Biltal M Sus

BILTAL M Suspension, manufactured by Indoco Remedies Ltd., is a combination medication used to treat various allergic conditions.

Name

• Common Name: Biltal M Suspension
• Brand Name: BILTAL M SUS by INDOCO-SPADE

Composition

Biltal M Suspension contains two active ingredients:

• Montelukast: 4 mg per 5 ml
• Bilastine: 10 mg per 5 ml

Montelukast works by blocking leukotrienes, chemicals in the body that cause inflammation, swelling, and mucus production in the airways, thereby helping manage asthma and exercise-induced breathing difficulties. Bilastine is an antihistamine that blocks histamine, a chemical responsible for allergic symptoms like sneezing, itching, and swelling.

Uses

Biltal M Suspension is prescribed for the treatment of various allergic conditions, including:

• Allergic Rhinitis (hay fever): Relieves symptoms such as sneezing, runny nose, itchy nose, watery eyes, and nasal congestion.
• Asthma Management: Helps reduce inflammation and mucus in the airways, making breathing easier.
• Exercise-Induced Bronchoconstriction: Prevents the tightening of airways that can occur during or after physical activity.
• Other allergy symptoms like itching and swelling.

Dosage and Administration

Take Biltal M Suspension orally, exactly as directed by your doctor. The dosage and duration of treatment will depend on your specific medical condition.

• It can be taken with or without food, though some sources suggest taking it on an empty stomach, at least one hour before or two hours after meals, as food can affect its absorption.
• Shake the suspension well before use.
• Avoid taking it with fruit juices such as orange, apple, or grapefruit, as they may reduce its effectiveness.
• Do not exceed the prescribed dose.

Side Effects

Common Side Effects (usually mild and resolve over time):

• Nausea
• Dry mouth
• Dizziness
• Weakness/Fatigue
• Headache
• Abdominal pain
• Diarrhea
• Cough
• Fever
• Sore throat
• Runny nose
• Otitis media (ear infection)

Serious Side Effects (seek immediate medical attention if experienced):

• Mood or behavior changes, including aggression, anxiety, depression, suicidal thoughts, or unusual thinking.
• Severe allergic reactions such as wheezing, severe rash, hives, swelling of the face, lips, tongue, or throat, or difficulty breathing.
• Yellowing of the eyes or skin (jaundice).
• Persistent vomiting.
• Dark urine or numbness/tingling in hands or feet.

Precautions

• Pregnancy and Breastfeeding: Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding. The safety of Biltal M Suspension during these periods is not fully established, and it should only be used if the potential benefits outweigh the risks.
• Alcohol Consumption: Avoid alcohol while taking this medicine, as it can increase drowsiness and dizziness.
• Driving and Operating Machinery: This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you.
• Pediatric Use: Biltal M Suspension is generally not recommended for children below 12 years of age. Specific age and dosage recommendations for children should be determined by a doctor.
• Medical Conditions: Inform your doctor if you have any pre-existing medical conditions, especially kidney or liver problems, as dose adjustments or monitoring may be required.
• Drug Interactions: Inform your doctor about all other medications, supplements, or herbal products you are currently taking to avoid potential interactions. Notably, maintain a 2-hour gap between taking Biltal M Suspension and indigestion medicines containing magnesium or aluminum, as they can reduce its absorption.
• Abrupt Discontinuation: Do not stop taking the medicine abruptly without consulting your doctor, even if your symptoms improve.

Storage

Store Biltal M Suspension in a cool, dry place, away from direct sunlight. Keep it out of the sight and reach of children. The recommended storage temperature is between 10ºC to 25ºC or below 30ºC.

BILTAL M Suspension is a combination medication containing Montelukast and Bilastine, primarily used to treat allergic conditions. It works by targeting different pathways involved in allergic reactions, providing relief from various symptoms. Always consult your doctor or pharmacist for personalized advice and to ensure the information is appropriate for your specific health situation.

What is BILTAL M Suspension used for?

BILTAL M Suspension is used to treat various allergic conditions, including allergic rhinitis (hay fever), asthma, and exercise-induced breathing difficulties. It helps alleviate symptoms such as sneezing, runny nose, itchy or watery eyes, nasal congestion, and swelling.

How does BILTAL M Suspension work?

This medication contains two active ingredients: Montelukast and Bilastine. Montelukast is a leukotriene receptor antagonist that works by blocking chemicals called leukotrienes, which are responsible for inflammation, swelling, and mucus production in the airways. This action helps to reduce airway narrowing and improve breathing. Bilastine is an antihistamine that blocks histamine, a chemical that causes common allergy symptoms like sneezing, itching, and swelling.

What is the usual dosage for BILTAL M Suspension?

The dosage and duration of BILTAL M Suspension will be determined by your doctor based on your condition. It is typically 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 important to avoid taking it with fruit juices like orange, apple, or grapefruit, as they may reduce its effectiveness.

What are the possible side effects of BILTAL M Suspension?

Common side effects may include nausea, dry mouth, dizziness, weakness, headache, abdominal pain, diarrhea, cough, fatigue, and fever. Less common but serious side effects can include mood or behavior changes (such as aggression, depression, or thoughts of self-harm), swelling of the face, tongue, or throat, and severe allergic reactions or breathing problems. If you experience any severe or persistent side effects, seek immediate medical attention.

Is BILTAL M Suspension safe during pregnancy or breastfeeding?

If you are pregnant, planning to become pregnant, or breastfeeding, you should consult your doctor before taking BILTAL M Suspension. The medication should be used with caution during breastfeeding as its components may pass into breast milk, and it is unknown if it is safe for the infant. Animal studies have shown potential harmful effects during pregnancy, so your doctor will weigh the benefits against potential risks.

Can BILTAL M Suspension be taken with other medications?

It is crucial to inform your doctor about all medications, supplements, and herbal products you are currently taking to avoid potential drug interactions. Specifically, you should avoid taking indigestion medicines containing magnesium or aluminium within two hours of taking BILTAL M Suspension, as they can reduce its effectiveness. Interactions have been noted with other antihistamines, sedatives, certain antibiotics (like rifampicin), antifungal medications (like miconazole), and anti-seizure medications. Alcohol should be avoided as it can worsen side effects like drowsiness.

What precautions should be taken while using BILTAL M Suspension?

Before starting treatment, inform your doctor if you have allergies to any of the components, or if you have kidney or liver problems, asthma, or a history of mental health conditions. Since BILTAL M Suspension can cause drowsiness or dizziness in some individuals, it is advisable to avoid driving or operating heavy machinery until you understand how the medication affects you. If you experience mood changes, seek medical advice immediately. This medicine is generally not recommended for children under a certain age; your doctor will advise on age appropriateness. Also, do not discontinue the medication abruptly without consulting your doctor.

What happens if a dose of BILTAL M Suspension 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 BILTAL M Suspension be stored?

BILTAL M Suspension should be stored in a cool, dry place, away from direct sunlight. Keep it out of the sight and reach of children. The recommended storage temperature is between 10ºC and 25ºC or below 30ºC.