Product image of Motesin (Azelastine Hydrochloride, Fluticasone Propionate) supplied by GNH India

Motesin

Active Ingredient:
Azelastine Hydrochloride, Fluticasone Propionate
Origin:
EU

Motesin (Azelastine Hydrochloride, Fluticasone Propionate)

Azelastine hydrochloride and fluticasone propionate, the active ingredients in Motesin, are an antihistamine and corticosteroid presented as a nasal spray for nasal use. They treat allergic rhinitis, including seasonal and perennial forms, by reducing histamine‑mediated symptoms and nasal inflammation.

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

Manufacturer / TM Owner

Substipharm

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Indications & Clinical Uses

  • Motesin combines an antihistamine and a corticosteroid to address conditions within the allergic rhinitis disease family.
  • Allergic rhinitis: reduces nasal congestion, itching, sneezing and rhinorrhea.
  • Seasonal allergic rhinitis: provides relief of symptoms triggered by pollen or other seasonal allergens.
  • Perennial allergic rhinitis: controls year‑round nasal inflammation and symptom recurrence.

How It Works

  • Azelastine hydrochloride selectively blocks H1 histamine receptors, preventing histamine‑induced vasodilation and sensory nerve activation in the nasal mucosa. Fluticasone propionate binds glucocorticoid receptors, modulating gene transcription to suppress pro‑inflammatory cytokine production, thereby reducing edema, mucus secretion, and cellular infiltration in the nasal passages.

Side Effects

Common Side Effects

  • Nasal irritation or burning sensation
  • Headache
  • Bitter or unpleasant taste
  • Epistaxis (nosebleeds)
  • Throat irritation
  • Cough

Serious or Rare Side Effects

  • Nasal septal perforation
  • Severe allergic reaction (anaphylaxis)
  • Vision changes or cataract formation
  • Adrenal suppression with prolonged use
  • Fungal infection of the nasal passages
  • Increased intraocular pressure or glaucoma

Precautions & Warnings

Before using Motesin, consider the following precautions.

  • Hypersensitivity: avoid if the patient has known allergy to azelastine, fluticasone, or any excipients.
  • Recent nasal surgery or trauma: use with caution and under medical supervision.
  • Nasal bleeding: monitor for persistent epistaxis and seek evaluation if it occurs.
  • Pediatric use: restrict to age groups recommended by the prescriber.
  • Systemic corticosteroid exposure: assess total steroid load if used with other steroid products.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Motesin may interact with other medicines; review the following categories.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole) that may raise fluticasone systemic levels.
  • Concurrent intranasal corticosteroids, increasing risk of systemic glucocorticoid effects.
  • MAO inhibitors combined with azelastine, potentially enhancing antihistaminic effects.

Moderate Interactions (Monitor Closely):\n- Ritonavir or other potent CYP3A4 modulators, requiring clinical observation.

  • Oral corticosteroids, which may add to overall steroid exposure.
  • Other nasal decongestants, which can predispose to rebound congestion if used together.

Frequently Asked Questions

Motesin is a nasal spray that combines azelastine hydrochloride, an antihistamine, with fluticasone propionate, a corticosteroid. It is prescribed to relieve symptoms of allergic rhinitis, including nasal congestion, itching, sneezing, and runny nose caused by seasonal or perennial allergens.

Azelastine hydrochloride blocks H1 histamine receptors in the nasal mucosa, preventing histamine from triggering the typical allergic responses such as itching, swelling, and increased mucus production. This action reduces the immediate symptoms of an allergic reaction.

The prescribed dose of Motesin is determined by the treating clinician based on the patient’s age, severity of symptoms, and overall health. The prescriber will provide specific instructions on the number of sprays per nostril and the frequency of administration.

Safety data for Motesin in pregnancy and lactation are limited. Healthcare providers usually weigh the potential benefits against any possible risks before prescribing it to pregnant or nursing individuals. Patients should discuss their situation with a qualified medical professional.

To request Motesin, 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 necessary import documentation.

Motesin offers a dual mechanism by pairing an antihistamine (azelastine) with a corticosteroid (fluticasone), providing both rapid symptom relief and longer‑term anti‑inflammatory control. Single‑agent sprays may contain only one of these actions, potentially requiring additional medication for complete symptom management.

Motesin should be stored at room temperature, away from excessive heat and moisture. Keep the spray in its original container, protect it from direct sunlight, and ensure the cap is tightly closed when not in use to maintain product stability.

Motesin is administered as a nasal spray. The patient gently shakes the bottle, primes it if required, tilts the head slightly forward, inserts the nozzle into one nostril, and sprays the prescribed number of actuations while breathing in gently. The process is then repeated for the other nostril if directed.

Serious risks, although uncommon, include nasal septal perforation, severe allergic reactions such as anaphylaxis, vision changes or increased intraocular pressure, and systemic effects from prolonged corticosteroid exposure like adrenal suppression. Any of these signs should prompt immediate medical evaluation.

Motesin should not be used by individuals with a known hypersensitivity to azelastine, fluticasone, or any of the formulation’s excipients. It is also contraindicated in patients who have had recent nasal surgery or trauma unless specifically advised by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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