{"ok":true,"entry":{"slug":"bilastine","kind":"medication","name":"bilastine","aliases":["Bilaxten"],"brands_sg":["Bilaxten","Aligrin","Bylastin","Elhist"],"class":"non-sedating antihistamine","tags":["allergy"],"use_for":"sg label: allergic rhino-conjunctivitis and urticaria","use_after":"sg label: 20 mg once daily, in one single intake","use_duration":null,"take_with":"sg label: water, 1 h before or 2 h after food or juice","pros":["healthhub: newer antihistamine, less likely to sedate","sg label: no dose change needed in kidney impairment","sg label: one tablet a day covers hives too"],"cons":["healthhub: dizziness, headache and some drowsiness","sg label: food or fruit juice cuts absorption","hsa: most sg bilastine packs are prescription-only"],"dose_note":"the singapore package insert for bilaxten tablet 20 mg (SIN14661P) states \"20 mg bilastine (1 tablet) once daily for the relief of symptoms of allergic rhinoconjunctivitis and urticaria\" and \"It is recommended to take the daily dose in one single intake\" — 20 mg a day is the adult and adolescent (12 years and over) label figure, with no higher adult step listed. the same insert routes children 6–11 weighing at least 20 kg to the 10 mg orodispersible tablet or the 2.5 mg/mL oral solution instead, and says bilastine should not be used under 6 years or under 20 kg. in singapore the prescriber or pharmacist sets the dose.","dosage":null,"ul_status":null,"sg_class":"prescription-only","cautions":["heart condition or a prolonged QT interval (healthhub)","pregnancy, planning pregnancy or breastfeeding (healthhub)","under 6 years or under 20 kg — the sg label says it should not be used","hypersensitivity to bilastine or the excipients — an sg label contraindication"],"clashes":[{"src":["hh_bila_avoid","ndf_bilaxten_dose"],"food":true,"note":"healthhub and the sg label: both reduce absorption and effectiveness, hence the 1 h / 2 h gap","with":"food and fruit juice"},{"src":["nhs_anti_mix"],"note":"nhs lists these among medicines that can cause problems with antihistamines","with":"antidepressants, indigestion or ulcer medicines"},{"src":["nhs_anti_mix"],"food":true,"note":"nhs advises against it with any antihistamine as it raises the chance of sleepiness","with":"alcohol"}],"sources":[{"id":"hsa_register","url":"https://data.gov.sg/datasets/d_767279312753558cbf19d48344577084/view","label":"HSA — Listing of Registered Therapeutic Products (data.gov.sg dataset d_767279312753558cbf19d48344577084), Forensicclassification column; all 5,511 rows cached at /tmp/hsa_all.json and filtered locally (never re-fetched), 8 bilastine rows, 27 Aug 2026","quote":"BILAXTEN TABLET 20 mg SIN14661P, BILAXTEN ORODISPERSIBLE 10 MG and 20 MG, BILAXTEN ORAL SOLUTION, ALIGRIN SIN16474P and BYLASTIN SIN17556P read \"Prescription Only\"; BILAXTEN TABLET 20 MG (PHARMACY ONLY) SIN17104P and ELHIST 20 SIN17552P read \"Pharmacy Only\"","accessed":"2026-08-27"},{"id":"ndf_bilaxten_ind","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14661p/","label":"MOH National Drug Formulary — BILAXTEN TABLET 20 MG [SIN14661P], Indication (SG package insert)","quote":"Symptomatic treatment of allergic rhino-conjunctivitis and urticaria. BILAXTEN is indicated in adults and adolescents (12 years of age and over).","accessed":"2026-08-27"},{"id":"ndf_bilaxten_dose","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14661p/","label":"MOH National Drug Formulary — BILAXTEN TABLET 20 MG [SIN14661P], Posology and method of administration","quote":"20 mg bilastine (1 tablet) once daily … The tablet should be taken one hour before or two hours after intake of food or fruit juice … It is recommended to take the daily dose in one single intake.","accessed":"2026-08-27"},{"id":"ndf_bilaxten_class","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14661p/","label":"MOH National Drug Formulary — BILAXTEN TABLET 20 MG [SIN14661P], Product information block","quote":"Forensic Classification: PRESCRIPTION ONLY MEDICINES · Anatomical Therapeutic Chemical (ATC) code R06AX29 · Prescription-only Medicines with Exemptions for Supply without Prescription: NA","accessed":"2026-08-27"},{"id":"ndf_bilaxten_contra","url":"https://www.ndf.gov.sg/about-drugs/product-information/sin14661p/","label":"MOH National Drug Formulary — BILAXTEN TABLET 20 MG [SIN14661P], Contraindications and renal wording","quote":"Hypersensitivity to the active substance or to any of the excipients … it is not necessary to adjust the dose of bilastine in adults … bilastine should not be used in this age group.","accessed":"2026-08-27"},{"id":"hh_bila_uses","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/bilastine","label":"HealthHub (National Medication Information workgroup / Pharmaceutical Society of Singapore) — Bilastine: what is this medication for","quote":"Bilastine is used to reduce allergy symptoms and treat hives (itchy bumps appearing on the skin).","accessed":"2026-08-27"},{"id":"hh_bila_prec","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/bilastine","label":"HealthHub — Bilastine: what precautions should I take","quote":"You are pregnant, planning to become pregnant, or breastfeeding. You have a heart condition (for example, prolonged QT interval) or abnormal heartbeat.","accessed":"2026-08-27"},{"id":"hh_bila_side","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/bilastine","label":"HealthHub — Bilastine: common side effects","quote":"Drowsiness (Bilastine, a newer generation of antihistamine is less likely to cause drowsiness). Dizziness. Headache","accessed":"2026-08-27"},{"id":"hh_bila_avoid","url":"https://www.healthhub.sg/medication-devices-and-treatment/medications/bilastine","label":"HealthHub — Bilastine: what food or medication should I avoid","quote":"Presence of food and fruit juice can reduce the absorption and effectiveness of Bilastine, therefore Bilastine should be taken on an empty stomach, at least 1 hour before, or 2 hours after eating food or drinking fruit juice.","accessed":"2026-08-27"},{"id":"nhs_anti_types","url":"https://www.nhs.uk/conditions/antihistamines/","label":"NHS — Antihistamines (NHS conditions A–Z)","quote":"non-drowsy antihistamines that are less likely to make you feel sleepy … Most antihistamines can be bought from pharmacies and shops, but some are only available on prescription.","accessed":"2026-08-27"},{"id":"nhs_anti_mix","url":"https://www.nhs.uk/conditions/antihistamines/","label":"NHS — Antihistamines: taking antihistamines with other medicines, food or alcohol","quote":"Examples of medicines that could cause problems if taken with antihistamines include some types of: antidepressants; stomach ulcer or indigestion medicines … Try not to drink alcohol while taking an antihistamine","accessed":"2026-08-27"}],"brand_certs":null,"updated_at":"2026-08-29T16:16:12.75901+08:00"},"disclaimer":"kozen-x is not a medical device and does not give medical advice. it lists what published sources have written down. absence of a record is not the same as safe."}