Bilastine
Also relieves hay fever symptoms: sneezing, nasal congestion, runny nose, and itchy or watery eyes.
Not recommended under 2 years due to lack of data
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Proper Packaging
Bilastine is a long-acting, selective H₁ receptor antagonist with high binding affinity—3x higher than Cetirizine and 5x higher than Fexofenadine. It has:
20 mg tablet once daily
Take on an empty stomach with water for optimal absorption
Do not exceed 20 mg/day
10 mg Mouth Dissolving Tablet once daily
Place directly on the tongue or disperse in a teaspoon of water
Do not exceed 10 mg/day
4 mL oral solution once daily
Doses up to 220 mg (11x normal) caused only mild effects like dizziness, nausea, and headache
No QTc prolongation or serious adverse events observed
Increased levels when taken with ketoconazole, erythromycin, cyclosporine, or diltiazem—no major safety concerns
No enhancement of CNS effects when taken with alcohol or lorazepam
No dosage adjustment needed in renal or hepatic impairment
Hypersensitivity to Bilastine or any excipient in the formulation
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