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Clatra

Ask a doctor about a prescription for Clatra

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 Clatra

Leaflet attached to the packaging: patient information

Clatra, 20 mg, tablets

Bilastine

Read the 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 or pharmacist.
  • This medicine has been prescribed specifically 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 those not listed in this leaflet, tell your doctor or pharmacist. See section 4.

Table of contents of the leaflet:

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

1. What is Clatra and what is it used for

Clatra contains the active substance bilastine, which has antihistamine properties.
Clatra is used to relieve the symptoms of hay fever (itching, sneezing, runny nose, blocked nose, and red or 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 Clatra

When not to take Clatra

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

Warnings and precautions

Before taking Clatra, discuss with your doctor or pharmacist if you have moderate to 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 some types of heart disease, and also if you are taking other medicines (see "Clatra 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.

Clatra and other medicines

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

  • ketokonazole (an antifungal medicine)
  • erythromycin (an antibiotic)
  • diltiazem (a medicine used for coronary heart disease)
  • cyclosporin (an immunosuppressant medicine used in organ transplant patients or for autoimmune diseases and allergies, such as psoriasis, atopic dermatitis, rheumatoid arthritis)
  • ritonavir (for HIV treatment)
  • rifampicin (an antibiotic)

Clatra with food, drink, and alcohol Do not take Clatra with food or grapefruit juice or other

fruit juices, as this reduces the effect of Clatra. To avoid reducing the effect of Clatra:

  • swallow the tablet and wait one hour before eating or drinking fruit juice (see section 2, "Clatra 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, as well as its effect on fertility.
If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor 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 patient to patient.
Therefore, before driving or operating machinery, check how this medicine affects you.

Clatra contains sodium

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

3. How to take Clatra

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.

  • Tablet for oral use.
  • Take the tablet one hour before or two hours after any meal or fruit juice (see section 2, "Clatra with food, drink, and alcohol").
  • Swallow the tablet with a glass of water.
  • The score line on the tablet is only to facilitate breaking the tablet to make it easier to swallow.

Regarding the duration of treatment, your doctor will determine the type of disease and decide how long you should take Clatra.

Use in children

Other pediatric forms of this medicine - bilastine 10 mg orodispersible tablet or bilastine 2.5 mg/mL oral solution - are more suitable for children aged 6 to 11 years with a body weight of at least 20 kg - ask your doctor or pharmacist.

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

Overdose of Clatra

If you have taken more than the recommended dose of Clatra, immediatelycontact your doctor or pharmacist or go to the emergency department of the nearest hospital. Bring the packaging or leaflet with you.

Missed dose of Clatra

Do nottake a double dose to make up for a missed dose.
If you miss a dose, take the missed dose as soon as possible, and then continue with your regular dose at the usual time.
If you have any questions, ask your doctor or pharmacist.

  • 4.

Possible side effects

Like all medicines, Clatra can cause side effects, although not everybody gets them.
If you experience 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.

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

Common: occurring in less than 1 in 10 treated patients

  • headache
  • drowsiness

Uncommon: occurring in less than 1 in 100 treated patients

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

Common: occurring in less than 1 in 10 treated patients

  • nasal congestion (runny nose)
  • allergic conjunctivitis (eye irritation)
  • headache
  • stomach pain (abdominal pain, epigastric pain)

Uncommon: occurring in less than 1 in 100 treated patients

  • eye irritation
  • dizziness
  • loss of consciousness
  • diarrhea
  • nausea
  • lip swelling
  • rash
  • hives
  • fatigue

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist, or nurse.
Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +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 Clatra

Keep the medicine out of the 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 medicinal product 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 Clatra contains

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

What Clatra looks like and contents of the pack

Clatra tablets are white, oval, biconvex, with a score line on one side (length 10 mm, width 5 mm).
The tablets are packaged in blisters. Pack sizes: 10, 20, 30, 40, or 50 tablets.
Not all pack sizes may be marketed.

Marketing authorization holder

Menarini International Operations Luxembourg S.A.
1, Avenue de la Gare
L-1611 Luxembourg
Luxembourg

Manufacturer

Faes Farma, S.A.
Màximo Aguirre, 14
48940 Leioa (Vizcaya)
Spain

  • A. Menarini Manufacturing Logistics and Services S.r.l. Campo di Pile L’Aquila Italy

or
Menarini – Von Heyden GmbH
Leipziger Strasse 7 – 13
01097 Dresden
Germany

This medicine is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Austria:
Olisir 20 mg Tablets
Belgium:
Bellozal 20 mg Tablet
Bulgaria:
Fortecal 20 mg Tablet
Cyprus:
Bilaz 20 mg Δισκίο
Czech Republic:
Xados
Denmark:
Revitelle, tablets 20 mg
Estonia:
Opexa
Finland:
Revitelle 20 mg tablets
France:
Bilaska 20 mg Comprimé
Germany:
Bilaxten 20 mg Tablets
Greece:
Bilaz 20 mg Δισκίο
Hungary:
Lendin 20 mg tablet
Iceland:
Bilaxten 20 mg tablets
Ireland:
Drynol 20 mg tablets
Italy:
Bysabel 20 mg Compressa
Latvia:
Opexa 20 mg tablets
Lithuania:
Opexa 20 mg tabletès
Luxembourg:
Bellozal 20 mg Tablet
Malta:
Gosall 20 mg tablets
Norway:
Zilas 20 mg tablet
Poland:
Clatra
Portugal:
Lergonix 20 mg Comprimido
Romania:
Borenar 20 mg comprimate
Slovakia:
Omarit 20 mg Tablet
Slovenia:
Bilador 20 mg tablets
Spain:
Ibis 20 mg Comprimido
Sweden:
Bilaxten 20 mg tablet
United Kingdom (Northern Ireland): Ilaxten 20 mg tablets
Date of last revision of the leaflet:02/2025

Alternatives to Clatra in other countries

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

Alternative to Clatra in Spain

Dosage form: TABLET, 20 mg
Active substance: bilastine
Prescription required
Dosage form: ORALLY DISINTEGRATING TABLET/LIOTAB, 10 mg
Active substance: bilastine
Manufacturer: Urquima S.A.
Prescription required
Dosage form: TABLET, 20 mg
Active substance: bilastine
Manufacturer: Tarbis Farma S.L.
Prescription required
Dosage form: TABLET, 20 mg
Active substance: bilastine
Prescription not required
Dosage form: TABLET, 20 mg
Active substance: bilastine
Manufacturer: Noucor Health S.A.
Prescription required
Dosage form: ORALLY DISINTEGRATING TABLET/LIOTAB, 10 mg
Active substance: bilastine
Prescription required

Alternative to Clatra 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
Prescription required

Online doctors for Clatra

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

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Jonathan Marshall Ben Ami

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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.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • 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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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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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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  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • Preventive care and routine health check-ups.

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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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:
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  • 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:
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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).
General internal medicine and preventive care:
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  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
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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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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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  • arrhythmias: diagnosis, follow-up, and treatment adjustment
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  • 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.
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Additional care areas:

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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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  • Paediatric concerns — fever, infections, general well-being.
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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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