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‑receptor antagonist presented as an oral tablet for oral use. It is indicated for the relief of symptoms associated with allergic rhinitis and chronic urticaria in adults and adolescents.

GNH India supplies Kestine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Almirall, S.A.

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Indications & Clinical Uses

Ebastine is used to manage allergic conditions by blocking peripheral H1 receptors.

  • Allergic rhinitis: reduces nasal congestion, sneezing, itching and watery discharge.
  • Chronic urticaria: alleviates hives and associated itching.
  • Histamine‑mediated allergic symptoms: provides overall symptomatic relief of itching and swelling.

How It Works

  • Ebastine selectively binds to peripheral H1 histamine receptors, preventing histamine from triggering the cascade that leads to vasodilation, increased vascular permeability, and sensory nerve activation. By blocking this receptor, it reduces the classic signs of an allergic response without readily crossing the blood‑brain barrier, thereby limiting central sedation.

Side Effects

Ebastine may cause adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Headache
  • Dry mouth
  • Drowsiness
  • Fatigue
  • Gastro‑intestinal discomfort
  • Dizziness

Serious or Rare Side Effects

  • Cardiac arrhythmia
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Anaphylaxis
  • Hepatic injury
  • Blood dyscrasias

Precautions & Warnings

Before prescribing ebastine, consider the following safety measures.

  • Pregnancy: safety not established; use only if clearly needed.
  • Breastfeeding: unknown excretion; weigh benefits against potential risks.
  • Elderly: monitor for increased sedation or dizziness.
  • Concomitant CYP3A4 inhibitors: may raise plasma levels; adjust therapy as needed.
  • Renal or hepatic impairment: dose adjustment may be required.
  • Store at ambient temperature: keep below 25°C in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ebastine can interact with other medicines; awareness of interaction severity helps guide therapy.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may increase ebastine concentrations.
  • Co‑administration with other H1 antagonists: can lead to additive sedation.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin): may reduce ebastine effectiveness.
  • Alcohol: may enhance drowsiness.
  • Theophylline: may increase plasma levels of ebastine.

Frequently Asked Questions

Kestine contains ebastine, which is prescribed for allergic rhinitis and chronic urticaria. By blocking peripheral H1 receptors, it helps relieve nasal congestion, sneezing, itching, and hives associated with these allergic disorders.

Ebastine is a selective peripheral H1‑receptor antagonist. It binds to H1 receptors on mast cells and other tissues, preventing histamine from activating the cascade that causes vasodilation, increased permeability, and nerve irritation, thereby reducing typical allergy symptoms.

The dose of Kestine is determined by the prescribing clinician based on the patient’s age, severity of symptoms, and any relevant medical conditions. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety data for ebastine in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision should be made in consultation with a healthcare professional.

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

Compared with first‑generation antihistamines, ebastine (Kestine) offers similar efficacy for allergic symptoms but with a lower risk of sedation because it does not readily cross the blood‑brain barrier. It is also more selective than some second‑generation agents, reducing off‑target effects.

Kestine should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original blister pack, protect them from moisture and direct sunlight, and keep out of reach of children.

Kestine is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the specific instructions provided by their prescriber to ensure optimal absorption.

Serious but rare risks include cardiac arrhythmias, severe skin reactions such as Stevens‑Johnson syndrome, anaphylaxis, and hepatic 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 excipients. Caution is also advised for patients with severe hepatic impairment, uncontrolled cardiac disease, or those taking strong CYP3A4 inhibitors without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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