Bilasure M Kid Suspension

BILASURE M KID SUSPENSION is a combination medicine manufactured by Sun Pharmaceutical Industries Ltd., formulated to manage allergic conditions in children.

Name: Bilasure M Kid Suspension (Brand Name)

Composition:

• Active Ingredients: Bilastine (10 mg/5ml) and Montelukast (4 mg/5ml)
• Bilastine is a histamine antagonist that blocks histamine, a chemical responsible for allergic symptoms like sneezing, runny nose, watery eyes, and itching.
• Montelukast is a leukotriene antagonist that inhibits leukotrienes, which are chemicals responsible for inflammation, swelling, and mucus production in the airways, thereby helping to improve breathing.

Uses: BILASURE M KID SUSPENSION is primarily used for children aged 6 to 11 years (weighing at least 20 kg) to manage:

• Allergic Rhinitis: Including seasonal hay fever, which helps relieve symptoms such as sneezing, runny or blocked nose, nasal congestion, itching, and watery eyes.
• Asthma Management: Reduces inflammation and mucus in the airways, making breathing easier.
• Exercise-Induced Breathing Difficulties: Helps prevent the tightening of airways during or after physical activity.

Dosage and Administration:

• Administer as directed by a physician.
• Shake the bottle well before use.
• The doctor will determine the correct dose and duration based on the child's age, body weight, and medical condition.
• It is usually taken once daily on an empty stomach, at least one hour before or two hours after meals, as food can affect its absorption. It is often recommended to be taken at night.
• Do not exceed the prescribed dose or stop the medication abruptly without consulting a doctor.

Side Effects: Common side effects may include:

• Headache
• Allergic conjunctivitis (eye irritation)
• Stuffy nose
• Stomach pain, abdominal pain
• Scaly and itchy skin, rash
• Thirst
• Nausea, vomiting
• Dry mouth
• Dizziness, drowsiness
• Fatigue
• Cough, fever, otitis media
• Diarrhea

Serious side effects requiring immediate medical attention include:

• Signs of allergic reactions (swelling of the face, lips, tongue, or throat; difficulty breathing; dizziness; loss of consciousness; redness of the skin)
• Changes in behavior, mood changes, aggression, lack of sleep, or suicidal thoughts.

Precautions:

• BILASURE M KID SUSPENSION is not recommended for acute asthma attacks; use a rescue inhaler for such situations.
• Use with caution in children with mental health problems, kidney problems (renal impairment), or liver problems (hepatic insufficiency).
• Not recommended for use in pregnant or breastfeeding women as it is intended for children.
• Avoid alcohol consumption during treatment as it may alter alertness.
• Patients may experience dizziness or drowsiness; caution is advised when performing activities requiring mental alertness, such as driving or operating machinery.
• Maintain a 2-hour gap between taking this suspension and indigestion remedies containing magnesium or aluminum, as they may reduce its absorption.
• Inform your doctor about all other medications the child is taking, as interactions can occur with drugs like ketoconazole, erythromycin, diltiazem, lorazepam, cyclosporine, ritonavir, phenobarbital, phenytoin, rifampicin, and fluvoxamine.
• Food, especially grapefruit juice, may decrease the effectiveness of this medicine.
• Do not administer to children allergic to bilastine or montelukast.

Storage:

• Store below 30°C.
• Protect from light and moisture.
• Keep out of the sight and reach of children and pets.
• Do not freeze.

Here are the most frequently asked questions about BILASURE M KID SUSPENSION, along with their concise answers:

What is BILASURE M KID SUSPENSION used for?

BILASURE M KID SUSPENSION is primarily used to manage allergic rhinitis, commonly known as hay fever, in children aged 6 to 11 years (weighing at least 20 kg). It helps relieve symptoms such as sneezing, runny nose, itchy or watery eyes, nasal congestion, and stuffiness. It is also used in the management of asthma symptoms and to prevent exercise-induced breathing difficulties. Additionally, it may be prescribed for chronic urticaria (hives).

How does BILASURE M KID SUSPENSION work?

This medicine contains two active ingredients: Bilastine and Montelukast. Bilastine is an antihistamine that works by blocking histamine, a chemical messenger in the body responsible for allergic symptoms like itching, swelling, and sneezing. Montelukast is a leukotriene antagonist that blocks leukotrienes, which are chemicals causing inflammation, swelling, and mucus production in the airways, thereby helping to improve breathing and reduce allergic reactions.

What is the usual dosage for BILASURE M KID SUSPENSION?

The dosage of BILASURE M KID SUSPENSION should be determined by your child's physician, as it depends on the child's age, body weight, and medical condition. It is typically taken once daily, preferably in the evening or at night. Shake the bottle well before use, and use the provided measuring cap for accurate dosing. It is generally recommended to take it on an empty stomach, at least one hour before or two hours after meals, as food, especially fruit juices like grapefruit, can reduce its effectiveness.

What are the possible side effects of BILASURE M KID SUSPENSION?

Common side effects can include headache, allergic conjunctivitis (eye irritation), stuffy nose, stomach pain, scaly and itchy skin, rash, thirst, nausea, vomiting, dry mouth, diarrhea, dizziness, weakness, fatigue, fever, cough, drowsiness, and otitis media. While Bilastine is generally non-sedating, Montelukast may cause dizziness or tiredness in some children. More serious side effects, though rare, include allergic reactions (swelling of the face, lips, tongue/throat, difficulty breathing), and changes in behavior such as aggression, anxiety, lack of sleep, or suicidal thoughts. If any serious side effects occur, seek immediate medical attention.

Is BILASURE M KID SUSPENSION safe during pregnancy or breastfeeding?

BILASURE M KID SUSPENSION is not recommended for use in pregnant or breastfeeding women, as it is specifically formulated for children aged 6 to 11 years. Limited information is available regarding its effects during pregnancy and breastfeeding, but components can pass into breast milk in small amounts. Always consult your doctor if pregnancy is suspected or if you are breastfeeding.

Can BILASURE M KID SUSPENSION be taken with other medications?

It is crucial to inform your doctor about all other medications, supplements, or herbal products your child is currently taking to avoid potential drug interactions. Known interactions include medicines like Ketoconazole, Erythromycin, Diltiazem, Lorazepam, Cyclosporine, Ritonavir, Phenobarbital, Phenytoin, Rifampicin, and Fluvoxamine. Additionally, avoid taking indigestion remedies containing magnesium or aluminum within two hours of administering this suspension, as they can reduce its absorption.

What precautions should be taken while using BILASURE M KID SUSPENSION?

Use this medicine with caution in children with a history of mental health problems, kidney problems (renal impairment), or liver problems (hepatic impairment). BILASURE M KID SUSPENSION is not intended for the relief of acute asthma attacks; an appropriate inhaler should be used for such emergencies. Do not stop the medication abruptly without consulting your doctor, even if symptoms improve. It is advisable to avoid alcohol if taken with this medication. Since it may cause dizziness or drowsiness, avoid activities requiring mental alertness until you know how it affects your child. Stop taking this suspension at least three days before any allergy tests, as it may affect the results.

What happens if a dose of BILASURE M KID SUSPENSION is missed?

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

How should BILASURE M KID SUSPENSION be stored?

BILASURE M KID SUSPENSION should be stored in a cool and dry place, away from direct sunlight, and at a temperature below 30°C. Protect it from light and moisture, and do not freeze. Always keep the bottle tightly closed after each use and ensure it is out of the sight and reach of children and pets.