Bilkro-m Tab

BILKRO-M TAB by MEDLEY PHARMACEUTICALS LTD.

Name

Common Name: BILKRO-M Tablet. Brand Name: BILKRO-M TAB.

Composition

BILKRO-M TAB contains two active ingredients: Bilastine (20 mg) and Montelukast (10 mg). Bilastine is a non-sedating antihistamine, and Montelukast is a leukotriene receptor antagonist.

Uses

BILKRO-M TAB is an anti-allergic medication primarily used to treat various allergic conditions. These include:

• Allergic Rhinitis (Hay Fever): Relieves symptoms such as sneezing, runny or stuffy nose, itchy or watery eyes, and nasal congestion. It can be used for both seasonal and perennial allergic rhinitis.
• Asthma: Helps manage asthma symptoms and prevents exercise-induced breathing difficulties by reducing inflammation and airway narrowing. However, it is not a rescue medicine for acute asthmatic attacks.
• Chronic Spontaneous Urticaria (Hives): Reduces wheals (raised bumps) and itching, decreasing flare frequency and intensity.
• Allergy-Related Cough and Bronchial Irritation: May be used as an adjunct to existing asthma or airway treatment when allergies worsen night cough or chest tightness.

Dosage and Administration

The typical adult dose is one tablet once daily, usually taken in the evening. It should be swallowed whole with a glass of water and not crushed or chewed. For optimal absorption, it is generally recommended to take BILKRO-M TAB on an empty stomach, at least one hour before or two hours after food. Avoid taking it with fruit juices (e.g., grapefruit, orange, apple) as they can reduce Bilastine absorption. Do not stop the medication abruptly without consulting your doctor.

Side Effects

Common side effects may include:

• Headache
• Nausea, vomiting, abdominal pain, diarrhea
• Dry mouth
• Dizziness, drowsiness, fatigue, weakness
• Cough, nasal irritation, sore throat

Serious side effects, though rare, can include mood changes (depression, suicidal thoughts), severe allergic reactions (wheezing, swelling, difficulty breathing), and elevated liver enzymes. Seek immediate medical attention if these occur.

Precautions

• Allergies: Inform your doctor if you are allergic to Bilastine, Montelukast, or any other ingredients.
• Pregnancy and Breastfeeding: Consult your doctor before use; its safety profile during pregnancy is not fully established, and it may pass into breast milk.
• Children: Not recommended for children below 12 years of age.
• Liver/Kidney Conditions: Use with caution; inform your doctor if you have a history of liver or kidney disease.
• Drug Interactions: Avoid alcohol due to increased drowsiness. Maintain a 2-hour gap between BILKRO-M TAB and indigestion remedies containing magnesium or aluminum. Inform your doctor about all other medications, supplements, or herbal products being taken.
• Neuropsychiatric Effects: Be aware of potential mood or behavior changes; seek medical help if such symptoms occur.
• Driving/Operating Machinery: May cause drowsiness or dizziness; avoid such activities if affected.
• Asthma Attacks: This medication is not for sudden breathing trouble; keep quick-relief inhalers as advised.

Storage

Store in a cool and dry place, away from moisture and direct sunlight. Keep the medicine in its original packaging. Keep BILKRO-M TAB out of the sight and reach of children and pets. Do not use after the expiry date. Store below 25°C or 30°C.

BILKRO-M TAB by MEDLEY PHARMACEUTICALS LTD. is a combination medication containing Bilastine and Montelukast, primarily used to treat allergic conditions.

Here are some frequently asked questions about BILKRO-M TAB:

What is BILKRO-M TAB used for?

BILKRO-M TAB is used to treat allergic conditions such as allergic rhinitis (hay fever), including symptoms like sneezing, runny nose, congestion, itchy nose, and watery eyes. It is also used in the management and prevention of asthma symptoms by reducing inflammation in the airways.

How does BILKRO-M TAB work?

BILKRO-M TAB combines two active ingredients: Bilastine and Montelukast. Bilastine is an antihistamine that works by blocking the action of histamine, a chemical in the body responsible for causing allergic symptoms like itching, swelling, and sneezing. Montelukast is a leukotriene receptor antagonist that blocks leukotrienes, which are chemicals that cause inflammation, swelling, and mucus production in the airways, helping to improve breathing.

What is the usual dosage of BILKRO-M TAB?

The standard dose is usually one tablet daily, taken orally. It can be taken with or without food, but it is often recommended to take it on an empty stomach, at least one hour before or two hours after meals, as food can affect its absorption. It is advised to take it consistently at the same time each day for optimal effect.

What are the possible side effects of BILKRO-M TAB?

Common side effects may include headache, drowsiness, dizziness, fatigue, abdominal pain, dry mouth, nausea, and upset stomach. Less common or more serious side effects can include mood or behavioral changes (such as agitation, depression, or suicidal thoughts), severe allergic reactions, or flu-like symptoms. If any side effects persist, worsen, or are concerning, consult your doctor.

Is BILKRO-M TAB safe during pregnancy or breastfeeding?

Limited information is available regarding the safety of BILKRO-M TAB during pregnancy. Both Bilastine and Montelukast may pass into breast milk in small amounts. It is crucial to consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding to discuss the potential risks and benefits.

Can BILKRO-M TAB be taken with other medications?

It's important to inform your doctor about all other medications, supplements, and herbal products you are taking. BILKRO-M TAB can interact with certain drugs, including antifungals (like ketoconazole), macrolide antibiotics (like erythromycin), and antacids containing magnesium or aluminum hydroxide. Taking antacids too close to BILKRO-M TAB can reduce its absorption, so maintaining a 2-hour gap is advised.

What precautions should be taken while using BILKRO-M TAB?

Do not take BILKRO-M TAB if you are allergic to Bilastine, Montelukast, or any other ingredients in the medication. Exercise caution if you have liver or kidney problems. Avoid alcohol consumption as it may increase drowsiness. Grapefruit juice can also interfere with the medicine's effectiveness, so it should be avoided. Since it can cause drowsiness or dizziness in some individuals, avoid driving or operating heavy machinery until you know how it affects you. If you experience mood changes, depression, or thoughts of self-harm, seek immediate medical help.

What happens if a dose of BILKRO-M TAB is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should BILKRO-M TAB be stored?

Store BILKRO-M TAB in a cool, dry place, away from moisture and direct light. Keep the medication in its original packaging and out of the reach of children and pets.