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BILASTINA ALTER 20 mg TABLETS

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A doctor will review your case and decide whether a prescription is medically appropriate.

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Discuss your symptoms and possible next steps in a quick online consultation.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use BILASTINA ALTER 20 mg TABLETS

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

Show translation

Introducción

Prospecto: información para el paciente

Bilastina Alter 20 mg comprimidos EFG

Lea todo el prospecto detenidamente antes de empezar a tomar este medicamento, porque contiene información importante para usted.

  • Conserve este prospecto, ya que puede tener que volver a leerlo.
  • Si tiene alguna duda, consulte a su médico o farmacéutico.
  • Este medicamento se le ha recetado solamente a usted, y no debe dárselo a otras personas, aunque tengan los mismos síntomas que usted, ya que puede perjudicarles.
  • Si experimenta efectos adversos, consulte a su médico o farmacéutico, incluso si se trata de efectos adversos que no aparecen en este prospecto. Ver sección 4.

Contenido del prospecto

  1. Qué es Bilastina Alter y para qué se utiliza
  2. Qué necesita saber antes de empezar a tomar Bilastina Alter
  3. Cómo tomar Bilastina Alter
  4. Posibles efectos adversos
  5. Conservación de Bilastina Alter
  6. Contenido del envase e información adicional

1. Qué es Bilastina Alter y para qué se utiliza

Bilastina Alter contiene bilastina como principio activo, que es un antihistamínico.

Bilastina se usa para aliviar los síntomas de la rinoconjuntivitis alérgica (estornudos, picor nasal, secreción nasal, congestión nasal y ojos rojos y llorosos) y otras formas de rinitis alérgica. También puede usarse para tratar las erupciones de la piel con picor (habones o urticaria).

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a tomar Bilastina Alter

No tome Bilastina Alter

  • Si es alérgico a bilastina o a alguno de los demás componentes de este medicamento (incluidos en la sección 6).

Advertencias y precauciones

Consulte a su médico o farmacéutico antes de empezar a tomar bilastina si tiene insuficiencia renal moderada o severa, niveles bajos en sangre de potasio, magnesio, calcio, si tiene o ha tenido problemas de ritmo cardíaco o si su frecuencia cardíaca es muy baja, si está tomando medicamentos que puedan afectar al ritmo cardíaco, si tiene o ha tenido un determinado patrón anormal de su latido cardíaco (conocido como prolongación del intervalo QTc en el electrocardiograma) que puede darse en algunos tipos de enfermedades cardíacas y además está tomando otros medicamentos (ver “Otros medicamentos y bilastina”).

Niños

No administre este medicamento a niños menores de 12 años de edad

Noexceder la dosis recomendada. Si los síntomas persisten, consulte a su médico.

Otros medicamentos y Bilastina Alter

Informe a su médico o farmacéutico si está tomando, ha tomado recientemente o pudiera tener que tomar cualquier otro medicamento, incluso los adquiridos sin receta.

En particular, por favor comente con su médico si está usted tomando alguno de los siguientes medicamentos:

  • Ketoconazol (un medicamento para los hongos)
  • Eritromicina (un antibiótico)
  • Diltiazem (para tratar la angina de pecho)
  • Ciclosporina (para reducir la actividad de su sistema inmune, para evitar rechazo de transplantes o reducir la actividad de enfermedades autoinmunes y trastornos alérgicos, tales como psoriasis, dermatitis atópica o artritis reumatoide)
  • Ritonavir (para tratar el SIDA)
  • Rifampicina (un antibiótico).

Toma de Bilastina Alter con alimentos, bebidas y alcohol

Estos comprimidos nodeben tomarse con alimentoso con zumo de pomelo u otros zumos de frutas, ya que esto disminuiría el efecto de bilastina. Para evitar esto usted puede:

  • tomar el comprimido y esperar una hora antes de comer o de tomar zumos de frutas, o
  • si ha tomado usted comida o zumo de frutas, esperar durante dos horas antes de tomar el comprimido.

Bilastina, a la dosis recomendada (20 mg), no aumenta la somnolencia producida por el alcohol.

Embarazo, lactancia y fertilidad

Si está embarazada o en período de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico o farmacéutico antes de utilizar este medicamento.

No hay datos, o éstos son limitados, del uso de bilastina en mujeres embarazadas, durante el período de lactancia ni sobre los efectos en la fertilidad.

Consulte a su médico o farmacéutico antes de utilizar cualquier medicamento.

Conducción y uso de máquinas

Se ha demostrado que bilastina no afecta al rendimiento durante la conducción en adultos. Sin embargo la respuesta de cada paciente al medicamento puede ser diferente. Por lo tanto compruebe cómo este medicamento le afecta antes de conducir o usar máquinas.

Este medicamento contiene sodio

Este medicamento contiene menos de 23 mg de sodio (1 mmol) por comprimido; esto es, esencialmente “exento de sodio”.

3. Cómo tomar Bilastina Alter

Siga exactamente las instrucciones de administración de este medicamento indicadas por su médico o farmacéutico. En caso de duda, consulte de nuevo a su médico o farmacéutico.

La dosis recomendada en adultos, incluyendo pacientes de edad avanzada y adolescentes de 12 o más años de edad, es de 1 comprimido (20 mg) al día.

  • El comprimido es para tomar por vía oral.
  • El comprimido debe tomarse una hora antes o dos horas después de haber tomado cualquier alimento o zumo de fruta (ver sección 2, “Toma de Bilastina Alter con alimentos, bebidas y alcohol”).
  • Trague el comprimido con un vaso de agua.

Con respecto a la duración del tratamiento, su médico determinará el tipo de enfermedad que usted padece y le indicará durante cuánto tiempo debe tomar este medicamento.

Uso en niños

Para niños de 6 a 11 años de edad con un peso corporal mínimo de 20 kg existen otras formas farmacéuticas más adecuadas – bilastina 10 mg comprimidos bucodispersables o bilastina 2,5 mg/mL solución oral -, consulte a su médico o farmacéutico.

No administre este medicamento a niños menores de 6 años de edad con un peso corporal inferior a 20 kg ya que no se dispone de datos suficientes.

Si toma más Bilastina Alter del que debe

Si usted, o cualquier otra persona, excede la dosis de este medicamento, informe a su médico inmediatamente o acuda al servicio de urgencias del hospital más cercano. Por favor recuerde llevar consigo este envase de medicamento o este prospecto.

En caso de sobredosis o ingestión accidental, consulte inmediatamente a su médico o farmacéutico o llame al Servicio de Información Toxicológica, teléfono: 91 562 04 20 (indicando el medicamento y la cantidad ingerida).

Si olvidó tomar Bilastina Alter

Notome una dosis doble para compensar una dosis olvidada.

Si olvida tomar su dosis, tómela tan pronto como sea posible, y después vuelva a su pauta habitual de dosificación.

Si tiene cualquier otra duda sobre el uso de este medicamento, pregunte a su médico o farmacéutico.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, este medicamento puede producir efectos adversos, aunque no todas las personas los sufran.

Si experimenta reacciones alérgicas cuyos síntomas pueden incluir dificultad para respirar, mareos, colapso o pérdida de consciencia, hinchazón de la cara, de los labios, de la lengua o de la garganta y/o hinchazón y enrojecimiento de la piel, deje de tomar este medicamento y acuda inmediatamente a su médico.

Otros efectos adversos que se pueden producir en adultos y adolescentes son:

Frecuentes: pueden afectar hasta 1 de cada 10 personas

  • cefalea
  • somnolencia

Poco frecuentes: pueden afectar hasta 1 de cada 100 personas

  • alteraciones del electrocardiograma
  • análisis de sangre que muestran cambios en la forma de funcionamiento del hígado
  • mareo
  • dolor de estómago
  • cansancio
  • aumento del apetito
  • latido cardiaco no regular
  • aumento de peso
  • náusea (ganas de vomitar)
  • ansiedad
  • nariz seca o molestias en la nariz
  • dolor abdominal
  • diarrea
  • gastritis (inflamación de la pared del estómago)
  • vértigo (una sensación de mareo o inestabilidad)
  • sensación de debilidad
  • sed
  • disnea (dificultad para respirar)
  • boca seca
  • indigestión
  • picor
  • herpes labial
  • fiebre
  • tinnitus (pitidos en los oídos)
  • dificultad para dormir
  • análisis de sangre que muestran cambios en la forma de funcionamiento del riñón
  • aumento de las grasas en la sangre

Frecuencia no conocida: no puede estimarse a partir de los datos disponibles

  • palpitaciones (sentir los latidos del corazón)
  • taquicardia (latidos del corazón rápidos)
  • vómitos

Efectos adversos que pueden aparecer en niños:

Frecuentes: pueden afectar hasta 1 de cada 10 personas

  • rinitis (irritación nasal)
  • conjuntivitis alérgica (irritación del ojo)
  • dolor de cabeza
  • dolor de estómago (dolor abdominal/abdominal superior)

Poco frecuentes: pueden afectar hasta 1 de cada 100 personas

  • irritación del ojo
  • mareo
  • pérdida de consciencia
  • diarrea
  • náusea (ganas de vomitar)
  • hinchazón de los labios
  • eczema
  • urticaria (ronchas)
  • fatiga

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, consulte a su médico o farmacéutico, incluso si se trata de posibles efectos adversos que no aparecen en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de medicamentos de Uso Humano: https://www.notificaram.es. Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Bilastina Alter

Mantener este medicamento fuera de la vista y del alcance de los niños.

No utilice este medicamento después de la fecha de caducidad que aparece en el envase después de CAD. La fecha de caducidad es el último día del mes que se indica.

Este medicamento no requiere condiciones especiales de conservación.

Los medicamentos no se deben tirar por los desagües ni a la basura. Deposite los envases y los medicamentos que no necesita en el Punto Sigre de la farmacia. En caso de duda pregunte a su farmacéutico cómo deshacerse de los envases y de los medicamentos que no necesita. De esta forma, ayudará a proteger el medio ambiente.

6. Contenido del envase e información adicional

Composición de Bilastina Alter

  • El principio activo es bilastina. Cada comprimido contiene 20 mg de bilastina.
  • Los demás componentes son celulosa microcristalina, carboximetilalmidón sódico tipo A (procendente del almidón de patata), sílice coloidal anhidra y estearato magnésico.

Aspecto del producto y contenido del envase

Comprimidos redondos, biconvexos, de color de blanco a blanquecino.

Los comprimidos están envasados en blísters de 20 y 30 comprimidos.

Puede que solamente estén comercializados algunos tamaños de envases.

Titular de la autorización de comercialización y responsable de la fabricación

Laboratorios Alter, S.A.

C/ Mateo Inurria, 30

28036 Madrid

España

Fecha de la última revisión de este prospecto:Febrero 2025

La información detallada de este medicamento está disponible en la página web de la Agencia Española de Medicamentos y Productos Sanitarios (AEMPS) http://www.aemps.gob.es/.

Online doctors for BILASTINA ALTER 20 mg TABLETS

Discuss questions about BILASTINA ALTER 20 mg TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

5.0 (194)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

0.0 (0)
Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

0.0 (0)
Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
5.0 (71)
Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

5.0 (52)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.

Get BILASTINA ALTER 20 mg TABLETS Prescription Online

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for BILASTINA ALTER 20 mg TABLETS?

BILASTINA ALTER 20 mg TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in BILASTINA ALTER 20 mg TABLETS?

The active ingredient in BILASTINA ALTER 20 mg TABLETS is bilastine. This information helps identify medicines with the same composition but different brand names.

How much does BILASTINA ALTER 20 mg TABLETS cost in pharmacies?

The average pharmacy price for BILASTINA ALTER 20 mg TABLETS is around 5.82 EUR. Prices may vary depending on the manufacturer and dosage form.

Who manufactures BILASTINA ALTER 20 mg TABLETS?

BILASTINA ALTER 20 mg TABLETS is manufactured by Laboratorios Alter S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of BILASTINA ALTER 20 mg TABLETS online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether BILASTINA ALTER 20 mg TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy BILASTINA ALTER 20 mg TABLETS in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy BILASTINA ALTER 20 mg TABLETS in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to BILASTINA ALTER 20 mg TABLETS?

Other medicines with the same active substance (bilastine) include ABISAX 20 mg TABLETS, ABRILIA 20 mg TABLETS, ASTRILAX 20 mg TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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