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Bilabella

Ask a doctor about a prescription for Bilabella

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Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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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 Bilabella

Package Leaflet: Information for the Patient

Bilabella, 20 mg, Tablets

Bilastine

Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including those not listed in this leaflet, they should inform their doctor or pharmacist. See section 4.
  • If there is no improvement after 3 days or the patient feels worse, they should contact their doctor.

Table of Contents of the Leaflet:

  • 1. What is Bilabella and what is it used for
  • 2. Important information before taking Bilabella
  • 3. How to take Bilabella
  • 4. Possible side effects
  • 5. How to store Bilabella
  • 6. Contents of the pack and other information

1. What is Bilabella and what is it used for

Bilabella contains the active substance bilastine, which has antihistamine (anti-allergic) properties.
Bilabella is used to relieve the symptoms of hay fever (sneezing, itching, runny nose, blocked nose, and red and itchy eyes) and other forms of allergic rhinitis.
The medicine may also be used to treat itchy skin rashes (hives or urticaria).
If there is no improvement after 3 days or the patient feels worse, they should consult their doctor.

2. Important information before taking Bilabella

When not to take Bilabella

  • if the patient is allergic to bilastine or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before taking Bilabella, the patient should discuss it with their doctor or pharmacist if they have moderate to severe kidney problems, low potassium, magnesium, or calcium levels in the blood, if they have or have had heart rhythm problems or very slow heart rate, if they are taking medicines that may affect heart rhythm, if they have or have had an abnormal heart rhythm (known as QTc interval prolongation on an electrocardiogram), which may occur in certain types of heart disease, and also if the patient is taking other medicines (see "Bilabella and other medicines").

Children

This medicine should not be given to children under 12 years of age.

Do notexceed the recommended dose. If symptoms persist, consult a doctor.

Bilabella and other medicines

The patient should tell their doctor or pharmacist about all medicines they are taking, have recently taken, or might take, including those obtained without a prescription.
In particular, the patient should inform their doctor about taking any of the following medicines:

  • ketokonazole (an antifungal medicine)
  • erythromycin (an antibiotic)
  • diltiazem (a medicine used for heart disease)
  • cyclosporin (a medicine that reduces the activity of the immune system, used to prevent transplant rejection or reduce the severity of diseases such as psoriasis, atopic dermatitis, or rheumatoid arthritis)
  • ritonavir (used to treat AIDS)
  • rifampicin (an antibiotic).

Bilabella with food, drink, and alcohol Do not take the medicine with food or grapefruit juice or other fruit juices

asthis reduces the effect of Bilabella. To avoid reducing the effect of the medicine, the patient should:

  • swallow the tablet and wait for 1 hour before eating or drinking fruit juice (see section 2, "Bilabella with food, drink, and alcohol").
  • after eating or drinking fruit juice, wait for 2 hours before taking the tablet.

Bilastine at the recommended dose (20 mg) does not increase drowsiness caused by alcohol consumption.

Pregnancy, breastfeeding, and fertility

There are limited data on the use of bilastine in pregnant or breastfeeding women, or on its effects on fertility.
If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a baby, they should consult their doctor before taking this medicine. Before taking any medicine, the patient should consult their doctor or pharmacist.

Driving and using machines

It has been shown that taking bilastine at a dose of 20 mg does not affect the ability to drive in adults.
However, the response to treatment may vary from patient to patient. Therefore, before driving or operating machinery, the patient should check how the medicine affects them.

Bilabella contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per tablet, which means it is essentially "sodium-free".

3. How to take Bilabella

This medicine should always be taken exactly as described in this package leaflet for the patient or as directed by a doctor or pharmacist. If in doubt, the patient should consult their doctor or pharmacist.
The recommended dose for adults, including the elderly and adolescents from 12 years of age, is 1 tablet (20 mg) per day.

  • The tablet is taken orally.
  • The tablet should be taken 1 hour before or 2 hours after eating or drinking fruit juice (see section 2, "Bilabella with food, drink, and alcohol").
  • The tablet should be swallowed with a glass of water.

Regarding the duration of treatment, the doctor will determine the type of disease and decide how long the patient should take Bilabella.
Bilabella should not be taken for more than 10 days without consulting a doctor.
If there is no improvement after 3 days or the patient feels worse, they should contact their doctor.

Use in children

This medicine should not be given to children under 12 years of age.

Overdose of Bilabella

In case of overdose, the patient should immediatelycontact their doctor or pharmacist or go to the emergency department of the nearest hospital. They should take the package or leaflet with them.

Missed dose of Bilabella

Do nottake a double dose to make up for a missed dose.
If a dose is missed, the patient should take the missed dose as soon as possible and then continue with their regular dose at the usual time.
If the patient has any further questions about taking this medicine, they should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Bilabella can cause side effects, although not everybody gets them.
If the patient experiences an allergic reaction with symptoms including difficulty breathing, dizziness, fainting, or loss of consciousness, swelling of the face, lips, tongue, or throat, and (or) swelling and redness of the skin, they should stop taking the medicine and consult their doctor immediately.

Other side effects that may occur in adults and adolescents are:

Common: may affect up to 1 in 10 people

  • headache
  • drowsiness.

Uncommon: may affect up to 1 in 100 people

  • abnormal ECG
  • blood test abnormalities indicating liver problems
  • dizziness
  • stomach pain
  • fatigue
  • increased appetite
  • heart rhythm problems
  • weight gain
  • nausea (vomiting)
  • anxiety
  • dryness or discomfort in the nose
  • stomach pain
  • diarrhea
  • gastritis (inflammation of the stomach lining)
  • dizziness (dizziness or feeling of spinning)
  • feeling weak
  • increased thirst
  • shortness of breath (difficulty breathing)
  • dry mouth
  • indigestion
  • itching
  • facial rash
  • fever
  • tinnitus (ringing in the ears)
  • sleep disorders
  • blood test abnormalities indicating kidney problems
  • increased lipid levels in the blood.

Frequency not known: frequency cannot be estimated from the available data

  • palpitations (feeling of heartbeat)
  • tachycardia (fast heartbeat)
  • vomiting.

Side effects that may occur in children are:

Common: may affect up to 1 in 10 people

  • rhinitis (irritation of the nose)
  • allergic conjunctivitis (irritation of the eyes)
  • headache
  • stomach pain (abdominal pain or pain in the upper abdomen).

Uncommon: may affect up to 1 in 100 people

  • eye irritation
  • dizziness
  • loss of consciousness
  • diarrhea
  • nausea (vomiting)
  • lip swelling
  • rash
  • hives
  • fatigue.

Reporting side effects

If the patient experiences any side effects, including those not listed in the leaflet, they should inform their doctor or pharmacist, or nurse. Side effects can be reported directly to the Department of Drug Safety Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: 22 49-21-301, fax: 22 49-21-309,
website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, more information can be gathered on the safety of the medicine.

5. How to store Bilabella

The medicine should be stored out of sight and reach of children.
Do not use the medicine after the expiry date stated on the carton and blister after "EXP".
The expiry date refers to the last day of the month.
This medicine does not require special storage conditions.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines they no longer use. This will help protect the environment.

6. Contents of the pack and other information

What Bilabella contains

  • The active substance is bilastine. Each tablet contains 20 mg of bilastine.
  • The other ingredients are: mannitol, microcrystalline cellulose, sodium carboxymethylcellulose (type A), magnesium aluminometasilicate, magnesium stearate, anhydrous colloidal silica.

What Bilabella looks like and contents of the pack

Bilabella tablets are round, white to almost white, biconvex, approximately 7 mm in diameter.
The tablets are packaged in PVC/PVDC/Aluminum or OPA/Aluminum/PVC/Aluminum blisters and cardboard boxes of 10 tablets.

Marketing authorization holder and manufacturer/importer

Marketing authorization holder
Aristo Pharma Sp. z o.o.
ul. Baletowa 30
02-867 Warsaw
+48 22 855 40 93
Manufacturer/Importer
Aristo Pharma GmbH
Wallenroder Straße 8–10
13435 Berlin
Germany
Saneca Pharmaceuticals a. s.
Nitrianska 100
920 27 Hlohovec
Slovakia
esparma GmbH
Wallenroder Straße 8 – 10
13435 Berlin
Germany

This medicine is authorized in the Member States of the European Economic Area under the following names:

Spain
Bilastina Aristo
Poland
Bilabella
Portugal
Bilastina Aristo
Sweden
Bilassa
Italy
Bilastina Aristo
Date of last revision of the leaflet:February 2025

Alternatives to Bilabella in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Bilabella in Испания

Dosage form: ТАБЛЕТКА, 20 мг
Active substance: Биластин
Prescription required
Dosage form: ТАБЛЕТКА, РАСПАДАЮЩАЯСЯ ВО РТУ / ЛИОТАБ, 10 мг
Active substance: Биластин
Manufacturer: Urquima S.A.
Prescription required
Dosage form: ТАБЛЕТКА, 20 мг
Active substance: Биластин
Manufacturer: Tarbis Farma S.L.
Prescription required
Dosage form: ТАБЛЕТКА, 20 мг
Active substance: Биластин
Prescription not required
Dosage form: ТАБЛЕТКА, 20 мг
Active substance: Биластин
Manufacturer: Noucor Health S.A.
Prescription required
Dosage form: ТАБЛЕТКА, РАСПАДАЮЩАЯСЯ ВО РТУ / ЛИОТАБ, 10 мг
Active substance: Биластин
Prescription required

Alternative to Bilabella in Украина

Dosage form: раствор, 2,5 мг/мл; 120 мл во флаконе
Active substance: Биластин
Dosage form: таблетки, 10 мг
Active substance: Биластин
Dosage form: таблетки, таблетки 20мг
Active substance: Биластин
Manufacturer: FAES FARMA, S.A.
Prescription required
Dosage form: таблетки, таблетки 20мг
Active substance: Биластин
Dosage form: таблетки, таблетки 20мг
Active substance: Биластин
Dosage form: таблетки, таблетки 20 мг
Active substance: Биластин
Manufacturer: Vivimed Labs Ltd
Prescription required

Online doctors for Bilabella

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Bilabella – subject to medical assessment and local rules.

0.0(0)
Doctor

Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

CameraBook a video appointment
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Maryna Kuznetsova

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Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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General medicine5 years of experience

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.
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She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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