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Bilastine is an antihistamine tablet for allergic rhinoconjunctivitis or urticaria. It works best taken consistently away from food, and while it is less sedating for many people than older antihistamines, it can still cause drowsiness — so learning your own response matters before you drive or use machinery.

How to use

Two rules govern this tablet, and they apply together rather than in sequence.

Take 20 mg once daily on an empty stomach

Take one tablet with water, one hour before or two hours after food or fruit juice. Food and fruit juice reduce absorption, so keep the same interval every day.

Check your own alertness

Bilastine can still cause drowsiness or dizziness. Learn your response before driving or using machinery, and avoid taking an extra antihistamine unless advised.

Dose schedule

Daily dose 20 mg bilastine — one tablet, taken on an empty stomach.
Use the same fasting interval each day for the prescribed period. If a dose is missed, take the next dose at the normal time rather than doubling. Track nasal, eye or skin symptoms, triggers, and drowsiness — persistent symptoms may need a diagnosis review or additional local treatment, not a higher bilastine dose without advice.

What has been reported

People with rhythm risk, low electrolytes, significant bradycardia, or QT-prolonging medicines need an individual review before taking bilastine. Report new palpitations or fainting to your doctor.

Contact your doctor if

  • Breathing difficulty, tongue or throat swelling, collapse, or rapidly progressing widespread hives — call emergency services
  • Fainting, persistent palpitations, or a severe allergic reaction after the tablet
  • Symptoms remain uncontrolled, drowsiness affects daily activity, or you feel you need another antihistamine

Storage

Keep in the original package, away from moisture and direct heat, and out of children’s reach. Follow the temperature limit on your pack and do not use it after the expiry date.

What to expect

Bilastine blocks histamine H1 receptors and can reduce symptoms of allergic rhinoconjunctivitis or urticaria while exposure continues. It does not remove the trigger and is not a treatment for anaphylaxis. Persistent or atypical symptoms should be reviewed rather than treated by escalating the dose yourself.

How Hi-Doctor handles it

A licensed EU doctor reviews your case and, if appropriate, issues a prescription. See how a consultation works and how eligibility and safety checks work across every consultation in safety.
This page is reference information, not medical advice and not a prescription. Whether a medicine is appropriate for you is decided by a registered doctor after reviewing your consultation.