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BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION

BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION

Ask a doctor about a prescription for BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION

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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 BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION

Introduction

Leaflet: information for the user

Bilina 0.5 mg/ml eye drops in suspension

Levocabastina

Read this leaflet carefully before starting to use this medication, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any doubts, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What is Bilina and what is it used for
  2. What you need to know before using Bilina
  3. How to use Bilina
  4. Possible side effects
  5. Storage of Bilina
  6. Package contents and additional information

1. What is Bilina and what is it used for

Bilina 0.5 mg/ml eye drops in suspension contain levocabastina, which is an antihistamine used for the symptomatic treatment of allergic conjunctivitis in adults and in children and adolescents from 4 to less than 18 years of age.

Levocabastina is a highly selective antagonist of histamine H1 receptors. After application to the eyes, it provides rapid and long-lasting relief from the symptoms of allergic conjunctivitis (itching, redness, eyelid inflammation, tearing).

2. What you need to know before using Bilina

Do not use Bilina

  • If you are allergic (hypersensitive) to levocabastina or any of the other components of this medication (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to use Bilina.

Children and adolescents

  • The safety and efficacy of this medication have not been established in children under 4 years of age.
  • Bilina should only be used to treat children and adolescents from 4 to less than 18 years of age.

Using Bilina with other medications

No interactions have been described.

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medication.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you might be pregnant, or plan to become pregnant, do not use Bilina, as safety studies have not been conducted in pregnant women, and Bilina passes into breast milk. Consult your doctor or pharmacist before using this medication.

Driving and using machines

Bilina does not cause sedation or interfere with psychomotor activity. Adverse reactions with Bilina eye drops, such as eye irritation, pain, swelling, itching, redness, burning sensation, tearing, or blurred vision, have been reported, which may affect vision. Therefore, caution is recommended when driving or operating machinery after applying Bilina eye drops.

Bilina eye drops contain benzalkonium chloride

This medication contains 15 mg of benzalkonium chloride per ml.

Benzalkonium chloride can be absorbed by soft contact lenses, altering their color. Remove contact lenses before using this medication and wait 15 minutes before putting them back in.

Benzalkonium chloride can cause eye irritation, especially if you have dry eye or other corneal diseases (the transparent layer on the front of the eye). Consult your doctor if you feel any unusual sensation, itching, or pain in the eye after using this medication.

This medication contains 14.04 mg of phosphates per ml.

If you have severe corneal damage (the transparent layer on the front of the eye), treatment with phosphates, in very rare cases, may cause blurred vision due to calcium accumulation.

3. How to use Bilina

  1. Dosage

Follow your doctor's instructions for administering this medication exactly. If you have any doubts, consult your doctor or pharmacist again.

Adults and children and adolescents from 4 to less than 18 years of age

The recommended dose is 1 drop of Bilina per eye, 2 times a day. The dose can be increased to 1 drop in each eye, 3 or 4 times a day. Treatment should continue until symptoms disappear.

Use in children under 4 years of age

The safety and efficacy of this medication have not been established. No data are available.

Elderly

No data are available on the use of levocabastina in the elderly.

  1. Instructions for use

Before the first use of Bilina, remove the seal from the container and note the opening date on the box.

Follow these steps:

  1. Shake the container well before removing the cap
  2. Tilt your head back as far as possible
  3. Press the bottle and carefully pour 1 drop into the inner corner of the eye. Pull the lower eyelid down while keeping your head tilted back, so the drops can reach the area between the eye and the eyelid. Try to blink to spread the drops across the entire eye.
  4. Needle inserted into the skin at a 45-degree angle held with two fingersRepeat step 3 for the other eye.

Do not touch the bottle to the eye to avoid introducing impurities into the remaining liquid. Do not use the drops for more than 1 month after opening the bottle for the first time.

Treatment should continue until symptoms improve.

If you use more Bilina than you should

If you accidentally drink the contents of a container, you may feel drowsy. In this case, it is recommended to drink plenty of non-alcoholic liquids to accelerate the elimination of the medication through the kidneys and contact your doctor immediately.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount ingested.

If you forget to use Bilina

Do not apply an extra drop to the eye to make up for the missed dose.

If you have any other doubts about using this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medications, Bilina can cause side effects, although not everyone will experience them.

The frequency of the possible side effects listed below is defined using the following convention:

Very common (may affect more than 1 in 10 people)

Common (may affect up to 1 in 10 people)

Uncommon (may affect up to 1 in 100 people)

Rare (may affect up to 1 in 1,000 people)

Very rare (may affect up to 1 in 10,000 people)

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

The side effects observed with Bilina are:

Common side effects (affecting between 1 and 10 in 100 patients) may include:

  • Reaction at the site of administration, such as burning/stinging in the eyes, eye irritation

Very rare side effects (affecting less than 1 in 10,000 patients) may include:

  • A particular type of allergic reaction characterized by swelling of the lips, tongue, eyelids (angioedema) or other allergic reactions (anaphylaxis, hypersensitivity), such as hives and difficulty breathing
  • Eye pain
  • Conjunctivitis
  • Eyelid swelling
  • Eye swelling
  • Eyelid inflammation
  • Eye congestion
  • Reaction at the site of administration, such as redness, itching in the eyes
  • Skin irritation in the area in contact with the medication
  • Hives
  • Headache
  • Palpitations

If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet.

Reporting side effects:

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that is not listed in this leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Bilina

Keep out of sight and reach of children.

Do not use this medication after the expiration date stated on the container after CAD. The expiration date is the last day of the month indicated.

Discard 28 days after the first opening of the container.

Do not store above 25°C.

Medications should not be disposed of through wastewater or household waste. Deposit the containers and medications you no longer need at the pharmacy's SIGRE point. If you have any doubts, ask your pharmacist how to dispose of the containers and medications you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Bilina

  • The active ingredient is levocabastina. Each milliliter of Bilina contains 0.5 milligrams of levocabastina.
  • The other components (excipients) are benzalkonium chloride, propylene glycol, anhydrous disodium phosphate, monosodium phosphate, hypromellose, polysorbate 80, disodium edetate, and water for injectable preparations.

Appearance of the product and package contents

Bilina is presented as a sterile eye drop suspension, white in color, in a 4 ml plastic dropper bottle.

Marketing authorization holder and manufacturer

Marketing authorization holder

Esteve Pharmaceuticals, S.A.

Passeig de la Zona Franca, 109

08038 Barcelona

Spain

Manufacturer

Famar, S.A.

Agiou Dimitriou 63

Alimos Attiki

17456 Greece

Date of the last revision of this leaflet: September 2020

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.

About the medicine

How much does BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION cost in Spain ( 2025)?

The average price of BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION in December, 2025 is around 7.73 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

Alternatives to BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION in other countries

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

Alternative to BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION in Ucrania

Dosage form: gotas, 5 ml en un frasco
Active substance: Levocabastina
Manufacturer: Laboratoria Soven
Prescription required

Online doctors for BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for BILINA 0.5 mg/ml EYE DROPS IN SUSPENSION – subject to medical assessment and local rules.

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He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • 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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  • High blood pressure and metabolic conditions such as diabetes.
  • 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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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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  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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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:

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  • 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.
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