Posology: Paediatric population: Children 6 to 11 years of age with a body weight of at least 20 kg: 10 mg bilastine (1 orodispersible tablet) once daily for the relief of symptoms of allergic rhino-conjunctivitis (seasonal allergic rhinitis and perennial allergic rhinitis) and urticaria.
The orodispersible tablet should be taken one hour before or two hours after intake of food or fruit juice (see Interactions).
Children under 6 years of age and under 20 kg: Currently available data are described in Precautions, Adverse Reactions, Pharmacology: Pharmacodynamics and Pharmacokinetics under Actions but no recommendation on a posology can be made. Therefore bilastine should not be used in this age group.
In adults and adolescents (over 12 years of age), the administration of bilastine 20 mg tablets is appropriate.
Duration of treatment: For allergic rhino-conjunctivitis the treatment should be limited to the period of exposure to allergens. For seasonal allergic rhinitis treatment could be discontinued after the symptoms have resolved and reinitiated upon their reappearance. In perennial allergic rhinitis continued treatment may be proposed to the patients during the allergen exposure periods. For urticaria, the duration of treatment depends on the type, duration and course of the complaints.
Special populations: Renal impairment: The safety and efficacy of bilastine in renally impaired children have not been established. Studies conducted in adults in special risk groups (renally impaired patients) indicate that it is not necessary to adjust the dose of bilastine in adults (see Pharmacology: Pharmacokinetics under Actions).
Hepatic impairment: The safety and efficacy of bilastine in hepatically impaired children have not been established. There is no clinical experience in both adult and paediatric patients with hepatic impairment. However, since bilastine is not metabolized and is eliminated as unchanged in urine and feces, hepatic impairment is not expected to increase systemic exposure above the safety margin in adult patients. Therefore, no dosage adjustment is required in adult patients with hepatic impairment (see Pharmacology: Pharmacokinetics under Actions).
Method of administration: Oral use.
The orodispersible tablet is to be placed in the mouth where it disperses rapidly in saliva, so it can be easily swallowed.
Alternatively, the orodispersible tablet may be dispersed in water before administration. Grapefruit juice or any other fruit juices should not be used for dispersion (see Interactions).