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Bilastine tablets and liquid medicine

Ilaxten

Bilastine relieves allergic symptoms.

Take one tablet daily. Take the tablet when your stomach is empty (so, one hour before a meal, or alternatively, two hours after eating a meal).

Do NOT take the tablet with any food, or with grapefruit juice or any other fruit juices.

Bilastine can cause drowsiness in a few people. Make sure your reactions are normal before you drive, or before using tools or machines.

At a glance

  • Bilastine is an antihistamine used to treat allergy symptoms like sneezing, runny nose, itchy eyes, and skin rashes.

  • It is available as tablets, melt-in-the-mouth tablets, and an oral liquid medicine.

  • Take bilastine on an empty stomach, at least one hour before or two hours after food.

  • Common side effects are feeling sleepy and headache; do not drive if you feel sleepy.

  • Bilastine can be prescribed for adults and children aged 6 years and over.

  • Tell your doctor if you are pregnant, breastfeeding, have epilepsy, or take other medicines.

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Overview

Type of medicine

Antihistamine (non-drowsy)

Used for

Allergic rhinoconjunctivitis, and some allergic skin reactions

Also called

Ilaxten®

Available as

Tablets, melt-in-the-mouth (orodispersible) tablets, oral liquid medicine

Bilastine is an antihistamine used to treat allergy symptoms such as sneezing, a runny nose, itchy or watery eyes, and skin rashes. It is commonly prescribed for hay fever (allergic rhinitis) and hives (urticaria).

It is available on prescription from a doctor or pharmacist.

Continue reading below

Bilastine works by stopping the effects of a substance called histamine, a chemical released by the body when it is exposed to allergens such as pollen, pet dander, and dust mites. This helps relieve symptoms such as itching, sneezing, watery eyes, and hives.

The most common side effects of bilastine are:

  • Feeling sleepy.

  • Headache.

You will find a full list in the manufacturer's information leaflet supplied with your medicine.

The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any continue or become troublesome.

Continue reading below

Common bilastine side effects (these affect fewer than 1 in 10 people)

What can I do if I experience this?

Feeling sleepy

If this happens, do not drive and do not use tools or machines while affected

Headache

Drink plenty of water and ask your pharmacist to recommend a suitable painkiller. If the headaches continue, let your doctor know

If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist for further advice.

Bilastine may not be suitable for everyone. Before you start taking bilastine it is important that your doctor knows:

  • If you are pregnant or breastfeeding.

  • If you have epilepsy.

  • If you have a rare inherited blood disorder called porphyria.

  • If you are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

  • If you have ever had an allergic reaction to another antihistamine, or to any other medicine.

  • Read the leaflet before use. It contains important information about bilastine and its possible side effects.

  • Take bilastine exactly as prescribed.

    • Adults and children aged 12 years and over: Take one 20 mg tablet once daily. Swallow the tablet whole with water.

    • Children aged 6-11 years: May be prescribed 10 mg melt-in-the-mouth tablets or a liquid medicine. Follow the instructions provided by your doctor or pharmacist.

  • Take bilastine on an empty stomach. Take it at least 1 hour before food or 2 hours after food. Food can make bilastine less effective.

  • Avoid fruit juice around the time of your dose. Do not drink fruit juice, especially grapefruit juice, for 1 hour before or 2 hours after taking bilastine, as it can reduce how well the medicine works.

  • If you miss a dose, take it when you remember. Make sure your stomach is empty when you take it. If it is nearly time for your next dose, skip the missed dose. Do not take two doses at the same time.

  • Many people only need to take an antihistamine when they have symptoms. Unless you are told otherwise, you should stop taking bilastine once your symptoms have eased.

  • Although bilastine is classed as a non-drowsy antihistamine, it can still cause drowsiness in a few people. If this happens to you, do not drive and do not use tools or machines.

  • If you drink alcohol while you are on bilastine, be aware of its effects on you and do not drink more than moderate amounts. Alcohol can increase the risk of side effects from antihistamines.

  • If you are having an operation, or any treatment or tests (particularly if it is to test for an allergy), make sure you say that you are taking an antihistamine.

  • If you buy any medicines 'over the counter', check with a pharmacist that they are suitable to take with an antihistamine. This is because a number of other medicines can increase the risk of side effects. How to store bilastine tablets

  • Keep all medicines out of the reach and sight of children.

  • Store in a cool, dry place, away from direct heat and light.

How quickly does bilastine work?

Bilastine usually starts to relieve allergy symptoms within 1-2 hours of taking a dose. Its allergy-relieving effects usually last for 24 hours.

Can I take bilastine every day?

Yes. Bilastine is designed for regular daily use to help control allergy symptoms. Take it exactly as prescribed and do not exceed the recommended dose.

Can I take bilastine with other allergy medicines?

Bilastine can sometimes be used alongside other allergy treatments, such as steroid nasal sprays or allergy eye drops. However, you should check with your doctor or pharmacist before combining it with other antihistamines.

Can I drink alcohol while taking bilastine?

Bilastine is not known to interact significantly with alcohol, but alcohol may increase drowsiness in some people. Take care until you know how the medicine affects you.

Important information about all medicines

Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Report side effects to a medicine or vaccine

If you experience side effects, you can report them online through the Yellow Card website.

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Unsure about mixing medicines?

Check for possible interactions between medicines, supplements and foods before taking them together.

Frequently asked questions

Can I take bilastine if I have epilepsy?

If you have epilepsy, it is important to inform your doctor before starting bilastine, as it may not be suitable for everyone with this condition.

Does bilastine make you sleepy?

Although bilastine is classified as a non-drowsy antihistamine, it can still cause sleepiness in a small number of people. If you experience drowsiness, you should not drive or operate machinery.

Is bilastine available over the counter?

Bilastine is available by prescription from a doctor or pharmacist.

Can I take bilastine if I am pregnant or breastfeeding?

It is important to inform your doctor if you are pregnant or breastfeeding, as bilastine may not be suitable in these situations.

What should I do if I forget to take a dose of bilastine?

If you miss a dose, take it as soon as you remember, ensuring your stomach is empty. However, if it is almost time for your next scheduled dose, skip the missed dose. Do not take two doses at the same time to make up for a forgotten one.

Can children under 12 years old take bilastine?

Children aged 6-11 years may be prescribed 10 mg melt-in-the-mouth tablets or a liquid medicine. Adults and children aged 12 years and over typically take a 20 mg tablet once daily. Always follow the specific instructions from your doctor or pharmacist for children.

Further reading and references

Continue reading below

About the authorView full bio

Author image

Michael Stewart, MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

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Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Article history

The information on this page is written and peer reviewed by qualified clinicians.

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