COSOME AR Tablet 10's

Introduction About COSOME AR TABLET

COSOME AR TABLET is used to relieve the symptoms of hay fever (such as sneezing,
itching, a runny and stuffy nose, and red or watery eyes) and other forms of
allergic rhinitis. It is also used to manage itchy skin rashes (hives, or
urticaria).

COSOME AR TABLET contains Bilastine, which belongs to the group of medicines
called Antihistamines. It works by stopping the binding of histamine (a chemical
that is produced by the immune system) to its receptor in the body, and in
severe cases, it inhibits the initiation of an allergic reaction.

COSOME AR TABLET is not recommended for use in patients with a history of
irregular heartbeats. Before taking COSOME AR TABLET, inform your doctor if you
have moderate or severe renal impairment or a personal or family history of
heart problems.

COSOME AR TABLET should not be used during pregnancy as a precautionary measure,
and it should be used with caution in breast-feeding women. Consult your doctor
before taking this medicine.

COSOME AR TABLET is not recommended for use in children (less than 12 years of
age). The most common side effects of taking COSOME AR TABLET are headache,
drowsiness, nasal irritation, and stomach pain. Consult your doctor if any of
the side effects worsen.

Uses Of COSOME AR TABLET

It is used to:

• Relieve symptoms of hay fever (such as sneezing, itching, a runny and stuffy nose, and red or watery eyes) and other forms of allergic reactions
• Manage itchy skin rashes (hives or urticaria).

How COSOME AR TABLET Works

COSOME AR TABLET works by stopping the binding of histamine (a chemical that is
produced by the immune system) to its receptor in the body, and in severe cases,
it inhibits the initiation of an allergic reaction.

How to use COSOME AR TABLET

Take COSOME AR TABLET as advised by your doctor. Swallow the medicine with
enough water. Do not crush or chew the medicine. Try to take COSOME AR TABLET
daily at the same time in the evening. Your doctor will decide the correct dose
and duration of COSOME AR TABLET for you depending upon your age, body weight,
and disease condition.

Side Effects Of COSOME AR TABLET

Common

• Headache
• Drowsiness
• Rhinitis (nasal irritation)
• Allergic conjunctivitis (eye irritation)
• Stomach pain (abdominal or upper abdominal pain)

Uncommon

• Tiredness, dizziness, and a feeling of weakness
• Increased appetite, nausea, diarrhea, and indigestion
• Irregular heartbeat
• Increased weight
• Anxiety
• Dry or uncomfortable nose
• Belly pain
• Gastritis (inflammation of the stomach wall)
• Vertigo (a sense of spinning or dizziness)
• Thirsty, dry mouth
• Dyspnea (difficult breathing)
• Itching, eczema, and urticaria (hives)
• Cold sores (oral herpes)
• Fever
• Tinnitus (ringing in the ears)
• Difficulty sleeping
• Lip swelling
• Loss of consciousness

Rare

Stop taking COSOME AR TABLET and contact your physician immediately if you
experience any of the following side effects:

• Allergic reaction (signs include difficulty breathing, dizziness, collapsing or losing consciousness, swelling of the face, lips, tongue, or throat, and/or swelling and redness of the skin)
• Heart problems (signs include heart racing or slowing, cold, sweats, feeling faint, feeling the heartbeat, lightheadedness, nausea, and shortness of breath)

How To Manage Side Effects

!### Diarrhea

Drink plenty of clear fluids, like water, diluted fruit juices, or oral
rehydration solutions, to stay hydrated. Avoid caffeinated or alcoholic
beverages, as they can worsen dehydration. Gradually take bland, low-fiber foods
like bananas, rice, applesauce, and toast to help firm up stools. Probiotics,
found in yogurt or supplements, may help restore the balance of gut bacteria.
Practice good hand hygiene to prevent the spread of infection. Consult your
doctor if diarrhea worsens.

!### Dry Mouth

Sip water regularly throughout the day to keep your mouth moist. Use a
humidifier in your home, especially in your bedroom, to add moisture to the air.
Maintain good oral hygiene by brushing your teeth at least twice a day and
flossing daily. Use fluoride toothpaste to help protect your teeth. Use an
alcohol-free mouthwash, as alcohol can dry out the mouth. Reduce your intake of
caffeine, alcohol, tobacco, spicy, and salty foods, which can worsen dry mouth.
Chewing sugar-free gum or sucking on sugar-free candies can stimulate saliva
production. Incorporate moist foods into your diet, such as soups and stews. Use
a lip balm to prevent dry lips. If dry mouth persists, consult your doctor.

Headache

Ensure adequate fluid intake, as dehydration can cause headaches.Maintain a
consistent sleep schedule, aiming for 7-9 hours of quality sleep per night. Eat
balanced meals at regular intervals to avoid blood sugar fluctuations that can
trigger headaches. Practice relaxation techniques such as meditation, yoga, or
deep breathing exercises to reduce stress levels. Engage in regular physical
exercise, which can help reduce the frequency and severity of headaches. Apply a
cold pack or warm compress to the forehead or neck to alleviate pain. Consult
your doctor if a headache persists.

!### Nausea And Vomiting

Stay hydrated with small sips of clear fluids like water, ginger ale, or
electrolyte solutions. Avoid consuming large meals; instead, opt for bland,
easy-to-digest foods. Ginger, peppermint, or chamomile tea may help soothe the
stomach. Rest in a comfortable position, preferably with your head elevated, to
ease symptoms. Consult your doctor if nausea persists.

!### Stomach Pain

Avoid spicy or fatty foods, caffeine, or alcohol that may exacerbate symptoms.
Eat a bland diet consisting of easily digestible foods like rice, bananas,
applesauce, and toast. Applying a heating pad or taking a warm bath can also
help soothe abdominal muscles and alleviate discomfort. Drink plenty of fluids
to stay hydrated but avoid excessive consum
If stomach pain persists, consult your doctor.

Warning & Precautions

!### Pregnancy

ContraindicatedCOSOME AR TABLET should not be used during pregnancy as a precautionary measure.
Consult your doctor before taking it.

!### Breastfeeding

Use with CautionCOSOME AR TABLET should be used with caution in breastfeeding women. Consult
your doctor before taking it.

!### Driving and Using Machines

Use with CautionCOSOME AR TABLET does not affect the driving performance of adults. Consult your
doctor if you feel any side effects during management with COSOME AR TABLET that
may stop you from driving or using machines.

!### Alcohol

Consult your doctorCOSOME AR TABLET does not increase the drowsiness produced by alcohol. Consult
your doctor before taking it.

!### Kidney

Use with CautionCOSOME AR TABLET should be used with caution in patients suffering from moderate
to severe kidney impairment. Consult your doctor before taking it.

!### Allergy

ContraindicatedDo not take COSOME AR TABLET if you are allergic to bilastine or any of the
other ingredients in this medicine.

!### Heart Disease

Consult your doctorCOSOME AR TABLET is not recommended for use in patients with a history of
irregular heartbeat, and it should be used with caution in patients suffering
from heart problems or a family history of heart problems. Consult your doctor
before taking it.

!### Use In Pediatrics

ContraindicatedCOSOME AR TABLET is not recommended for use in children (less than 12 years of
age). Consult your child’s doctor for advice.

!### Use In Geriatrics

SafeCOSOME AR TABLET can be used in elderly patients without any dose adjustments.
Consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

• Antifungal (Ex. ketoconazole)
• Antibacterials (Ex. erythromycin, rifampicin)
• Anti-anginal (Ex. diltiazem)
• Immunosuppressant (Ex. cyclosporine)
• Anti-retroviral (Ex. ritonavir)

B.  Drug-food interactions:

Avoid taking COSOME AR TABLET with food or with grapefruit juice or other fruit
juices, as this will decrease the effect of this medicine.

Overdosage:

If you or anyone else accidentally takes too much of COSOME AR TABLET, consult
your doctor immediately or visit the nearby hospital. Symptoms of an overdose
may include dizziness, headaches, and nausea.

Synopsis

Drug	:	Bilastine
Pharmacological Category	:	Antihistamine
Therapeutic Indication	:	Seasonal Allergic Rhinitis, Chronic Spontaneous Urticaria
Dosage Forms	:	Tablet, Dispersible tablet, Oral Solution, Syrup

More Information

Storage

• Keep COSOME AR TABLET out of reach of children
• Store at room temperature

FAQs About COSOME AR TABLET

Q: What is COSOME AR TABLET used for?

A: COSOME AR TABLET is used to relieve the symptoms of hay fever (such as
sneezing, itchy, runny, blocked-up nose, and red and watery eyes) and other
forms of allergic rhinitis, which is usually caused by an allergen such as
pollen, dust, mold, or flakes of skin from certain
manage itchy skin rashes (hives, or urticaria).

Q: Can COSOME AR TABLET be used in pregnant women?

A: COSOME AR TABLET should not be used during pregnancy as a precautionary
measure. Consult your doctor for advice before taking COSOME AR TABLET if you
are pregnant or planning to get pregnant.

Q: IsCOSOME AR TABLET safe to use in patients with kidney impairment?

A: COSOME AR TABLET should be used with caution in patients suffering from
moderate to severe kidney impairment. Your doctor may regularly monitor your
kidney function tests during the management of this medicine. Consult your
doctor before taking COSOME AR TABLET.

Q: What are the common side effects of COSOME AR TABLET?

A: The most common side effects of taking COSOME AR TABLET are headache,
drowsiness, nasal rhinitis (nasal irritation), allergic conjunctivitis (eye
irritation), and stomach pain. Consult your doctor if any of the side effects
worsen.

Q: Can I drive or operate any machines after taking COSOME AR TABLET?

A: COSOME AR TABLET does not affect the driving performance of adults. Consult
your doctor if you feel any side effects during management with COSOME AR TABLET
that may stop you from driving or using machines.

Q: Can I use COSOME AR TABLET with children?

A: COSOME AR TABLET is not recommended for use in children (less than 12 years
of age). Consult your child’s doctor for advice.

Q: What should I avoid while taking COSOME AR TABLET?

A: Avoid taking COSOME AR TABLET with food or with grapefruit juice or other
fruit juices, as this will decrease the effect of this medicine.

Q: What is the best time to take COSOME AR TABLET?

A: Take COSOME AR TABLET on an empty stomach (at least one hour before meals or
two hours after meals) or as directed by the doctor.

Q: Is COSOME AR TABLET safe for kidneys?

A:COSOME AR TABLET should be used with caution in patients suffering from
moderate to severe kidney impairment. Consult your doctor before taking it.

Q: Does COSOME AR TABLET make you drowsy?

A: COSOME AR TABLET makes drowsiness a common side effect. Ensure proper
hydration, as dehydration can cause dizziness. Avoid excessive caffeine,
alcohol, and high-sodium foods, which can exacerbate symptoms. Engage in
physical therapy or vestibular rehabilitation exercises designed to improve
balance and reduce dizziness or drowsiness. Move slowly when changing positions,
such as standing up or lying down, to avoid triggering dizziness. Practice
relaxation techniques such as deep breathing, meditation, or yoga to manage
stress, which can contribute to dizziness. Consult your doctor if drowsiness
persists.

Q: Can COSOME AR TABLET be used for cold?

A: COSOME AR TABLET is not used to manage colds caused by viruses. It is used to
relieve the symptoms of hay fever (such as sneezing, itching, a runny and stuffy
nose, and red or watery eyes) and other forms of allergic rhinitis. It is also
used to manage itchy skin rashes (hives, or urticaria). Consult your doctor for
advice.

Useful Diagnostic Tests

• Complete Blood Count (CBC)/ Hemogram
• Total IGE
• Wheeze/Rhinitis Comprehensive Panel Adult
• Basic Allergy Package
• Absolute Eosinophil Count, Blood
• Allergy Comprehensive Profile
• Allergy Post Screening Profile
• Peripheral Smear Examination By Pathologist
• Full Body Checkup - Gold