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60 mg bilastine in a day
My ENT doctor has prescribed bilastine 40 mg empty stomach in the morning and bilastine -M in the evening for allergic sinusitis. Also nasal steroid Flutiday two puffs each twice a day , lubrinase nasal spray twice a day and MUCINAC-AB.
Please clarify that so much bilastine ( 60mg) can be taken in a day. Also what is the use of Mucinac -AB in allergic sinusitis.
Regards
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That’s a really high dose of Bilastine.
Mucinac, if consumed for prolonged time can have side effects
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Yes.
Mucinac clears the mucous from nasal sinuses.
Dosages are as per the severity
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According to what u r describing, u likely experience allergic rhinitis along with sinusitis and secretions from nose as well occasional breathing difficulty .
For this antihistamine like bilastine dt can be take , nasal spray prescribed has low potency steroid mainly to reduce airway and nasal inflammation, likely to be seen during sinusitis, as well has assists in removing nasal congestion.
Mucinac ab on the other end has drugs to liquefy airway secretions as well as open up airways , which sometimes can spasm due to inflammation and reaction to allergens.
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Yess according to severity can be taken
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In morning itself cause sedation.
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The higher dose of bilastine is prescribed ,depends on the severity of the sinusitis.It could be taken for a short duration.Mucinac AB is to help relieve the mucus secretion
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Bilastine is:
-2nd generation antihistamine
-Minimal sedation drug
-No significant QT prolongation at therapeutic doses
High-dose antihistamines (even 4× dose) are used in chronic urticaria guidelines.
60 mg/day is above routine allergic rhinitis dose
But not typically dangerous in a healthy adult
However:
Not usually required for simple allergic sinusitis
Should be short-term if prescribed
Purpose of Mucinac AB:
-Thins mucus
-Improves sinus drainage
-Reduces congestion sensation
They are not mandatory but symptomatic.
Next Steps
If this is a fresh prescription: Complete at least 2 weeks, don’t stop midway.
Because: Nasal steroids take 5–7 days for full effect.
Reassess After 2–3 Weeks
Lifestyle Measures:
-Steam inhalation once daily
-Avoid dust exposure
-Use mask outside
-Remove bedroom dust triggers
+Wash bedsheets weekly in hot water
-Avoid strong perfumes/smoke
Health Tips
Need further help? 888 X 145 X 7515
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Yes bilastine twice daily can be prescribed in moderate to severe allergic sinusitis. Monitor for side effects of bilastine.
Mucinac - AB is a mucolytic ( breaks down the mucus plug )
Consult me on practo or WhatsApp me on 8018 x 244 x 546 for further management
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Yes it can be taken. However you need further treatment like breathing exercise, incentive spirometry and air purifiers. For further information, kindly consult with me at 9999 x 104 x 408. Consult today for better health today and healthier tomorrow.
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Bilastine is an anti-allergy medicine. In some cases like allergic sinusitis, doctors may prescribe a higher dose (even up to 40–60 mg per day) for better symptom control. This is considered safe when taken as advised. Please take it on an empty stomach for best effect.
Bilastine-M also contains montelukast, which helps reduce inflammation and swelling inside the nose and sinuses, so it improves congestion and breathing.
Mucinac-AB helps to thin and loosen mucus, making it easier to clear blocked sinuses and reduce heaviness or pressure in the head.
Nasal sprays are very important—they reduce local inflammation and help long-term relief.
You can safely take these medicines as prescribed. If you feel excessive drowsiness or any unusual symptoms, please inform your doctor
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Kindly consult for detailed advice
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Yes ,its taken according to severity. Mucinac -ab for cough and mucous.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Your prescription includes:
• Bilastine 40 mg (morning, empty stomach)
• Bilastine-M (evening) → usually Bilastine 20 mg + Montelukast 10 mg
• Flutiday nasal spray (steroid)
• Lubrinase nasal spray (saline/lubrication)
• Mucinac-AB
About Bilastine dose:
Standard dose = 20 mg once daily
However, in moderate to severe allergic rhinitis/sinusitis, some specialists use up-dosing (up to 40 mg or even 80 mg/day) short term. This is accepted in resistant allergy cases.
So:
➡ 60 mg/day total (40 mg + 20 mg) is higher than standard
➡ But not considered dangerous in healthy adults
➡ Should be short-term and monitored
If you are not experiencing:
• Excess drowsiness
• Palpitations
• Severe dryness
• Headache
It is generally tolerated.
⸻
About Mucinac-AB:
Mucinac-AB usually contains:
• Acetylcysteine (mucolytic) → thins thick mucus
• +/- Ambroxol or bronchodilator depending on brand
In allergic sinusitis:
• Inflammation causes thick sticky mucus
• Mucinac helps loosen and drain secretions
• Reduces sinus pressure and post-nasal drip
It does NOT treat allergy directly
It treats the mucus component.
Next Steps
✔ Take Bilastine strictly on empty stomach (1 hr before food)
✔ Avoid fruit juice near dose
✔ Continue nasal steroid regularly (most important medicine)
✔ Use saline spray before steroid for better effect
Monitor for:
• Excess sedation
• Heart racing
• Unusual weakness
If symptoms improve after 2–3 weeks, dose may be stepped down.
Do not self-reduce abruptly without discussing with ENT.
Health Tips
✔ Avoid dust exposure
✔ Steam inhalation once daily
✔ Sleep with head slightly elevated
✔ Control room humidity
✔ Avoid strong perfumes/smoke
In allergic sinusitis, nasal steroid is the backbone of treatment — antihistamines support symptom control.
If you tell me:
• Do you have nasal blockage mainly or post-nasal drip?
• Any wheezing?
• How long symptoms are present?
I can help assess whether this is simple allergy or evolving airway disease. Booking an online consultation will allow structured sinus management and medication rationalization safely.
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Do consult
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Bilastine can be taken at this dose though depending on the severity yet it has good safety profile, so there shouldn’t be any problem
Talking about Mucinac-ab it is to clear thick mucus secretions and improve sinus drainage and nasal clearance, Rest if there are any side effects you should review with your physician
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Dr. Simranpreet Kaur
General Physician
10 yrs exp
Ludhiana
Take tab bilastine once daily in night
Mucinac AB is mucolytic to thinning the mucus so that it should come out of sinuses, and inflammation can ne reduced
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Dr. Aimanshah
MBBS
7 yrs exp
Kollam
Need more details please consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Mucinac ab helps remove secretions from airways in sinusitis and sinuses and widens the airways slightly, that helps in reducing cough and breathing trouble if present.
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Dr. Nasar Ahmed
General Physician
1 yrs exp
Jammu
Can b used based on requirements of disease
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
No
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.