Sun Pharmaceutical Industries Ltd

BILASURE M Tablet 10's

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    Introduction About BILASURE M TABLET

    Bilasure M Tablet is a prescription combination medicine containing Bilastine and Montelukast. It is commonly prescribed by healthcare professionals for the management of allergy-related conditions such as allergic rhinitis, also known as hay fever. This medicine is associated with easing commonly observed allergy symptoms, including sneezing, a runny or blocked nose, nasal irritation, and watery eyes, when used under medical supervision. The combination of an antihistamine and a leukotriene pathway modulator allow the medicine to address multiple pathways involved in allergic responses. Bilasure M Tablet is intended for use as advised by a qualified healthcare provider and forms part of a broader allergy symptom management plan based on individual medical needs.

    Bilasure M Tablet should be taken exactly as advised by your healthcare provider. It is generally taken once daily on an empty stomach, preferably at least one hour before or two hours after meals, as the presence of food may influence how the medicine is absorbed. For consistent use, try to take the tablet at the same time each day. Avoid missing doses, and do not discontinue the medicine on your own without consulting your doctor. As part of general allergy care, individuals may find it helpful to limit exposure to known allergens, maintain a clean, dust-free living environment, and ensure adequate fluid intake, as advised by a healthcare professional.

    Most commonly reported side effects such as headache, cough, tiredness, fever, abdominal discomfort, loose stools, nausea, vomiting, rash, drowsiness, or ear-related discomfort (otitis media). These effects are generally described as mild and may settle as the body adjusts to the medicine. If any of these symptoms continue for a prolonged period or cause discomfort, it is advisable to inform your healthcare provider for further guidance. As drowsiness has been reported in some users, limiting alcohol intake and allowing adequate rest may help support daily comfort while using this medicine.

    While using Bilasure M Tablet, some individuals may experience dizziness or sleepiness. For this reason, activities that require full alertness, such as driving or operating heavy machinery, should be avoided until you understand how the medicine affects you.

    Individuals who are pregnant or breastfeeding are advised to consult a healthcare professional before using this medicine. It is also important to inform your doctor about any existing liver or kidney conditions, a history of asthma, or mental health–related concerns prior to starting the medication, as these factors may require additional medical guidance.

    Uses Of BILASURE M TABLET

    • Manage allergy-related conditions such as allergic rhinitis, also known as hay fever
    • Helps in relieving common allergy symptoms such as sneezing, runny or blocked nose, nasal irritation, watery eyes

    Benefits of BILASURE M TABLET

    01) Helps Manage Common Allergy Symptoms
    Supports the management of commonly experienced allergy symptoms such as sneezing, nasal congestion, and irritation when used as prescribed by a healthcare professional.

    02) Supports Relief from Sneezing and Runny Nose
    Helps reduce frequent sneezing and a runny nose associated with allergic conditions, contributing to improved nasal comfort.

    03) Provides Comfort from Watery and Itchy Eyes
    Assists in easing watery, itchy, or irritated eyes that may occur due to allergic reactions.

    04) Useful for Seasonal and Year-Round Allergies
    May be used as part of the management plan for both seasonal allergies (such as pollen-related allergies) and perennial allergies when advised by a healthcare provider.

    05) Helps Reduce Nasal Discomfort Due to Allergic Conditions
    Supports relief from nasal discomfort, including blockage and irritation, commonly linked to allergic rhinitis.

    06) Supports Better Day-to-Day Comfort in Allergy-Prone Individuals
    Helps improve overall daily comfort in individuals affected by allergies by supporting symptom control under medical supervision.

    How BILASURE M TABLET Works

    01) Role of Bilastine in Blocking Histamine Activity
    Bilastine is an antihistamine that helps block the effects of histamine, a substance released during allergic reactions. By limiting histamine activity, it supports relief from symptoms such as sneezing, itching, and nasal discomfort.

    02) How Montelukast Acts on Leukotriene Pathways
    Montelukast works by blocking leukotrienes, chemical messengers involved in inflammation and allergy-related responses. This action helps reduce swelling, nasal congestion, and irritation associated with allergies.

    03) Combined Action of Bilastine and Montelukast
    The combination of Bilastine and Montelukast addresses two key pathways involved in allergic reactions such as histamine and leukotrienes, supporting more comprehensive allergy symptom management when used as prescribed.

    04) Understanding Histamine and Leukotrienes in Allergic Responses
    Histamine and leukotrienes are naturally occurring substances that contribute to allergy symptoms such as sneezing, runny nose, nasal blockage, and watery eyes. Managing their effects plays an important role in controlling allergic conditions.

    05) How This Combination Helps Control Allergy-Related Reactions
    By targeting both histamine release and leukotriene activity, this combination helps support better control of allergy-related reactions under medical supervision.

    06) Action of Antihistamine and Leukotriene Receptor Blocker Together
    The antihistamine component helps reduce immediate allergy symptoms, while the leukotriene receptor blocker supports control of ongoing inflammatory responses, contributing to improved overall allergy symptom management.

    How to use BILASURE M TABLET

    01)Recommended Daily Dosage of BILASURE M Tablet

    • The recommended daily dosage of BILASURE M Tablet is determined by a qualified healthcare professional based on the patient’s age, medical condition, and severity of allergy symptoms.
    • Patients should follow the prescribed dose and avoid changing it without medical advice.

    02)How to Take BILASURE M Tablet Safely

    • BILASURE M Tablet should be taken exactly as advised by a healthcare provider.
    • This medicine is usually swallowed whole with water and should not be crushed or chewed unless specifically instructed by a medical professional.

    03)Timing and Frequency of Intake

    • The timing and frequency of BILASURE M Tablet intake depend on the management plan recommended by the doctor.
    • Taking the medicine at the same time each day may help maintain consistent symptom control and support better adherence.

    04) Instructions for Consuming Bilastine and Montelukast Tablet

    • The Bilastine and Montelukast combination tablet should be taken as prescribed, with or without food as directed by a healthcare professional.
    • Patients should carefully follow all instructions provided on the prescription label.

    05) Tips for Consistent Tablet Administration

    • For effective allergy symptom management, patients are encouraged to take BILASURE M Tablet regularly as prescribed.
    • Using reminders or incorporating the dose into a daily routine may help ensure consistent use.

    06) Tablet Intake Guidelines for Adults and Adolescents

    • BILASURE M Tablet may be prescribed for adults and adolescents as part of an allergy management plan.
    • Dosage and duration of use should always be guided by a healthcare professional to ensure safe and appropriate management.

    Side Effects Of BILASURE M TABLET

    Common:

    • Headache
    • Cough
    • Tiredness
    • Fever
    • Abdominal discomfort
    • Loose stools
    • Nausea
    • Vomiting
    • Rash
    • Drowsiness
    • Ear-related discomfort (otitis media)

    When to consult your doctor?

    • Severe allergic (hypersensitivity) reactions symptoms such as swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing, severe skin rash, itching, or hives 
    • Lung inflammation associated with increased eosinophils symptoms such as shortness of breath, chest tightness or wheezing
    • Mental health–related symptoms such as suicidal thoughts or behavior, anxiety, agitation, restlessness, or unusual changes in mood, confusion, unusual thoughts, or sudden changes in sleep patterns 
    • Liver-related problems (hepatitis) symptoms such as persistent abdominal pain, nausea or vomiting, dark-coloured urine, yellowing of the skin or whites of the eyes (jaundice)
    • Severe skin reactions symptoms such as widespread skin rash or redness (erythema multiforme), painful red lumps under the skin, commonly on the shins (erythema nodosum)
    • Severe or persistent stomach-related symptoms such as intense stomach pain, ongoing nausea or vomiting
    • Any unexpected, worsening, or concerning symptoms

    How To Manage Side Effects

    Headache

    • Stay Hydrated: Drink plenty of water throughout the day to help ease headache symptoms.
    • Rest in a Quiet Environment: Minimize noise and bright lights by resting in a calm, dark room.
    • Use Over-the-Counter Pain Relief: Consult your doctor about using mild pain relievers like acetaminophen to alleviate headaches.
    • Avoid Stressful Activities: Limit activities that increase stress or physical exertion when experiencing headaches.
    • Seek Medical Advice: Contact your healthcare provider if headaches become severe, persistent, or are accompanied by other symptoms.

    Nausea And Vomiting

    • Stay Hydrated: Sip fluids slowly, such as water, ginger tea, or clear soups to support hydration and reduce discomfort.
    • Eat Small, Bland Meals: Choose light foods like crackers, toast, or plain rice to minimize stomach irritation.
    • Avoid Strong Odors and Spicy Foods: These can worsen feelings of nausea and should be limited during symptoms.
    • Rest and Relaxation: Rest in a comfortable position and avoid sudden movements to calm the digestive system.
    • Seek Medical Advice: Consult a healthcare provider promptly if nausea is severe, persistent, or accompanied by vomiting.

    Warning & Precautions

    Pregnancy

    Monitoring required

    Animal and limited human data have not shown harmful effects on the developing baby. However, there are insufficient well-controlled studies in pregnant women. BILASURE M Tablet should be used during pregnancy only if clearly needed and if the potential benefit outweighs possible risks. Antihistamines are generally avoided during the first trimester unless medically necessary. Consult your doctor before taking it.

    Breastfeeding

    Consult your doctor

    It is not known whether BILASURE M Tablet passes into breast milk. Breastfeeding women should use this medicine only when clearly advised by a healthcare professional, after evaluating the benefits and potential risks to the infant. Consult your doctor before taking it.

    Driving and Using Machines

    Use with Caution

    Some individuals may experience dizziness or drowsiness, or reduced alertness while taking BILASURE M Tablet. Avoid driving, operating machinery, or performing tasks requiring full concentration if such effects occur.

    Kidney

    Use with Caution

    Patients with moderate to severe kidney impairment should use BILASURE M Tablet cautiously. Dose adjustment or close medical supervision may be required. Always inform your doctor about any existing kidney conditions before taking it.

    Liver

    Use with Caution

    BILASURE M Tablet should be used with caution in patients with mild to moderate liver impairment. Patients with liver disease should consult their healthcare provider before starting it.

    Allergy

    Contraindicated

    Do not take BILASURE M Tablet if you are allergic to Bilastine or Montelukast, or any other ingredient in the formulation. Seek immediate medical attention if signs of an allergic reaction occur.

    Lungs

    Contraindicated

    BILASURE M Tablet is not intended for the management of acute asthma attacks or sudden breathing problems. Patients with existing lung conditions should consult their doctor before use.

    Use In Pediatrics

    Consult your doctor

    BILASURE M Tablet is approved for use in adolescents aged 15 years and above. It is not recommended for children below 15 years of age unless specifically prescribed by a healthcare professional. Consult your paediatrician before giving it.

    Use In Geriatrics

    Monitoring required

    Elderly patients (aged 65 years and above) may be more sensitive to side effects such as dizziness or drowsiness. Careful monitoring and medical guidance are recommended. Consult your doctor before taking it.

    Who should not take BILASURE M TABLET

    BILASURE M Tablet is not recommended for patients who have hereditary problems, including

    • Galactose intolerance
    • Glucose-galactose malabsorption (inability of the body to absorb glucose and galactose sugars)
    • Lapp lactase deficiency (lactose intolerance)

    Drug - Drug interaction

    1. Ketoconazole (Antifungal medicine)

    • Interaction: Ketoconazole may affect how Bilastine is metabolized in the body.
    • Effects: Could increase Bilastine blood levels, leading to heightened drowsiness or headache.
    • Management: Inform your doctor if you experience side effects. Dose adjustments may be needed.

    2. Erythromycin (Antibiotic)

    • Interaction: Erythromycin may interfere with Bilastine metabolism.
    • Effects: Increased risk of side effects such as dizziness or headache.
    • Management: Take under medical supervision; monitor for unusual symptoms.

    3. Diltiazem (for angina)

    • Interaction: Diltiazem may affect how Bilastine is processed in the body.
    • Effects: Could cause increased drowsiness or mild dizziness.
    • Management: Doctor may monitor or adjust management as needed.

    4. Cyclosporine (immunosuppressant)

    • Interaction: Co-administration may alter the blood levels of Bilastine or Montelukast.
    • Effects: May increase risk of side effects or reduce effectiveness.
    • Management: Regular medical supervision and dose adjustments may be required.

    5. Ritonavir (for AIDS)

    • Interaction: Ritonavir may affect the metabolism of Bilastine or Montelukast.
    • Effects: Could increase side effects such as drowsiness or headache.
    • Management: Take only under healthcare supervision; dose modification may be needed.

    6. Rifampicin (antibiotic for TB and infections)

    • Interaction: Rifampicin may reduce blood levels of Montelukast, lowering effectiveness.
    • Effects: Allergy symptoms may not be fully controlled.
    • Management: Monitor symptoms, your doctor may adjust your dose.

    7. Phenobarbital (for epilepsy)

    • Interaction: Phenobarbital may alter Montelukast metabolism.
    • Effects: May reduce allergy control or increase side effects like drowsiness.
    • Management: Inform your doctor about any changes in symptoms; dose adjustment may be needed.

    8. Phenytoin (for epilepsy)

    • Interaction: Phenytoin may affect Montelukast blood levels.
    • Effects: Could reduce allergy symptom control or increase side effects.
    • Management: Take under medical supervision; your doctor may monitor or adjust doses.

    9. Gemfibrozil (for high lipid levels)

    • Interaction: Gemfibrozil may increase blood levels of Montelukast.
    • Effects: May increase side effects such as abdominal discomfort or headache.
    • Management: Doctor may monitor and adjust therapy as needed.

    Drug - Food interaction

    1. Grapefruit and Grapefruit Juice

    • Interaction: Grapefruit may affect the metabolism of Montelukast.
    • Effects: Could alter the effectiveness of the medicine or increase side effects.
    • Management: Avoid consuming grapefruit or grapefruit juice while taking BILASURE M Tablet unless advised by your doctor.

    2. Alcohol

    • Interaction: Alcohol may increase drowsiness or dizziness caused by Bilastine.
    • Effects: Impaired alertness, coordination, or reaction time.
    • Management: Limit or avoid alcohol while taking BILASURE M Tablet. Do not drive or operate machinery if affected.

    3. High-Fat Meals

    • Interaction: Taking BILASURE M Tablet with very high-fat meals may slightly affect absorption of Bilastine.
    • Effects: Could reduce the speed of symptom relief.
    • Management: For consistent effect, take the tablet with or without food, following your doctor’s instructions.

    4. Stimulants (e.g., caffeine-containing drinks)

    • Interaction: Caffeine may reduce the sedative effect of Bilastine.
    • Effects: May slightly reduce drowsiness but generally does not interfere with overall effectiveness.
    • Management: No strict restriction; monitor your response to the medicine.

    5. Herbal Supplements (e.g., St. John’s Wort)

    • Interaction: Some herbal supplements may affect metabolism of Montelukast or Bilastine.
    • Effects: May reduce allergy control or increase risk of side effects.
    • Management: Inform your doctor about all herbal products before starting BILASURE M Tablet.

    Synopsis

    Drug :   Bilastine, Montelukast
    Pharmacological Category :   H1 Histamine Receptor Antagonist, Leukotriene Receptor Antagonist
    Therapeutic Indication :   Allergic rhinitis (seasonal and perennial)         
    Dosage Forms :   Tablet, Suspension, Syrup

    More Information

    01)Why Are More People Searching for Daily Allergy Symptom Information in 2026 and How Does BILASURE M Tablet Help?

    Increasing Interest in Allergy Information
    In 2026, more people are searching for daily allergy symptom information due to rising pollen levels, seasonal changes, and increased pollution, which can trigger symptoms such as sneezing, runny nose, nasal irritation, and watery eyes.

    Why Awareness Is Growing
    Allergy symptoms are becoming more noticeable in daily life, even during routine activities, as environmental and lifestyle factors continue to change. This has increased the need for reliable information on managing symptoms daily.

    Role of BILASURE M Tablet in Symptom Management
    BILASURE M Tablet, combining Bilastine (an antihistamine) and Montelukast (a leukotriene receptor antagonist), helps manage common allergy symptoms under medical supervision. Its dual-action formulation addresses multiple allergic pathways, supporting better day-to-day comfort.

    Why Consistent Use Matters
    Taking BILASURE M Tablet as prescribed is part of a comprehensive allergy management plan, which may include avoiding known triggers and following doctor-recommended lifestyle measures. Consistent use helps maintain effective symptom control.

    Important Safety Note
    Always take BILASURE M Tablet under healthcare guidance and report any unusual or worsening symptoms. It is meant to support symptom relief, not replace medical evaluation.

    FAQs About BILASURE M TABLET

    Q: What is BILASURE M Tablet?

    A: BILASURE M Tablet is a prescription combination medicine containing Bilastine and Montelukast, commonly prescribed for the management of allergy-related conditions such as allergic rhinitis, under medical supervision.

    Q: Is BILASURE M Tablet a prescription medicine?

    A: Yes, BILASURE M Tablet should be used only under the guidance of a healthcare professional.

    Q: How does the combination of Bilastine and Montelukast work?

    A: Bilastine helps block the effects of histamine, while Montelukast acts on leukotriene pathways. Together, they target multiple mechanisms involved in allergic reactions to support symptom control.

    Q: What symptoms can BILASURE M Tablet help manage?

    A: It helps manage common allergy symptoms such as sneezing, runny or blocked nose, nasal irritation, and watery or itchy eyes, when taken as prescribed.

    Q: Can BILASURE M Tablet be taken daily?

    A: The frequency and duration of use depend on your doctor’s advice, based on your symptoms and medical condition.

    Q: Who can take BILASURE M Tablet safely?

    A: BILASURE M Tablet is generally prescribed for adults and adolescents aged 15 years and above, as determined by a healthcare provider.

    Q: Can adolescents use BILASURE M Tablet?

    A: Yes, it may be prescribed for adolescents aged 15 years or older, under medical supervision.

    Q: Can BILASURE M Tablet interact with other medicines or foods?

    A: BILASURE M Tablet may interact with certain medicines or foods. Inform your doctor about all medicines, supplements, or dietary habits before starting management.

    Q: Are there any safety concerns with Bilastine–Montelukast tablets?

    A: Like all medicines, BILASURE M Tablet may cause side effects in some individuals. Always follow your doctor’s instructions and report any unusual or persistent symptoms.

    Q: Is BILASURE M Tablet safe to use?

    A: When used as prescribed by a healthcare professional, BILASURE M Tablet is considered appropriate for managing allergy symptoms.

    Q: Is BILASURE M Tablet safe for long-term use?

    A: Long-term use should be guided and monitored by a doctor, depending on symptom severity and individual response.

    Q: Who should avoid using BILASURE M Tablet?

    A: Individuals who are allergic to Bilastine, Montelukast, or any ingredient in the tablet, or those advised otherwise by their doctor, should avoid using it.

    Q: What should be known about storage and handling?

    A: Store BILASURE M Tablet in a cool, dry place, away from moisture and direct sunlight. Keep it out of reach of children.

    References

    1. KD. Tripathi. Drugs for Cough and Bronchial Asthma. Essentials of Medical Pharmacology. Seventh Edition. 2013. Page 228.

    2.Sidhartha D. Ray. Antihistamines (H1 receptor antagonists). Side Effects of Drugs Annual: A Worldwide Yearly Survey of New Data in Adverse Drug Reactions: Volume 43. First edition. 2021. Page 190.

    3. Federico Lavorini, Andrea Matucci, Oliviero Rossi, Massimo Pistolesi, SKY study investigators. Concomitant bilastine and montelukast as additive therapy for seasonal allergic rhinoconjunctivits and mild-to-moderate asthma. The SKY study. NIH National Library of Medicine. National Centre for Biotechnology Information. PMC PubMed Central. October 2019. [Accessed on 04th Feb 2026] 

    4.Shubhadeep D. Sinha, Sridevi Perapogu, Sreenivasa Chary S., S. Ramesh, Jaimanti Bakshi, Ajit Singh, Abdul Khabeer Ahmed, B. Mohan Reddy, Muralidhar Panapakam, Leela Talluri & Ramya Vattipalli. Efficacy and safety of fixed-dose combination of Bilastine-Montelukast in adult patients with allergic rhinitis: a phase III, randomized, multi- center, double-blind, active controlled clinical study. 31 May 2023. [Accessed on 04th Feb 2026] 

    5.Ciplamed. BILAFAV M Tablets. [Revised in March 2020] [Accessed on 04th Feb 2026] 

    Author Details

    Written By Dr. Janet.C - Pharm.D
    Reviewed For Accuracy By Dr. M N Himaja - MBBS
    Last updated on 18 Dec 2024 | 06:23 PM(IST)
    Lab updated