Product image of Kestine (Ebastine) supplied by GNH India

Kestine

Active Ingredient:
Ebastine
Origin:
EU

Kestine (Ebastine)

Ebastine, the active ingredient in Kestine, is a second‑generation H1 antihistamine presented as a unknown strength/unknown form for oral use. It treats allergic rhinitis and chronic idiopathic urticaria in adults and adolescents, providing relief from nasal congestion, sneezing, itching and hives.

GNH India supplies Kestine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and other healthcare institutions worldwide, ensuring quality and regulatory compliance across all markets.

Manufacturer / TM Owner

Almirall, S.A.

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Indications & Clinical Uses

  • Kestine (ebastine) is used to manage allergic conditions that involve histamine‑mediated responses.
  • Allergic rhinitis: reduces nasal congestion, sneezing, itching and rhinorrhea.
  • Seasonal allergic rhinitis (hay fever): alleviates symptoms triggered by seasonal allergens.
  • Chronic idiopathic urticaria: decreases the frequency and severity of hives and associated itching.

How It Works

  • Ebastine selectively blocks peripheral H1 receptors, preventing histamine from binding and activating the cascade that leads to vasodilation, increased vascular permeability, and sensory nerve stimulation. By inhibiting this pathway, it reduces the typical signs of allergic inflammation without significant central nervous system penetration, resulting in effective symptom control with minimal sedation.

Side Effects

Common Side Effects

  • Headache: mild to moderate intensity.
  • Dry mouth: transient sensation of oral dryness.
  • Drowsiness: occasional mild sedation.
  • Fatigue: feeling of reduced energy.
  • Nausea: occasional upset stomach.

Serious or Rare Side Effects

  • Cardiac arrhythmia: irregular heart rhythm, requires medical attention.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Anaphylaxis: rapid onset of systemic allergic reaction.
  • Hepatotoxicity: signs of liver injury, e.g., jaundice or elevated enzymes.
  • Hematologic abnormalities: rare blood cell count changes.

Precautions & Warnings

  • Before initiating therapy, consider the following precautions.
  • Pregnancy: Category B; use only if clearly needed after risk‑benefit assessment.
  • Breastfeeding: Caution; monitor infant for possible effects.
  • Elderly: May require dose adjustment due to altered pharmacokinetics.
  • Renal or hepatic impairment: Use with caution; monitor clinical response.
  • Drug interactions: Review concomitant medications for potential interactions.
  • Store at ambient temperature: keep below 25°C, retain in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ebastine may interact with several medicines; monitor accordingly.

Major Interactions (Avoid)

  • Ketoconazole: can markedly increase ebastine plasma concentrations.
  • Ritonavir: potent CYP3A4 inhibitor that raises ebastine levels.
  • Cimetidine: may elevate ebastine exposure.

Moderate Interactions (Monitor Closely)

  • Other azole antifungals (e.g., itraconazole): may increase levels modestly.
  • Macrolide antibiotics (e.g., erythromycin): may require observation for enhanced effects.

Frequently Asked Questions

Kestine contains ebastine, a second‑generation H1 antihistamine indicated for the relief of symptoms associated with allergic rhinitis, including seasonal hay fever, and for the management of chronic idiopathic urticaria, helping to reduce sneezing, itching, nasal congestion and hives.

Ebastine acts as a selective peripheral H1‑receptor antagonist. By binding to H1 receptors on mast cells and other tissues, it blocks histamine from triggering the inflammatory cascade that causes vasodilation, increased permeability, and sensory nerve activation, thereby mitigating allergic symptoms.

The appropriate dose of Kestine is determined by the prescribing healthcare professional based on the patient’s age, weight, renal and hepatic function, and the severity of the allergic condition. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Ebastine is classified as Pregnancy Category B, indicating that animal studies have not shown risk to the fetus, but there are no adequate human studies. It may be used during pregnancy only if the potential benefit justifies the potential risk. Caution is advised while breastfeeding; the infant should be monitored for any adverse effects.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Kestine. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with first‑generation antihistamines, ebastine (Kestine) offers effective relief of allergic symptoms with a lower risk of sedation because it does not readily cross the blood‑brain barrier. It is similar in efficacy to other second‑generation agents such as cetirizine or loratadine, but individual response and tolerability may vary.

Kestine should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture, excessive heat and direct sunlight to maintain stability and potency throughout its shelf life.

Kestine is taken orally, usually with a glass of water. The tablet (or capsule) should be swallowed whole and not chewed or crushed, unless the prescriber provides specific instructions for a particular patient population.

While generally well tolerated, serious adverse events can include cardiac arrhythmias, severe skin reactions such as Stevens‑Johnson syndrome, anaphylactic reactions, and rare cases of liver injury. Patients should seek immediate medical attention if they experience symptoms like rash, difficulty breathing, chest pain, or jaundice.

Kestine is contraindicated in individuals with known hypersensitivity to ebastine or any of the tablet’s excipients. It should also be avoided in patients with a history of severe cardiac arrhythmias or severe hepatic impairment unless specifically directed by a qualified healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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