Stay up to date with notifications from The Independent

Notifications can be managed in browser preferences.

New study finds over-the-counter treatment could help prevent COVID

A nasal spray antihistamine was found to reduce rates of illness in a midstage trial

Nancy Lapid
Wednesday 10 September 2025 15:40 BST
Comments
Azelastine Nasal Spray Emerges As Potential Covid Prevention Tool

An over-the-counter nasal spray has been found to reduce rates of COVID-19 infections and common colds in a midstage trial.

In the study conducted by German researchers and published in JAMA Internal Medicine, 450 volunteers used either an azelastine nasal spray, typically used to ease allergy symptoms, or a placebo spray three times a day for 56 days.

During that time, COVID infections were confirmed in 2.2 per cent of the participants in the azelastine group and 6.7 per cent of those in the placebo group.

The azelastine group had fewer symptomatic COVID-19 infections
The azelastine group had fewer symptomatic COVID-19 infections (Getty/iStock)

The azelastine group also had fewer symptomatic COVID-19 infections, fewer confirmed respiratory infections, and fewer infections with rhinoviruses, the most common cold-causing germs.

In the treatment group, 1.8 per cent developed a rhinovirus infection, compared to 6.3 per cent in the placebo group, the researchers found.

If further research confirms these findings, “azelastine nasal spray could provide an additional easily accessible prophylactic to complement existing protective measures, especially for vulnerable groups, during periods of high infection rates, or before travelling,” study leader Professor Robert Bals of Saarland University Medical Centre said.

Join our commenting forum

Join thought-provoking conversations, follow other Independent readers and see their replies

Comments

Thank you for registering

Please refresh the page or navigate to another page on the site to be automatically logged inPlease refresh your browser to be logged in