conditions. When an allergen — pollen, pet dander, dust mites — comes into contact with your eye, your immune system triggers a release of histamine. That histamine binds to receptors in the eye tissue and causes the classic symptoms: itching, redness, and watering.
- H1 receptor antagonism: Azelastine blocks histamine H1 receptors in the conjunctiva, directly interrupting the allergic response.
- Mast cell stabilisation: It also helps stabilise mast cells, reducing the release of further inflammatory mediators like leukotrienes and prostaglandins.
- Anti-inflammatory action: This dual action means it not only relieves existing symptoms but may also help prevent them from worsening during continued allergen exposure.
- Rapid onset: Relief can begin within minutes of instillation, making it practical for use during acute flare-ups.
Who Should Use Optilast Eye Drops?
Optilast is suitable for adults and children aged 4 years and over who experience eye symptoms related to allergic conditions. It's particularly useful if you find that oral antihistamines don't fully control your eye symptoms, or if you'd prefer a targeted treatment that acts locally rather than systemically. If you're managing broader allergy symptoms alongside eye irritation, you might also want to explore our allergy and hay fever collection for complementary options.
Optilast is appropriate for you if you experience:
- Seasonal allergic conjunctivitis triggered by pollen, grass, or tree allergens
- Perennial allergic conjunctivitis caused by year-round allergens such as dust mites or pet dander
- Eye symptoms accompanying hay fever, including itching, redness, and watering
- Mild to moderate allergic eye inflammation without infection
How Do Optilast Eye Drops Compare to Other Allergy Eye Drops?
| Feature | Optilast (Azelastine 0.05%) | Sodium Cromoglicate Eye Drops |
|---|---|---|
| Mechanism | Antihistamine + mast cell stabiliser | Mast cell stabiliser only |
| Onset of action | Within minutes | Several days of regular use |
| Dosing frequency | Twice daily | Four times daily |
| Suitable age | 4 years and over | Generally 6 years and over |
How Should You Store Optilast Eye Drops?
Store Optilast below 25°C, away from direct sunlight and out of reach of children. Once opened, the bottle should be discarded after 4 weeks — even if solution remains — to reduce the risk of contamination and infection. Do not use the drops if the solution appears cloudy or discoloured. These azelastine eye drops come in an 8ml bottle, which is sufficient for a full course of seasonal treatment when used as directed.
This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.
Optilast Eye Drops (8ml) specifications
| Treatment category | Allergic conjunctivitis / Ocular antihistamine |
| Active ingredient | Azelastine hydrochloride 0.05% (0.5 mg/ml) |
| Mechanism of action | H1 antihistamine and mast cell stabiliser |
| Drug class | Antihistamine (ophthalmic) |
| Route of administration | Ophthalmic (instilled into the eye) |
| Preparation | Eye drops, solution |
| Pack size | 8ml |
| Strengths | 0.05% (0.5 mg/ml) |
| UK classification | P (Pharmacy medicine) |
| Suitable for | Adults and children aged 4 years and over |
| Effective for | Seasonal and perennial allergic conjunctivitis |
Specifications of Optilast Eye Drops (8ml)
What Is Optilast and What Is It Used For?
Optilast Eye Drops contain azelastine hydrochloride 0.05%, an antihistamine medicine applied directly to the eye. They are used to treat the symptoms of allergic conjunctivitis — an inflammation of the conjunctiva (the thin membrane covering the white of the eye and inner eyelids) triggered by allergens. Common triggers include grass and tree pollen, house dust mites, mould spores, and animal dander. Symptoms typically include itching, redness, swelling of the eyelids, and a watery or mucous discharge.
Optilast is classified as a Pharmacy (P) medicine in the UK, meaning it can be purchased without a prescription but should be used under the guidance of a pharmacist. It is suitable for seasonal allergic conjunctivitis (occurring during pollen season) and perennial allergic conjunctivitis (occurring year-round). If you're also managing nasal hay fever symptoms, our allergy and hay fever range includes complementary treatments.
What Do You Need to Know Before Using Optilast?
Before using Optilast Eye Drops, it's important to check whether they are appropriate for you. Do not use Optilast if any of the following apply:
- You are allergic to azelastine hydrochloride or any other ingredient in the formulation
- You are pregnant or breastfeeding — consult your GP or pharmacist before use
- Your child is under 4 years of age
- You have an eye infection — Optilast treats allergic, not infective, conjunctivitis
- You are wearing soft contact lenses at the time of instillation (remove lenses first; wait 15 minutes before reinserting)
There are no clinically significant drug interactions known at ophthalmic doses. However, if you are using other eye drops or eye ointments, allow at least 5 minutes between applications. Always tell your pharmacist about all medicines you are currently taking.
- No significant interactions with systemic antihistamines at ophthalmic doses
- Avoid concurrent use with other ophthalmic preparations without pharmacist advice
How Should You Use Optilast Eye Drops?
Using eye drops correctly makes a real difference to how well they work. Follow these steps each time you apply Optilast:
- Wash your hands thoroughly with soap and water before handling the bottle.
- If you wear soft contact lenses, remove them before instilling the drops.
- Tilt your head back slightly and gently pull down your lower eyelid to create a small pocket.
- Hold the bottle above your eye and squeeze one drop into the pocket — avoid touching the dropper tip to your eye, eyelid, or any surface.
- Close your eye gently and press lightly on the inner corner (near the nose) for about one minute to reduce systemic absorption.
- Repeat in the other eye if both are affected.
- Replace the cap immediately after use.
- Wait at least 15 minutes before reinserting soft contact lenses.
| Patient Group | Dose | Frequency |
|---|---|---|
| Adults | 1 drop per affected eye | Twice daily |
| Children (4 years and over) | 1 drop per affected eye | Twice daily |
| Children under 4 years | Not recommended | — |
| Elderly | 1 drop per affected eye | Twice daily (no dose adjustment needed) |
What Are the Possible Side Effects of Optilast Eye Drops?
Like all medicines, Optilast can cause side effects, although not everyone experiences them. Most side effects are mild and occur immediately after instillation.
Common side effects (may affect up to 1 in 10 people):
- Transient stinging or burning sensation in the eye immediately after application
- Bitter or unpleasant taste (due to drainage through the nasolacrimal duct)
- Mild eye irritation
Less common side effects (may affect up to 1 in 100 people):
- Blurred vision immediately after instillation (usually clears within a few minutes)
- Dry eye sensation
- Headache
- Eye discharge or increased lacrimation
Stop using Optilast and seek medical advice if you experience severe eye pain, significant vision changes, or signs of an eye infection such as increased discharge or crusting. These are not typical side effects of Optilast and may indicate a separate condition requiring treatment. You can also explore our broader eye care products if you need additional support.
How Should You Store Optilast Eye Drops?
- Store below 25°C — do not refrigerate or freeze
- Keep the bottle tightly closed when not in use
- Store away from direct sunlight and heat sources
- Keep out of the sight and reach of children
- Discard the bottle 4 weeks after first opening, even if solution remains
- Do not use if the solution appears cloudy, discoloured, or if the bottle seal is broken on arrival
- Do not use after the expiry date printed on the label
References
- https://www.nhs.uk/conditions/conjunctivitis/
- https://www.nhs.uk/conditions/hay-fever/
- https://www.nhs.uk/conditions/allergies/
- https://www.nhs.uk/conditions/antihistamines/
- https://bnf.nice.org.uk/drugs/azelastine-hydrochloride/
Written and reviewed by our qualified team
Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.
Frequently Asked Questions
Where can I buy Optilast Eye Drops online in the UK?
You can buy Optilast Eye Drops (8ml) directly from Cured Pharmacy, a GPhC-registered UK online pharmacy. Simply browse our eye care collection, add the product to your basket, and complete checkout for fast UK delivery. No prescription is required as Optilast is a Pharmacy (P) medicine.
How do azelastine eye drops work in the body?
Azelastine hydrochloride works by blocking histamine H1 receptors in the conjunctiva, which interrupts the allergic response that causes itching, redness, and watering. It also stabilises mast cells, reducing the release of additional inflammatory chemicals like leukotrienes. This dual action means it can both relieve existing symptoms and help prevent them from worsening during continued allergen exposure.
How do I use Optilast Eye Drops step by step?
Wash your hands first, then tilt your head back and gently pull down your lower eyelid to form a small pocket. Squeeze one drop into the pocket without letting the dropper tip touch your eye, then close your eye gently and press lightly on the inner corner for about one minute. Repeat in the other eye if needed, and wait 15 minutes before reinserting soft contact lenses.
What is the correct dose of Optilast Eye Drops for adults?
The recommended dose for adults is one drop into each affected eye, twice daily. You should use the drops consistently throughout the allergy season for best results. Do not exceed the recommended dose unless specifically advised to do so by your doctor.
When is the best time to use Optilast Eye Drops?
There is no strict time requirement, but many people find it helpful to use one dose in the morning and one in the evening to maintain consistent symptom control throughout the day. If you know you'll be exposed to a specific allergen — such as going outdoors during high pollen counts — applying the drops beforehand may help reduce the severity of your reaction. Consistency is key for managing allergic conjunctivitis effectively.
What are the side effects of Optilast Eye Drops and how do I manage them?
The most common side effects are a brief stinging or burning sensation immediately after instillation and a bitter taste caused by drainage through the tear duct — both are usually mild and pass within seconds. Pressing gently on the inner corner of your eye after instillation can help reduce the bitter taste by slowing nasolacrimal drainage. If you experience persistent eye pain, significant vision changes, or worsening redness, stop using the drops and speak to your pharmacist or GP.
Who is eligible to use Optilast Eye Drops?
Optilast is suitable for adults and children aged 4 years and over who have symptoms of allergic conjunctivitis. It is not recommended for children under 4 years of age, and those who are pregnant or breastfeeding should consult a GP or pharmacist before use. People with known hypersensitivity to azelastine hydrochloride or any excipient in the formulation should not use this product.
Can I use Optilast Eye Drops with contact lenses?
You should remove soft contact lenses before applying Optilast Eye Drops, as the preservative benzalkonium chloride in the formulation can be absorbed by soft lens material and may cause irritation. After instilling the drops, wait at least 15 minutes before reinserting your lenses. If you wear hard (rigid gas-permeable) contact lenses, it is still advisable to remove them before use and seek pharmacist advice.
What happens if I miss a dose of Optilast Eye Drops?
If you miss a dose, simply apply it as soon as you remember — unless it is nearly time for your next scheduled dose, in which case skip the missed one and continue as normal. Do not apply two drops at once to make up for a missed dose. Consistent twice-daily use gives the best symptom control, so try to build it into your daily routine.
How long can you use Optilast Eye Drops for?
Optilast can be used throughout the allergy season or for as long as your symptoms persist, typically up to 6 weeks. If your symptoms continue beyond 6 weeks without improvement, or if they worsen at any point, you should seek advice from your GP or pharmacist. The bottle must be discarded 4 weeks after opening regardless of how much solution remains.
Are Optilast Eye Drops suitable for children?
Yes, Optilast Eye Drops are suitable for children aged 4 years and over at the same dose as adults — one drop per affected eye, twice daily. They are not recommended for children under 4 years of age. Always supervise young children during application and consult a pharmacist or GP if you have any concerns about using eye drops in a child.
What are the alternatives to Optilast Eye Drops for allergic conjunctivitis?
Common alternatives include sodium cromoglicate eye drops (a mast cell stabiliser requiring four-times-daily dosing) and ketotifen eye drops (another antihistamine). Oral antihistamines such as cetirizine or loratadine can also help with eye symptoms as part of broader hay fever management — you can explore options in our allergy and hay fever collection. Your pharmacist can help you choose the most appropriate option based on your symptoms and lifestyle.
Can I use Optilast Eye Drops if I am pregnant?
There is limited data on the use of azelastine eye drops during pregnancy, so you should consult your GP or midwife before using Optilast if you are pregnant or planning to become pregnant. The same applies if you are breastfeeding, as it is not known whether azelastine passes into breast milk in clinically significant amounts. Your healthcare provider can help weigh the potential benefits against any risks.
Do Optilast Eye Drops cause drowsiness?
Because Optilast is applied directly to the eye rather than taken orally, systemic absorption is minimal and drowsiness is not a recognised side effect at the recommended ophthalmic dose. This makes it a practical option for people who need to drive or operate machinery during allergy season. However, if you experience any unexpected drowsiness or systemic effects, stop use and speak to your pharmacist.
What are the latest findings on azelastine eye drops for hay fever eyes?
Azelastine hydrochloride has been used clinically for allergic conjunctivitis for several decades and remains a well-established treatment option supported by published clinical evidence. Studies have consistently demonstrated its efficacy in reducing ocular itching, redness, and tearing compared to placebo, with a rapid onset of action. Current clinical guidelines, including those referenced in the BNF, continue to recommend topical antihistamines like azelastine as a first-line option for allergic conjunctivitis.













