Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria

Bilastine is a second generation antihistamine indicated for the treatment of seasonal or perennial allergic rhinoconjunctivitis and chronic urticaria with a daily dose of 20 mg, in adults and children over 12 years of age. The efficacy of bilastine has been shown to be similar to that of the compar...

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Main Authors: Sadaba, B. (Belén), Azanza, J.R. (José Ramón), Gomez-Guiu, A. (Almudena), Rodil, R. (R.)
Format: info:eu-repo/semantics/article
Language:eng
Published: Dove Medical Press 2014
Subjects:
Online Access:https://hdl.handle.net/10171/36423
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author Sadaba, B. (Belén)
Azanza, J.R. (José Ramón)
Gomez-Guiu, A. (Almudena)
Rodil, R. (R.)
author_facet Sadaba, B. (Belén)
Azanza, J.R. (José Ramón)
Gomez-Guiu, A. (Almudena)
Rodil, R. (R.)
author_sort Sadaba, B. (Belén)
collection DSpace
description Bilastine is a second generation antihistamine indicated for the treatment of seasonal or perennial allergic rhinoconjunctivitis and chronic urticaria with a daily dose of 20 mg, in adults and children over 12 years of age. The efficacy of bilastine has been shown to be similar to that of the comparator drugs for the control of the nasal and nonnasal symptoms of allergic rhinoconjunctivitis, while also showing a subjective improvement in the quality of life and in overall clinical impression. For chronic urticaria the symptoms (itching and the development of papules) lessens from the second day of treatment onwards, in a similar way to other antihistamines used as comparators. Bilastine should not be administered at meal times to avoid interference with the absorption process. It is not distributed to the central nervous system, is scarcely metabolized, and elimination is through the kidneys and feces, with a 14-hour elimination half-life. It has no effect on cytochrome P450. During clinical development, bilastine was shown to be a drug that is adequately tolerated, with a similar effect to placebo with regard to drowsiness and changes in heart rate. In relation to its use, headaches were the most frequent adverse effect to be reported. No cardiotoxic effects have been observed, and the therapeutic dose does not alter the state of alertness.
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spelling oai:dadun.unav.edu:10171-364232020-03-03T22:46:10Z Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria Sadaba, B. (Belén) Azanza, J.R. (José Ramón) Gomez-Guiu, A. (Almudena) Rodil, R. (R.) CYP450 Allergic rhinoconjunctivitis Bilastine Chronic urticaria Drowsiness Second generation antihistamine Bilastine is a second generation antihistamine indicated for the treatment of seasonal or perennial allergic rhinoconjunctivitis and chronic urticaria with a daily dose of 20 mg, in adults and children over 12 years of age. The efficacy of bilastine has been shown to be similar to that of the comparator drugs for the control of the nasal and nonnasal symptoms of allergic rhinoconjunctivitis, while also showing a subjective improvement in the quality of life and in overall clinical impression. For chronic urticaria the symptoms (itching and the development of papules) lessens from the second day of treatment onwards, in a similar way to other antihistamines used as comparators. Bilastine should not be administered at meal times to avoid interference with the absorption process. It is not distributed to the central nervous system, is scarcely metabolized, and elimination is through the kidneys and feces, with a 14-hour elimination half-life. It has no effect on cytochrome P450. During clinical development, bilastine was shown to be a drug that is adequately tolerated, with a similar effect to placebo with regard to drowsiness and changes in heart rate. In relation to its use, headaches were the most frequent adverse effect to be reported. No cardiotoxic effects have been observed, and the therapeutic dose does not alter the state of alertness. 2014-08-30T17:52:17Z 2014-08-30T17:52:17Z 2013 info:eu-repo/semantics/article https://hdl.handle.net/10171/36423 eng info:eu-repo/semantics/openAccess application/pdf Dove Medical Press
spellingShingle CYP450
Allergic rhinoconjunctivitis
Bilastine
Chronic urticaria
Drowsiness
Second generation antihistamine
Sadaba, B. (Belén)
Azanza, J.R. (José Ramón)
Gomez-Guiu, A. (Almudena)
Rodil, R. (R.)
Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
title Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
title_full Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
title_fullStr Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
title_full_unstemmed Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
title_short Critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
title_sort critical appraisal of bilastine for the treatment of allergic rhinoconjunctivitis and urticaria
topic CYP450
Allergic rhinoconjunctivitis
Bilastine
Chronic urticaria
Drowsiness
Second generation antihistamine
url https://hdl.handle.net/10171/36423
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