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The following numbers do not provide medical advice, but in the US you may report side effects to the Food and Drug Administration FDA at 1-800-FDA-1088. 27, 2009 Each WisdomCard is handcrafted by our team of physician-guided health advocates. Two-week studies comparing the efficacy and safety of Astelin Nasal Spray two sprays per nostril twice daily versus one spray per nostril twice daily were not conducted. Do not use it in larger doses or for longer than recommended by your doctor. Do not start using new medication without telling your astelin intiasta doctor.