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 a corticosteroid presented as a nasal spray for nasal administration. They are used to relieve symptoms of allergic rhinitis, including seasonal and perennial forms, in patients as directed by a healthcare professional. The product is approved in the European Union and is available by prescription only.

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

Manufacturer / TM Owner

Substipharm

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Indications & Clinical Uses

  • Motesin combines an antihistamine and a corticosteroid to treat nasal allergy pathways.
  • Allergic rhinitis: alleviates nasal congestion, sneezing, itching and watery discharge, improving overall nasal comfort.
  • Seasonal allergic rhinitis: mitigates symptoms caused by pollen or other seasonal allergens, reducing the impact on daily activities.
  • Perennial allergic rhinitis: controls year‑round nasal allergy symptoms, helping maintain normal breathing and sleep quality.
  • Nasal symptoms associated with allergic rhinitis: reduces inflammation and histamine response in the nasal mucosa, providing broader symptom relief.

How It Works

  • Azelastine hydrochloride acts as a selective H1‑receptor antagonist, blocking histamine binding and preventing the cascade that leads to itching, sneezing and vasodilation. Fluticasone propionate is a potent synthetic glucocorticoid that binds intracellular glucocorticoid receptors, modulating gene transcription to suppress production of inflammatory cytokines, chemokines and adhesion molecules in the nasal mucosa, thereby reducing edema and mucus formation.

Side Effects

Motesin may cause local and systemic adverse reactions, most of which are mild and transient.

Common Side Effects

  • Nasal irritation or burning sensation
  • Bitter or unpleasant taste
  • Headache
  • Mild nosebleeds (epistaxis)
  • Throat irritation or dryness
  • Cough

Serious or Rare Side Effects

  • Severe or prolonged nosebleeds
  • Allergic reactions including anaphylaxis
  • Adrenal suppression with prolonged use
  • Vision changes such as cataracts or glaucoma
  • Fungal infection of the nasal passages
  • Growth suppression in children (rare)

Precautions & Warnings

  • Before using Motesin, consider the following safety measures.
  • Hypersensitivity: avoid use in patients with known allergy to azelastine, fluticasone or excipients.
  • Nasal surgery or trauma: postpone use until healing is complete.
  • Pregnancy and lactation: consult a healthcare provider before use.
  • Pediatric use: use only under medical supervision, monitor growth.
  • Concomitant immunosuppressants: assess risk of local infection.
  • Store at room temperature: keep below 25°C, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors: may increase systemic exposure to fluticasone.
  • Live vaccines: systemic corticosteroid effect may reduce vaccine efficacy.

Moderate Interactions (Monitor Closely)

  • Antihistamines: monitor for increased nasal dryness or irritation.
  • Oral corticosteroids: cumulative glucocorticoid effect may raise risk of systemic side effects.
  • Nasal decongestants: may increase local irritation when used together.

Frequently Asked Questions

Motesin is a prescription nasal spray that combines azelastine hydrochloride and fluticasone propionate to treat allergic rhinitis. It helps relieve nasal congestion, sneezing, itching and runny nose caused by seasonal or perennial allergens, improving breathing and overall comfort.

Azelastine hydrochloride is an H1‑receptor antagonist. By blocking histamine from binding to H1 receptors in the nasal mucosa, it prevents the cascade that leads to itching, sneezing, and vasodilation, thereby reducing the immediate allergic response.

Fluticasone propionate is a synthetic glucocorticoid. It penetrates nasal cells, binds to intracellular glucocorticoid receptors, and alters gene transcription to suppress the production of inflammatory cytokines, chemokines and adhesion molecules, reducing swelling and mucus formation.

The dosing regimen for Motesin is determined by the prescribing healthcare professional based on the patient’s age, severity of symptoms and clinical response. Patients should follow the specific instructions provided on the prescription label.

Safety in pregnancy and lactation has not been fully established. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss potential risks and benefits with their healthcare provider before using Motesin.

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

Motesin combines an antihistamine (azelastine) and a corticosteroid (fluticasone) in a single spray, offering both rapid symptom relief and anti‑inflammatory action. Single‑component sprays may provide either antihistamine or steroid effects alone, often requiring separate products for comparable control of allergic rhinitis.

Motesin should be stored at room temperature, below 25 °C. Keep the bottle in its original packaging, protect it from moisture and direct sunlight, and ensure the cap is tightly closed to maintain product stability.

Motesin is administered as a nasal spray. The recommended technique is to gently blow the nose, tilt the head slightly forward, insert the nozzle into one nostril while closing the other, and spray the prescribed number of sprays. The process is then repeated in the opposite nostril.

Serious risks include severe nosebleeds, allergic reactions such as anaphylaxis, adrenal suppression with prolonged use, vision changes (cataracts or glaucoma), and, in rare cases, growth suppression in children. Patients should seek immediate medical attention if they experience any of these events.

Motesin should not be used by individuals with a known hypersensitivity to azelastine, fluticasone, or any of the formulation excipients. It is also contraindicated in patients with recent nasal surgery or trauma until proper healing has occurred.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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