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Introduction About BILACIP 40 TABLET
BILACIP 40 TABLET is used to relieve the symptoms of hay fever (such as sneezing, itching, a runny and stuffy nose, and red or watery eyes) and other forms of allergic rhinitis. It is also used to manage itchy skin rashes (hives, or urticaria).
BILACIP 40 TABLET contains Bilastine, which belongs to the group of medicines called Antihistamines. It works by stopping the binding of histamine (a chemical that is produced by the immune system) to its receptor in the body, and in severe cases, it inhibits the initiation of an allergic reaction.
BILACIP 40 TABLET is not recommended for use in patients with a history of irregular heartbeats. Before taking BILACIP 40 TABLET, inform your doctor if you have moderate or severe renal impairment or a personal or family history of heart problems.
BILACIP 40 TABLET should not be used during pregnancy as a precautionary measure, and it should be used with caution in breast-feeding women. Consult your doctor before taking this medicine.
BILACIP 40 TABLET is not recommended for use in children (less than 12 years of age). The most common side effects of taking BILACIP 40 TABLET are headache, drowsiness, nasal irritation, and stomach pain. Consult your doctor if any of the side effects worsen.
Uses Of BILACIP 40 TABLET
It is used to:
- Relieve symptoms of hay fever (such as sneezing, itching, a runny and stuffy nose, and red or watery eyes) and other forms of allergic reactions
- Manage itchy skin rashes (hives or urticaria).
How BILACIP 40 TABLET Works
BILACIP 40 TABLET works by stopping the binding of histamine (a chemical that is produced by the immune system) to its receptor in the body, and in severe cases, it inhibits the initiation of an allergic reaction.
How to use BILACIP 40 TABLET
Take BILACIP 40 TABLET as advised by your doctor. Swallow the medicine with enough water. Do not crush or chew the medicine. Try to take BILACIP 40 TABLET daily at the same time in the evening. Your doctor will decide the correct dose and duration of BILACIP 40 TABLET for you depending upon your age, body weight, and disease condition.
Overdose
If you or anyone else accidentally takes too much of BILACIP 40 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of an overdose may include dizziness, headaches, and nausea.
Side Effects Of BILACIP 40 TABLET
Common side effects of BILACIP 40 TABLET:
- Headache
- Drowsiness
- Rhinitis (nasal irritation)
- Allergic conjunctivitis (eye irritation)
- Stomach pain (abdominal or upper abdominal pain)
Stop taking BILACIP 40 TABLET and contact your physician immediately if you experience any of the following side effects:
- Allergic reaction (signs include difficulty breathing, dizziness, collapsing or losing consciousness, swelling of the face, lips, tongue, or throat, and/or swelling and redness of the skin)
- Heart problems (signs include heart racing or slowing, cold, sweats, feeling faint, feeling the heartbeat, lightheadedness, nausea, and shortness of breath)
How To Manage Side Effects
Headache
- Ensure adequate fluid intake to prevent dehydration.
- Maintain a consistent sleep schedule with 7–9 hours of quality sleep.
- Eat balanced meals at regular intervals to avoid blood sugar fluctuations.
- Practice relaxation techniques such as meditation, yoga, or deep breathing exercises.
- Engage in regular physical activity to help reduce the frequency and severity of headaches.
- Apply a cold pack or warm compress to the forehead or neck for symptom relief.
- Consult your doctor if the headache persists, worsens, or recurs frequently.
Stomach Pain
- Avoid spicy, fatty, or greasy foods, as well as caffeine and alcohol.
- Eat a bland diet with easily digestible foods such as rice, bananas, applesauce, and toast.
- Apply a heating pad or take a warm bath to help relax abdominal muscles.
- Drink plenty of fluids to stay hydrated, but avoid excessive intake at one time.
- Eat smaller, more frequent meals instead of large meals.
- Consult your doctor if stomach pain persists, worsens, or is accompanied by severe symptoms.
Warning & Precautions
Pregnancy
ContraindicatedBILACIP 40 TABLET should not be used during pregnancy as a precautionary measure. Consult your doctor before taking it.
Breastfeeding
Use with CautionBILACIP 40 TABLET should be used with caution in breastfeeding women. Consult your doctor before taking it.
Driving and Using Machines
Use with CautionBILACIP 40 TABLET does not affect the driving performance of adults. Consult your doctor if you feel any side effects during management with BILACIP 40 TABLET that may stop you from driving or using machines.
Alcohol
Consult your doctorBILACIP 40 TABLET does not increase the drowsiness produced by alcohol. Consult your doctor before taking it.
Kidney
Use with CautionBILACIP 40 TABLET should be used with caution in patients suffering from moderate to severe kidney impairment. Consult your doctor before taking it.
Allergy
ContraindicatedDo not take BILACIP 40 TABLET if you are allergic to bilastine or any of the other ingredients in this medicine.
Heart Disease
Consult your doctorBILACIP 40 TABLET is not recommended for use in patients with a history of irregular heartbeat, and it should be used with caution in patients suffering from heart problems or a family history of heart problems. Consult your doctor before taking it.
Use In Pediatrics
ContraindicatedBILACIP 40 TABLET is not recommended for use in children (less than 12 years of age). Consult your child’s doctor for advice.
Use In Geriatrics
Consult your doctorBILACIP 40 TABLET can be used in elderly patients without any dose adjustments. Consult your doctor before taking it.
Drug - Drug interaction
- Antifungal (Ex. ketoconazole)
- Antibacterials (Ex. erythromycin, rifampicin)
- Anti-anginal (Ex. diltiazem)
- Immunosuppressant (Ex. cyclosporine)
- Anti-retroviral (Ex. ritonavir)
Drug - Food interaction
Avoid taking BILACIP 40 TABLET with food or with grapefruit juice or other fruit juices, as this will decrease the effect of this medicine.
Synopsis
|
Drug |
Bilastine |
|
Pharmacological category |
Antihistamine |
|
Therapeutic Indication |
Seasonal Allergic Rhinitis, Chronic Spontaneous Urticaria |
|
Dosage Forms |
Tablet, Dispersible tablet, Oral Solution, Syrup |
More Information
Storage
- Keep BILACIP 40 TABLET out of reach of children
- Store at room temperature
FAQs About BILACIP 40 TABLET
Q: What is BILACIP 40 TABLET used for?
A: BILACIP 40 TABLET is used to relieve the symptoms of hay fever (such as sneezing, itchy, runny, blocked-up nose, and red and watery eyes) and other forms of allergic rhinitis, which is usually caused by an allergen such as pollen, dust, mold, or flakes of skin from certain animals. It is also used to manage itchy skin rashes (hives, or urticaria).
Q: Can BILACIP 40 TABLET be used in pregnant women?
A: BILACIP 40 TABLET should not be used during pregnancy as a precautionary measure. Consult your doctor for advice before taking BILACIP 40 TABLET if you are pregnant or planning to get pregnant.
Q: Is BILACIP 40 TABLET safe to use in patients with kidney impairment?
A: BILACIP 40 TABLET should be used with caution in patients suffering from moderate to severe kidney impairment. Your doctor may regularly monitor your kidney function tests during the management of this medicine. Consult your doctor before taking BILACIP 40 TABLET.
Q: What are the common side effects of BILACIP 40 TABLET?
A: The most common side effects of taking BILACIP 40 TABLET are headache, drowsiness, nasal rhinitis (nasal irritation), allergic conjunctivitis (eye irritation), and stomach pain. Consult your doctor if any of the side effects worsen.
Q: Can I drive or operate any machines after taking BILACIP 40 TABLET?
A: BILACIP 40 TABLET does not affect the driving performance of adults. Consult your doctor if you feel any side effects during management with BILACIP 40 TABLET that may stop you from driving or using machines.
Q: Can I use BILACIP 40 TABLET with children?
A: BILACIP 40 TABLET is not recommended for use in children (less than 12 years of age). Consult your child’s doctor for advice.
Q: What should I avoid while taking BILACIP 40 TABLET?
A: Avoid taking BILACIP 40 TABLET with food or with grapefruit juice or other fruit juices, as this will decrease the effect of this medicine.
Q: What is the best time to take BILACIP 40 TABLET?
A: Take BILACIP 40 TABLET on an empty stomach (at least one hour before meals or two hours after meals) or as directed by the doctor.
Q: Is BILACIP 40 TABLET safe for kidneys?
A: BILACIP 40 TABLET should be used with caution in patients suffering from moderate to severe kidney impairment. Consult your doctor before taking it.
Q: Does BILACIP 40 TABLET make you drowsy?
A: BILACIP 40 TABLET makes drowsiness a common side effect. Ensure proper hydration, as dehydration can cause dizziness. Avoid excessive caffeine, alcohol, and high-sodium foods, which can exacerbate symptoms. Engage in physical therapy or vestibular rehabilitation exercises designed to improve balance and reduce dizziness or drowsiness. Move slowly when changing positions, such as standing up or lying down, to avoid triggering dizziness. Practice relaxation techniques such as deep breathing, meditation, or yoga to manage stress, which can contribute to dizziness. Consult your doctor if drowsiness persists.
Q: Can BILACIP 40 TABLET be used for cold?
A: BILACIP 40 TABLET is not used to manage colds caused by viruses. It is used to relieve the symptoms of hay fever (such as sneezing, itching, a runny and stuffy nose, and red or watery eyes) and other forms of allergic rhinitis. It is also used to manage itchy skin rashes (hives, or urticaria). Consult your doctor for advice.
References
1. Dan L. Longo, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, J. Larry Jameson, and Joseph Loscalzo. Allergy, Clinical Immunology, and Rheumatology. Harrison’s Manual of Medicine. 18th edition. Page- 1064.
2. Aranjit Singh Randhawa, Norhayati Mohd Noor, Mohd Khairi Md Daud, and Baharudin Abdullah. Efficacy and Safety of Bilastine in the Treatment of Allergic Rhinitis: A Systematic Review and Meta-Analysis. Frontiers in Pharmacology. January 2022 [Accessed on 2nd July 2026] ![]()
3. Martin K., Marysia Tiongco-Recto, Erminia Ridolo, and Zoltan Novak. Bilastine: a lifetime companion for the treatment of allergies. Journal of Current Medical Research Opinion. October 2019. [Accessed on 2nd July 2026] 
4. Menarini Manufacturing Logistics and Services S.r.l. Electronic Medicines Compendium (EMC). [Revised in December 2020] [Accessed on 2nd July 2026] 
5. Aralez Pharmaceuticals Trading (DAC). Blexten (Bilastine 20 mg tablet). [Revised in July 2018] [Accessed on 2nd July 2026] 





