Product image of Kestine Smelt 20 (Ebastine) supplied by GNH India

Kestine Smelt 20

Active Ingredient:
Ebastine
Origin:
EU

Kestine Smelt 20 (Ebastine)

Ebastine, the active ingredient in Kestine Smelt 20, is a second‑generation antihistamine presented as a 20 mg tablet for oral use. It works by selectively blocking peripheral H1‑receptors, reducing histamine‑mediated allergic symptoms, and is indicated for the relief of allergic rhinitis and chronic idiopathic urticaria in adults and adolescents.

GNH India supplies Kestine Smelt 20 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU quality standards and providing reliable global distribution.

Manufacturer / TM Owner

Almirall, S.A.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Ebastine, a second‑generation antihistamine, blocks peripheral H1‑receptors to alleviate allergic conditions.

  • Allergic rhinitis: reduces nasal congestion, sneezing, itching and watery discharge.
  • Chronic idiopathic urticaria: decreases frequency and severity of hives and itching.
  • Seasonal allergic rhinitis: provides symptom control during pollen exposure.

How It Works

  • Ebastine selectively antagonizes peripheral H1‑histamine receptors without significant central nervous system penetration. By preventing histamine from binding to these receptors, it inhibits the cascade that leads to vasodilation, increased vascular permeability, and sensory nerve stimulation, thereby reducing the classic signs of allergic inflammation such as itching, swelling, and rhinorrhea. Its high affinity and long plasma half‑life allow once‑daily dosing.

Side Effects

Ebastine is generally well tolerated, but several adverse reactions have been reported.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Dry mouth: transient sensation of oral dryness.
  • Drowsiness: occasional mild sedation.
  • Gastrointestinal discomfort: nausea or abdominal pain.

Serious or Rare Side Effects

  • Angioedema: swelling of face, lips or tongue requiring urgent care.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Hepatic dysfunction: abnormal liver enzymes or hepatitis.

Precautions & Warnings

When using Kestine Smelt 20, consider the following precautions.

  • Pregnancy: safety not established; use only if benefits outweigh risks.
  • Breastfeeding: avoid unless physician advises; ebastine may pass into milk.
  • Renal impairment: dose adjustment may be required in severe cases.
  • Elderly patients: monitor for increased sedation or dizziness.
  • Drug interactions: avoid concomitant strong CYP3A4 inhibitors.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging and protect from moisture.

Avoid Interactions

Potential drug interactions with ebastine should be reviewed before therapy.

Major Interactions (Avoid)

  • Ketoconazole: potent CYP3A4 inhibitor that can raise ebastine plasma levels.
  • Erythromycin: macrolide antibiotic that may increase ebastine exposure.
  • Ritonavir: strong CYP3A4 inhibitor leading to elevated ebastine concentrations.

Moderate Interactions (Monitor Closely)

  • Theophylline: may reduce antihistaminic effect of ebastine.
  • Antihypertensive agents: additive sedative effects may occur.
  • Alcohol: can enhance drowsiness.

Frequently Asked Questions

Kestine Smelt 20 contains ebastine, a second‑generation antihistamine indicated for the relief of symptoms associated with allergic rhinitis, including seasonal and perennial forms, as well as chronic idiopathic urticaria. It helps reduce nasal congestion, sneezing, itching, and the frequency of hives in adults and adolescents.

Ebastine works by selectively blocking peripheral H1‑histamine receptors, preventing histamine from binding and triggering the inflammatory cascade that causes vasodilation, increased vascular permeability, and nerve stimulation. This inhibition reduces the classic signs of allergic reactions such as itching, swelling, and rhinorrhea while sparing central nervous system activity.

The prescribed dose of Kestine Smelt 20 is determined by a qualified healthcare professional based on the patient’s condition, age, and renal function. In many adult cases, a single 20 mg tablet taken once daily provides effective symptom control, but the exact regimen should always follow the prescriber’s instructions.

Safety data for ebastine during pregnancy and lactation are limited. It should only be used if the potential benefit justifies the possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the use of Kestine Smelt 20 with their healthcare provider.

To order Kestine Smelt 20, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials, then respond with pricing, availability, shipping details and any required import documentation.

Compared with first‑generation antihistamines, ebastine offers potent H1‑receptor blockade with minimal sedation and anticholinergic effects because it does not readily cross the blood‑brain barrier. Its long half‑life permits once‑daily dosing, whereas many older antihistamines require multiple daily doses and are associated with higher rates of drowsiness.

Kestine Smelt 20 tablets should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep the product in its original blister pack or container, protect it from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

Kestine Smelt 20 is taken orally. Swallow the 20 mg tablet whole with a glass of water, preferably at the same time each day. It may be taken with or without food, but consistent administration helps maintain steady plasma concentrations.

While rare, serious adverse reactions to ebastine include angioedema (rapid swelling of the face, lips or tongue), severe skin reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis, and hepatic dysfunction indicated by abnormal liver enzymes. Immediate medical attention is required if any of these symptoms develop.

Kestine Smelt 20 should be avoided by individuals with known hypersensitivity to ebastine or any excipients in the tablet. Patients with severe hepatic impairment, uncontrolled asthma, or those taking strong CYP3A4 inhibitors should consult a physician before use. Children below the approved age limit should not be given this medication.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.