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Bilant

Ask a doctor about a prescription for Bilant

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

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.

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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 Bilant

Package Leaflet: Information for the Patient

BILANT, 20 mg, tablets

Bilastine

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

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, including any not listed in this leaflet, tell your doctor, pharmacist, or nurse. See section 4.

Table of Contents of the Leaflet

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

1. What is BILANT and what is it used for

BILANT contains the active substance bilastine, which has antihistamine properties. BILANT 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. It may also be used to treat itchy skin rashes (hives or urticaria).

2. Important information before taking BILANT

When not to take BILANT

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

Warnings and precautions

Before taking BILANT, discuss with your doctor or pharmacist if you have moderate or severe kidney problems, low potassium, magnesium, or calcium levels in your blood, if you have or have had heart rhythm problems or very slow heart rate, if you are taking medicines that may affect your heart rhythm, if you 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 if you are taking other medicines (see "BILANT and other medicines").

Children

Do not give this medicine to children under 12 years of age.

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

BILANT and other medicines

Tell your doctor or pharmacist about all medicines you are taking now or have taken recently, and about any medicines you plan to take, including those obtained without a prescription.
In particular, consult your doctor if you are taking any of the following medicines:

  • Ketoconazole (an antifungal medicine)
  • Erythromycin (an antibiotic)
  • Diltiazem (a medicine used for angina)
  • Cyclosporin (a medicine used to reduce the activity of the immune system, to prevent transplant rejection, or to reduce the activity of the disease in cases of autoimmune or allergic diseases, such as psoriasis, atopic dermatitis, or rheumatoid arthritis)
  • Ritonavir (a medicine used to treat AIDS)
  • Rifampicin (an antibiotic).

BILANT with food, drink, and alcohol Do not take BILANT with food or grapefruit juice or other fruit juices

becauseit reduces the effect of bilastine. To avoid reducing the effect of the medicine, you should:

  • swallow the tablet and wait one hour before eating or drinking fruit juice (see section 2 "BILANT with food, drink, and alcohol").
  • after eating or drinking fruit juice, wait 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 no data or limited data on the use of bilastine in pregnant or breastfeeding women, or on its effects on fertility.
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine. Before taking any medicine, consult your 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 person to person.
Therefore, before driving or operating machinery, check how this medicine affects you.

BILANT contains sodium

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

3. How to take BILANT

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist.
The recommended dose for adults, including the elderly, and adolescents 12 years and older is 1 tablet (20 mg) per day.

  • The tablet is for oral use.
  • Take the tablet one hour before or two hours after eating or drinking fruit juice (see section 2 "BILANT with food, drink, and alcohol").
  • Swallow the tablet with a glass of water. Regarding the duration of treatment, your doctor will determine the type of disease and decide how long you should take BILANT.

Use in children

For children aged 6 to 11 years, with a body weight of at least 20 kg, other forms of this medicine are available – bilastine 10 mg, orodispersible tablets, or bilastine 2.5 mg/ml, oral solution. Consult your doctor or pharmacist.

Do not give bilastine to children under 6 years of age or with a body weight below 20 kg, as there are insufficient data on its use.

Overdose of BILANT

If you have taken more tablets than recommended, contactyour doctor or pharmacist immediatelyor go to the emergency department of your nearest hospital. Bring the package or leaflet with you.

Missed dose of BILANT

Do nottake a double dose to make up for a forgotten dose.
If you forget to take a dose at the usual time, take the forgotten dose as soon as possible, and then continue taking your medicine at the usual time.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, BILANT can cause side effects, although not everybody gets them.
If you experience symptoms of an allergic reaction, 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, stop taking the medicine and consult your doctor immediately.

Side effects that may occur in adults and adolescents:

Common (may affect up to 1 in 10 people):

  • headache
  • drowsiness.

Uncommon (may affect up to 1 in 100 people):

  • abnormal ECG
  • blood test results indicating liver function changes
  • dizziness
  • stomach pain
  • fatigue
  • increased appetite
  • irregular heartbeat
  • weight gain
  • nausea (vomiting)
  • anxiety
  • dryness or discomfort in the nose
  • abdominal pain
  • diarrhea
  • gastritis (inflammation of the stomach lining)
  • dizziness (dizziness or feeling of spinning)
  • feeling of weakness
  • increased thirst
  • shortness of breath (difficulty breathing)
  • dry mouth
  • indigestion
  • itching
  • oral thrush
  • fever
  • tinnitus (ringing in the ears)
  • sleep problems
  • blood test results indicating kidney function changes
  • elevated lipid levels in the blood.

Frequency not known (cannot be estimated from the available data):

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

Side effects that may occur in children:

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, 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 you experience any side effects, including any not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Medicinal Product Monitoring of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C
02-222 Warsaw
tel.: +48 22 49-21-301
fax: +48 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, you can help provide more information on the safety of this medicine.

5. How to store BILANT

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

6. Contents of the pack and other information

What BILANT 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 BILANT looks like and contents of the pack

BILANT tablets are round, biconvex, white or almost white, with a diameter of about 7 mm.
The tablets are packed in blisters of 10, 20, 30, 50, or 100 tablets.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:
Zentiva k.s.
U kabelovny 130
Dolní Měcholupy
102 37 Prague 10
Czech Republic
Manufacturer/Importer:
Saneca Pharmaceuticals a. s.
Nitrianska 100
920 27 Hlohovec
Slovakia

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

Bulgaria: Билант 20 mg таблетки
Poland: BILANT
Sweden: Bilant, 20 mg tablet

For more information about this medicine, contact the local representative of the marketing authorization holder:

Zentiva Polska Sp. z o.o.
ul. Bonifraterska 17
00-203 Warsaw
tel: + 48 22 375 92 00
{logo of the marketing authorization holder}
Date of last revision of the leaflet:February 2025

Alternatives to Bilant in other countries

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Alternative to Bilant in Spain

Dosage form: TABLET, 20 mg
Active substance: bilastine
Prescription required
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Manufacturer: Noucor Health S.A.
Prescription required
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Alternative to Bilant in Ukraine

Dosage form: solution, 2.5 mg/ml; 120 ml in a bottle
Active substance: bilastine
Dosage form: tablets, 10 mg
Active substance: bilastine
Dosage form: tablets, tablets 20mg
Active substance: bilastine
Manufacturer: FAES FARMA, S.A.
Prescription required
Dosage form: tablets, tablets 20mg
Active substance: bilastine
Dosage form: tablets, tablets 20mg
Active substance: bilastine
Manufacturer: Vivimed Labs Ltd
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Online doctors for Bilant

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

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Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

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  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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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.

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Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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In addition to pain management, Dr. Popov helps patients with:
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Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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You can consult Dr. Ben Harbi for:

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  • 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.
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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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  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
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  • Post-COVID-19 cardiac monitoring and care.
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  • Individual treatment plans including oral medications and insulin therapy.
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
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  • Lab test analysis, therapy adjustments, medication management.
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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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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.

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Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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