neobookRx
DrugsLevel 4 LocalisationS2TABEML

Ebastine

Histamine receptor antagonistAntihistamine

Indications

Registered South African indications:

  • Allergic rhinitis
  • Idiopathic chronic urticaria

Cautions

Contraindications

  • Hypersensitivity to the active ingredient or any of its excipients
  • Pregnancy
  • Breastfeeding

Cautions

  • Long QT syndrome
  • Hypokalaemia
  • May impair ability to drive and operate machinery

Adult dosage

Forms avail. in SA and covered in this monograph: tab

Allergic rhinitis
Urticaria

  • Oral (tab): 10mg, dly

Paediatric dosage

Paed. forms avail. in SA and covered in this monograph: tab

Allergic rhinitis
Urticaria

 Younger than 12 years

  • Not established for use

Older than 12 years 

  • See adult dosage

Special populations

Pregnancy

  • Contraindicated
  • The safety of ebastine in pregnancy has not been established

Breastfeeding

  • Contraindicated 
  • The safety of ebastine in breastfeeding has not been established

Renal Impairment

Hepatic Impairment

Elderly

Porphyria Information

Drugs in Sport

  • Permitted - No warnings

Adverse reactions

Central Nervous System Disorders

  • Headaches
  • Asthenia
  • Insomnia

Gastrointestinal Disorders

  • Abdominal pain
  • Dyspepsia
  • Nausea

Sensory Disorders

  • Epistaxis
  • Rhinitis
  • Sinusitis
  • Dry mouth
  • Pharyngitis

Interactions

  • CYP3A4 inhibitors
  • Alcohol
  • Central nervous system depressants

Monitoring

None routine

Mechanism of action

A long-acting and selective H1-receptor antagonist which binds on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract, ameliorating the negative symptoms brought on by histamine.

Dosage forms

  • Tablet

Formulation

Tablet 10mg

  • Kestine (Pharmacare) originator

References

1. SAMF_12th Edition_Page 565 2. PI: Kestine Tablets, Litha Pharma (Pty) Ltd:Date of registration: 24 Oct 1997 [https://drive.google.com/drive/folders/1fC9FM89z2V1OA82-9W98tvoBjBUX-VB-] 3. NAPOS: The Drug Database for Acute Porphyria: Ebastine; Accessed online 29 Jan 2019 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?l=gbr&atc_code=R06AX22] 4. South African Institute for Drug-Free Sport: Allergex; Accessed online 25 Jan 2019 [http://www.drugfreesport.org.za/online-medication-check/] **No SPC available

Brands & products

2 products · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days old

tabletGeneric· 2 products

from R10.94/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Kestine10 mg30S2R328.31R10.94R115.53847992004
Kestine10 mg10S2R126.61R12.66R55.69847992012
Trade names (1)
  • Kestine

Medical aid coverage

data not yet integrated
Discovery Health
not yet integrated
  • Comprehensive Series—
  • Executive Plan—
  • KeyCare Series—
  • Priority Series—
  • Saver Series—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Interacts with 4 known drugs

Check against other drugs →
NeoHealth® ID 16382 · updated 7/12/2022