Lastin

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Lastin

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Lastin

Property Description
Active ingredient Azelastine hydrochloride
Form Aqueous solution (Nasal spray, eye drops)
Pharmacological class Second-generation antihistamine, Dual-acting antiallergic agent
Common use Relieving symptoms of allergic rhinitis and conjunctivitis
Origin Synthetic (Phthalazinone derivative)

Lastin is a medicinal product distinguished by its active compound, Azelastine hydrochloride, a synthetic chemical entity clinically recognized for its anti-allergic capabilities. Pharmacologically, it is classified as a second-generation antihistamine and a dual-acting antiallergic agent. This classification reflects its specialized mechanism; as a phthalazinone derivative, Azelastine is engineered to exhibit selective histamine H1-receptor antagonist activity. This dual functionality has been the focus of pharmacological studies, confirming its ability to address both immediate histamine response and subsequent inflammatory processes.

Composition and Form: Lastin as a Localized Solution

The formulation of Lastin utilizes Azelastine hydrochloride dissolved in an aqueous vehicle, a water-based solution, which is key to its targeted application. It is primarily delivered through a metered-dose nasal spray for intranasal use or an ophthalmic solution (eye drops) for ocular application. These forms are established for localized topical administration, confirming the suitability of the compound for this route. This mode of delivery provides rapid action at the primary site of allergic irritation. As a differentiating factor, Lastin's nasal spray is typically positioned for managing both seasonal and year-round allergic rhinitis symptoms, often targeting patient groups seeking relief from persistent, perennial issues.

Primary Action and General Purpose

The general purpose of Lastin is to quickly alleviate the allergic response and subsequent symptoms in the eyes and nose. It achieves this through its dual mechanism principle: it immediately blocks histamine receptors, preventing the effects of histamine release, and simultaneously acts as a mast cell stabilizer, inhibiting the release of key inflammatory mediators. The compound's dual ability to antagonize H1-receptors and inhibit mediator release is a key characteristic of its pharmacological profile. The drug's therapeutic focus is on quickly mitigating common allergy-related discomforts, such as nasal itching and congestion or ocular irritation, making it suitable for a scenario where a patient requires targeted relief from environmental allergens.

What side effects are possible with Lastin?

Safety Profile Overview

This safety information for Lastin is based on regulatory documentation summarizing adverse events observed in clinical trials and post-marketing surveillance. Side effects are classified by frequency, determined by the incidence rate relative to placebo or other treatments.

Classification Examples of Adverse Reactions (System-Organ Class)
Very Common (ge 1/10) Gastrointestinal disturbances (e.g., nausea, diarrhea), headache, injection site reactions (if applicable).
Common (ge 1/100 to <1/10) Dizziness, insomnia, fatigue, skin rash.
Uncommon (ge 1/1,000 to <1/100) Peripheral edema, anxiety, tremor, changes in liver enzyme levels.

Serious and Clinically Significant Adverse Reactions

Certain reactions, while rare, are considered serious and require immediate attention as defined by regulatory bodies. These typically include:

  • Hypersensitivity and Anaphylaxis: Severe, potentially life-threatening allergic reactions, including swelling of the face, tongue, or throat, or difficulty breathing. Lastin is contraindicated in patients with a known history of severe hypersensitivity to the active substance or excipients.
  • Serious Cardiac Events: In rare instances, use has been associated with clinically significant changes in heart rhythm or blood pressure.

Population-Specific Safety Considerations

Caution is advised when Lastin is used in specific patient populations:

  • Elderly Patients: Due to potential decreases in organ function (e.g., renal or hepatic clearance), the elderly may be at an increased risk of accumulation, which could necessitate a lower starting or maintenance dose.
  • Renal/Hepatic Impairment: Patients with pre-existing kidney or liver dysfunction may experience altered pharmacokinetics, potentially increasing exposure and the risk of dose-related adverse effects.

Safety Restrictions

Treatment requires immediate discontinuation upon the first sign of a serious adverse event, particularly those related to severe allergic reactions. The most serious risks are highlighted in the official regulatory labeling, demanding specific vigilance from healthcare providers.

Overdose and Emergency Response

Overdose and When to Seek Help

The information regarding overdose manifestations and emergency actions for Azelastine (Lastin) is derived strictly from government regulatory documentation.

Documented Overdose Manifestations

Classification Official Regulatory Statement
Primary Clinical Sign The most consistently reported manifestation following the use of an excessive amount of Azelastine nasal spray is drowsiness (somnolence).
Systems Affected Effects primarily impact the Central Nervous System (CNS), with potential for reduced alertness. Infrequently, cardiovascular effects (hypertension, tachycardia) have been observed.

Emergency Actions Mandated by Regulators

Classification Official Regulatory Statement
Immediate Risk Accidental oral ingestion of the concentrated nasal solution, particularly by a child, is linked to the risk of serious harm.
Required Action Individuals must get medical help or contact a Poison Control Center right away upon suspected overdose or accidental swallowing. Emergency services should be contacted if the person has collapsed, had a seizure, has trouble breathing, or cannot be awakened.
Management Overdose management relies on providing general symptomatic and supportive measures because no known specific antidote is listed in regulatory documentation.

This structure reflects the regulator-defined safety focus on CNS effects and the critical need for immediate response to accidental oral ingestion.

Therapeutic Uses of Lastin

What Lastin Treats: Main Uses and Benefits

Lastin is commonly used to help with the symptoms associated with upper respiratory allergies, particularly seasonal and perennial allergic rhinitis. The medication is applied across therapeutic contexts where additional symptomatic support is needed, focusing on symptoms that create noticeable physiological strain. It is commonly used to help with symptoms such as frequent sneezing, bothersome nasal itching, and profuse runny nose. It is also relevant in contexts involving non-allergic symptoms, such as certain chronic nasal manifestations, and supports the easing of symptoms related to allergic conjunctivitis (itchy, watery eyes).

This is relevant when symptoms cluster and intensify during periods of high discomfort.

“This application helps address groups of symptoms that cluster together during periods of high discomfort.”

The medication plays a role in managing symptoms that occur during acute or disruptive episodes, specifically easing the discomfort of a stuffy nose or nasal congestion. This provides support that contributes to easing the overall symptom load and may assist patients with maintaining functional stability during symptomatic periods.


Quick Fact: Relief for Nasal and Ocular Symptoms The therapeutic benefit is offering symptomatic relief that helps patients cope more steadily with both nasal and eye allergy symptom fluctuations.

Regulatory References

  1. NIH MedlinePlus overview of Azelastine

Eligibility and Restrictions for Use

Who can and cannot use Lastin?

Eligibility for Lastin (Azelastine) is determined strictly by governmental regulatory documents, establishing clear rules for use, restriction, or prohibition across different populations.

Category Official Regulatory Classification
Contraindicated Populations Use is strictly prohibited for patients with a known hypersensitivity to azelastine hydrochloride or any non-active ingredient in the product formulation.
Age-Group Eligibility The nasal spray is approved for allergic rhinitis in patients 5 years of age and older, and for non-allergic rhinitis in those 12 years and older. The eye drop formulation is approved for children 4 years and older (seasonal) and 12 years and older (perennial). Use is not established below these specific minimum age thresholds.
Organ Function Limitations Safety and effectiveness are not established in the official labeling for the single-ingredient formulation in patients with hepatic (liver) or renal (kidney) impairment.
Pregnancy and Lactation Status Use during pregnancy requires caution, and use of the eye drops is not recommended during lactation (breastfeeding) as the drug is known to be excreted into milk in low quantities.
Activity-Based Restriction Patients must be cautioned against performing tasks that demand complete mental alertness, such as driving or operating machinery, due to the official warning regarding the potential for somnolence.

This structure reflects how regulatory bodies define eligibility by setting absolute prohibitions, specific minimum age approvals, and limitations on use where data is not established.

What should I know about interactions with other medicines?

The official regulatory documents define the interaction profile of Lastin (Azelastine hydrochloride) based on two distinct types of interaction patterns: additive pharmacodynamic effects and altered pharmacokinetic exposure.

Pharmacodynamic Interactions and Restrictions

The most noted restriction involves interactions with Central Nervous System (CNS) depressants. Concurrent use with alcohol and other CNS depressants, such as sedatives or tranquilizers, should be avoided. This restriction is based on the documented risk of an additive pharmacodynamic effect that may lead to additional reductions in alertness and further impairment of CNS performance. This interaction pattern requires patients to restrict co-consumption of substances that share CNS activity.

Pharmacokinetic Interactions

The second primary interaction pattern is Pharmacokinetic and involves the specific medicine Cimetidine. When Azelastine was studied in combination with Cimetidine, an H2-receptor antagonist, systemic exposure was documented to increase. This interaction resulted in an approximate 65% increase in the mean Azelastine C max and Area Under the Curve (AUC), indicating reduced clearance. Studies with other medicines, such as Erythromycin, showed no effect on Azelastine's pharmacokinetics. The regulatory labeling does not identify any formally contraindicated drug combinations and does not impose mandatory dose-separation timing rules.

Mechanism of Action

The mechanism of Azelastine hydrochloride involves a dual-action pharmacodynamic profile focused on controlling both the immediate and sustained components of the allergic response at the molecular level.


Dual-Action Control: H1-Receptor Blockade and Mast Cell Stabilization

Azelastine functions as a highly selective competitive antagonist at the histamine H1-receptor. This action prevents the binding of endogenous histamine to its target site on blood vessel walls and sensory nerves. Simultaneously, the molecule acts as an effective mast cell stabilizer, preventing the degranulation process which releases various pro-inflammatory mediators. The H1 blockade restricts histamine-driven fluid leakage and neural excitation, while mast cell stabilization limits the persistent release of inflammatory molecules like leukotrienes that drive sustained tissue edema.


Physiological Consequences of Pathway Modulation

This combined molecular activity results in specific physiological changes. By blocking H1-receptors, the drug suppresses the signals that cause increased microvascular permeability, thereby decreasing fluid extravasation. By stabilizing immune cells, it curtails the process of inflammatory cell recruitment into the affected tissue. This systematic dampening of the inflammatory pathway provides a multi-layered adjustment to overactive physiological responses, leading to modulation in the targeted systems.

Dosage and Administration Information

Administration Methods

Lastin (azelastine hydrochloride) is administered via the topical route, utilizing two specific dosage forms: an intranasal metered-dose spray or an ophthalmic solution (eye drops). The nasal spray is available in concentrations of 0.1% or 0.15%, while the ophthalmic solution is formulated at 0.05%.

Application Procedures

Treatment is intended for continuous use throughout the period of allergen exposure to maintain the effect. Specific administration conditions apply to ensure proper application.

  • Nasal Spray: The device requires a priming procedure—releasing initial test sprays—before its first use or if it has remained unused for several days.
  • Eye Drops: Soft contact lenses must be removed before application, with a waiting period of 10 to 15 minutes before reinsertion.

Age Requirements

The minimum age for use varies by formulation. The ophthalmic solution is used for children from 3 years of age, while the nasal spray is used from 5 or 6 years of age, depending on the product strength.

Recent Clinical Evidence

Research evidence / Overview of studies for Lastin


Evidence for Symptom Relief in Seasonal Allergic Rhinitis (SAR)

The research exploring the nasal spray formulation for seasonal allergies has centered on short-term, double-blind Randomized Controlled Trials (RCTs). These types of studies are used in research exploring how symptoms change over time by comparing the medicine to a placebo (an inactive spray) or sometimes another active treatment. The outcomes related to physical discomfort were tracked using standardized measures like the Total Nasal Symptom Score (TNSS), which combines measurements of sneezing, itching, congestion, and runny nose. Research reports patterns related to symptom score changes that were first measured relatively quickly after administration. Research reports short-term changes observed during episodes where symptoms became more noticeable.

Evidence for Year-Round Perennial Allergic Rhinitis (PAR)

Research for the nasal spray has explored chronic, year-round nasal symptoms in RCTs, and some studies included longer follow-up durations compared to SAR trials. The research examined outcomes describing patient-reported discomfort over periods of several weeks. Study outcomes examined included the change in the Reflective Total Nasal Symptom Score (rTNSS), which helps contextualize how patients reported their experience with symptoms such as persistent nasal congestion. The studies included trials examining symptom intensity or variability in adult, adolescent, and school-aged children (starting from 6 years of age) populations with chronic PAR symptoms.

Studies on Allergic Eye Symptoms (Conjunctivitis)

Research exploring the eye drop formulation involved double-blind, placebo-controlled ophthalmic studies. The primary outcomes studied were related to physical discomfort, specifically ocular symptoms such as eye itching, tearing, and redness. Research reports patterns related to observed changes that were measured shortly after the eye drops were administered. These findings describe patterns observed in the studies in both adult and young pediatric populations (starting from 3 years of age).

Remaining Research Gaps and Uncertainties

Research highlights what is known — and what is still uncertain — about this medicine. One key limitation is that evidence is limited for very long-term outcomes, as the primary efficacy trials used follow-up durations that were limited to a few weeks. Furthermore, the results apply only to the populations studied. Comparative evidence against every other available intranasal or ophthalmic treatment is often lacking, and certainty remains low for outcomes beyond short- or intermediate-term use.

Key Studies & References

  1. Azelastine eye-drops in seasonal allergic conjunctivitis or rhinoconjunctivitis: A double-blind, randomized, placebo-controlled study

Frequently Asked Questions (FAQ)

Common questions about Lastin (FAQ)


Q: Which side effect is the most common one I should look out for?

According to the official product information for the nasal spray, common adverse reactions observed in clinical trials included a bitter taste, known medically as dysgeusia, headache, and somnolence. Somnolence refers to feeling drowsy or sleepy. These effects were reported with an incidence of 2% or more among study participants.


Q: How long after I start using the nasal spray will I feel relief from symptoms?

Studies and official information indicate that the nasal spray formulation was shown to begin reducing symptoms in clinical studies. Symptom improvement has been observed in research participants as early as three hours after the first dose was administered.


Q: What are the different strengths available for the eye drops?

Official regulatory information specifies that the ophthalmic solution is typically formulated as an 0.05% concentration. This is the standard strength generally available for the eye drop formulation.


Q: Are there any dietary restrictions I need to follow while taking this medicine?

Regulatory documents do not mention specific food or dietary restrictions to follow while using Lastin. However, official labeling strongly cautions against concurrent use with alcohol because of the potential for increased sedation and drowsiness.


Q: What should I do if I miss a dose of the nasal spray?

Official product information describes the recommended management for a missed dose. If a dose is missed, it should be used as soon as it is remembered. If it is nearly time for the next dose, the instruction is to skip the missed one. To maintain the proper usage schedule, using a double or extra dose is not generally recommended.

How should Lastin be stored and disposed of?

Unopened Lastin (Insulin Glargine) vials and pens must be stored in a refrigerator at a temperature between 36 F and 46 F (2 C and 8 C) and kept in their original carton to protect from light. The medicine must not be frozen; if it has frozen, it must be discarded.

Once opened, Lastin's storage requirements change and the product is time-limited. In-use vials can be stored in the refrigerator or at room temperature (below 86 F or 30 C), but opened prefilled pens must only be stored at room temperature (below 86 F). All opened vials and pens must be discarded 28 days after first use. The product must be stored out of the reach of children. Used needles and pens are classified as sharps waste and must be disposed of in a puncture-resistant container according to local regulations.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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