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EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS

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About the medicine

How to use EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS

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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.

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Introduction

Package Leaflet: Information for the User

Ebastineratiopharm20 mg Orodispersible Tablets EFG

Ebastine

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • 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 for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information

  1. What is Ebastine ratiopharm and what is it used for
  2. What you need to know before you take Ebastine ratiopharm
  3. How to take Ebastine ratiopharm
  4. Possible side effects
  5. Storage of Ebastine ratiopharm

Contents of the pack and other information

1. What is Ebastine ratiopharm and what is it used for

Ebastine is an antihistamine that helps to relieve the symptoms of allergy such as sneezing, runny nose, itchy eyes and itchy skin rashes.

In adults and children of 12 years and older, Ebastine ratiopharm is used to relieve the symptoms of seasonal and perennial allergic rhinitis, including cases with allergic conjunctivitis.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you take Ebastine ratiopharm

Do not take Ebastine ratiopharm

If you are allergic to ebastine or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor before taking Ebastine ratiopharm if:

  • you have low levels of potassium in your blood.
  • you are already taking certain antibiotics or medicines used to treat fungal infections: see the section "Taking Ebastine ratiopharm with other medicines" below.
  • you have severe liver function disorders (liver failure).

Ebastine may cause dry mouth. Therefore, during prolonged treatment with ebastine, it is important to maintain good oral hygiene (you should brush your teeth twice a day with a fluoride toothpaste) to reduce the risk of tooth decay.

Children and adolescents

This medicine should only be taken by children from 12 years of age. Do not give to children under 12 years of age since the safety and efficacy have not been established in this age group.

Taking Ebastine ratiopharm with other medicines

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Taking Ebastine ratiopharm at the same time as erythromycin (an antibiotic) or ketoconazole, itraconazole (active substances for the treatment of fungal infections), may lead to higher levels of ebastine in the blood.

Taking ebastine at the same time as rifampicin (a medicine against tuberculosis) may lead to lower levels of ebastine in the blood, resulting in a reduction of the effects.

It is not recommended to use Ebastine ratiopharm at the same time as clarithromycin or josamycin (antibiotics).

Taking Ebastine ratiopharm with food and drinks

You can take Ebastine ratiopharm with or without food.

Pregnancy and breast-feeding

Up to now, the existing experience regarding safety for the fetus in humans is limited. For this reason, you should only take this medicine during pregnancy if your doctor considers that the expected benefit outweighs the possible risks.

Do not take Ebastine ratiopharm if you are breast-feeding since it is not known whether the active substance passes into breast milk.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Most patients treated with Ebastine ratiopharm can drive or perform other activities that require a good reaction ability. However, as with other medicines, you should check your individual reaction after taking Ebastine ratiopharm before driving or performing complex activities, since some patients experience drowsiness or dizziness.

Ebastine ratiopharm contains aspartame

This medicine contains 5 mg of aspartame in each tablet.

Aspartame is a source of phenylalanine, which may be harmful for people with phenylketonuria (PKU), a rare genetic disorder in which phenylalanine accumulates because the body is unable to eliminate it properly.

Ebastine ratiopharm contains lactose

If your doctor has told you that you have an intolerance to some sugars, consult with them before taking this medicine.

Ebastine ratiopharm contains sodium

This medicine contains less than 23 mg of sodium (1 mmol) per tablet; this is essentially "sodium-free".

3. How to take Ebastine ratiopharm

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, check with your doctor or pharmacist.

The recommended dose is:

Indication

Age

Dose

Allergic rhinitis

In case of intense symptoms

Children of 12 years and older and adults

One Ebastine ratiopharm 10 mg tablet (10 mg of ebastine) per day

Two Ebastine ratiopharm 10 mg tablets or one Ebastine ratiopharm 20 mg tablet (20 mg of ebastine) per day

Urticaria

Adults over 18 years

One Ebastine ratiopharm 10 mg tablet (10 mg of ebastine) per day

In patients with renal insufficiency, no dose adjustment is necessary.

In patients with mild to moderate liver insufficiency, no dose adjustment is necessary.

There is no experience with doses above 10 mg in patients with severe liver insufficiency, so these patients should not take more than 10 mg per day.

Do not push the tablet out of the blister, as this will damage it.

Each strip contains tablets separated by perforations in blisters. Separate one blister with its tablet along the dotted line (Figure 1).

Hand holding a device with a black tip and an arrow indicating the direction of application

Carefully peel off the protective film, starting from the corner indicated by the arrow (Figures 2 and 3).

Hands holding a device with a button and a transparent window pressing upwards according to numbered arrows 2 and 3

Keep your hands dry and take the tablet from the strip.

Place the tablet on the tongue, where it will disperse. No water or other liquid is needed.

You can take Ebastine ratiopharm with or without food.

Your doctor will decide the duration of the treatment.

If you take more Ebastine ratiopharm than you should

There is no specific antidote for the active substance ebastine.

If you suspect an overdose with Ebastine ratiopharm, inform your doctor. Depending on the severity of the poisoning, he/she will take the necessary measures (monitoring of the body's vital functions, including ECG monitoring for at least 48 hours, symptomatic treatment, and gastric lavage), if necessary.

If you have taken a dose higher than that prescribed by your doctor or in case of overdose, consult your doctor or pharmacist immediately, or call the Toxicology Information Service, telephone 91 562 04 20, indicating the medicine and the amount used.

If you forget to take Ebastine ratiopharm

Do not take a double dose to make up for forgotten doses.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Stop taking Ebastine ratiopharm and contact your doctor immediately or go to the nearest hospital if you experience the following:

  • Severe allergic reaction that causes swelling of the face, tongue, or throat and may cause difficulty swallowing or breathing.

Other side effects include:

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

  • Headache

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

  • Drowsiness.
  • Dry mouth.

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

  • Sore throat (pharyngitis), runny nose (rhinitis), nosebleeds.
  • Abdominal pain, nausea, indigestion.
  • Weakness (asthenia), dizziness, insomnia.

Rare (may affect up to 1 in 10,000 people):

  • Nervousness, insomnia.
  • Abnormalities or decreased sense of touch.
  • Touch disorders
  • Palpitations, rapid heartbeat.
  • Abdominal pain, nausea, indigestion
  • Vomiting.
  • Abnormal liver function test.
  • Liver inflammation
  • Bile flow disorders causing itching, yellow eyes, and skin
  • Rash, annoying rash, skin inflammation.
  • Menstrual disorders.
  • Edema (water retention in the tissues), weakness (asthenia)
  • Dizziness.

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

  • Hives, eczema
  • Painful menstruation

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

  • Weight gain,
  • Increased appetite.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Spanish Medicines Agency's website: www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Ebastine ratiopharm

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiry date refers to the last day of the month.

Store in the original package to protect from light.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Ebastine ratiopharm

The active substance is ebastine.

Each orodispersible tablet contains 20 mg of ebastine.

The other ingredients are: microcrystalline cellulose, lactose monohydrate, corn starch, sodium croscarmellose, aspartame (E-951), peppermint flavor, colloidal anhydrous silica, and magnesium stearate.

Appearance and packaging

Orodispersible tablet.

White, biconvex, round tablets, engraved with "E20" on one side and smooth on the other.

Available pack sizes: 10, 15, 20, 30, 40, 50, 98, and 100 orodispersible tablets.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Marketing authorisation holder

Teva Pharma, S.L.U.

C / Anabel Segura 11, Edificio Albatros B, 1st floor

Alcobendas 28108 Madrid (Spain)

Manufacturer

Teva Pharmaceutical Works Private Limited Company

Pallagi út 13, 4042 Debrecen

Hungary

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

ES: Ebastine ratiopharm 20 mg orodispersible tablets EFG

IT: Ebakest 20 mg orodispersible tablets

SE: Ebateva 20 mg orodispersible tablets

Date of last revision of this leaflet: September 2023

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

Online doctors for EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS

Discuss questions about EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Frequently Asked Questions

Is a prescription required for EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS?
EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING 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 EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS?
The active ingredient in EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS is ebastine. This information helps identify medicines with the same composition but different brand names.
How much does EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS cost in pharmacies?
The average pharmacy price for EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS is around 8.79 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS?
EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS is manufactured by Teva Pharma S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING 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 EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to EBASTINE RATIOPHARM 20 mg ORALLY DISINTEGRATING TABLETS?
Other medicines with the same active substance (ebastine) include BACTIL 10 mg FILM-COATED TABLETS, BACTIL FLAS 10 mg ORAL LYOPHILIZED, BACTIL FORTE 20 mg FILM-COATED 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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