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Montelukast+levocetirizine+ambroxol

About

Montelukast+levocetirizine+ambroxol combines anti-asthma and anti-allergic drugs, primarily used to prevent asthma. Besides this, it relieves symptoms like sneezing, runny nose, and allergic skin due to various allergies. Asthma is a breathing problem in which airways narrow, swell, and produce extra mucus, leading to difficulty or laboured breathing. An allergy is an immune system response to foreign elements typically not harmful to your body. These foreign elements are known as 'allergens.'

Montelukast+levocetirizine+ambroxol consisting of three medicines: Levocetirizine, Ambroxol, and Montelukast. Levocetirizine blocks the effects of a chemical messenger known as 'histamine,' which is naturally involved in allergic reactions. It helps relieve allergy symptoms such as sneezing, running nose, watery eyes, itching, swelling, congestion, or stiffness. Ambroxol is a mucolytic that reduces mucus and makes coughing easy. Montelukast is a leukotriene antagonist, which blocks a chemical messenger (leukotriene) and reduces inflammation and swelling in the nose, making it easy to breathe. Collectively, all of them help to improve symptoms and treat asthma.

Montelukast+levocetirizine+ambroxol is taken with or without food in a dose and duration as advised by the doctor. Your dose will depend on your condition and how you respond to Montelukast+levocetirizine+ambroxol. Sometimes, you may experience an upset stomach, diarrhoea, vomiting, dry mouth, headache, skin rash, and fatigue. Most of these side effects of Montelukast+levocetirizine+ambroxol are temporary, do not require medical attention, and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Consume only if the doctor prescribes you. Never encourage self-medication or suggest your medicine to someone else. You should not take Montelukast+levocetirizine+ambroxol if you are allergic to levocetirizine, ambroxol, or montelukast, have severe liver or kidney problems or have epilepsy. Check with your doctor if you're pregnant, breastfeeding, or taking other prescribed or non-prescribed medicines. If you are taking NSAIDs, antacid, or any other allergy medication, please inform your doctor before starting Montelukast+levocetirizine+ambroxol as it might affect the absorption of Montelukast+levocetirizine+ambroxol. Also, Montelukast+levocetirizine+ambroxol does not relieve immediate breathing problems as it takes some time for its effect; please keep an inhaler with you.

Uses of Montelukast+levocetirizine+ambroxol

Asthma, Allergies.

Medicinal Benefits

Montelukast+levocetirizine+ambroxol is composed of anti-asthma, and anti-allergic drugs consist of three medicines: Levocetirizine, Ambroxol, and Montelukast. The first medicine, i.e. Levocetirizine, belongs to a class of medications called antihistamine or anti-allergic that blocks the effects of a chemical messenger known as 'histamine,' naturally involved in allergic reactions. It helps relieve allergy symptoms such as sneezing, running nose, watery eyes, itching, swelling, congestion, or stiffness. Ambroxol is a mucolytic that reduces mucus and makes coughing easy. Montelukast is a leukotriene antagonist, which blocks a chemical messenger (leukotriene) and reduces inflammation and swelling in the nose, making it easy to breathe. Collectively, all of them help to improve symptoms and treat asthma.

Directions for Use

Tablet/Capsule: Swallow it as a whole with water; do not crush, break or chew it. Syrup: Shake the bottle well before use. Check the label for directions and take Montelukast+levocetirizine+ambroxol in doses as prescribed by your doctor with the help of a measuring cup or dropper.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Montelukast+levocetirizine+ambroxol

  • Nausea
  • Skin rash
  • Diarrhoea
  • Vomiting
  • Dry mouth
  • Headache
  • Skin rash
  • Fatigue

In-Depth Precautions and Warning

Drug Warnings

Tell your doctor if you are pregnant, planning to become pregnant, or are breastfeeding. If you have kidney problems, dose adjustment might be required; the doctor will do it depending upon your disease's condition. Please inform your doctor if you have a problem passing urine and have epilepsy (fits) before starting Montelukast+levocetirizine+ambroxol. If you are supposed to undergo skin testing, the doctor might advise you to stop taking Montelukast+levocetirizine+ambroxol 72 hours before the test as it decreases response to skin prick test. Please consult your doctor immediately if you experience aggression, anxiety, or depression after taking Montelukast+levocetirizine+ambroxol. It is advised to avoid contact with known allergens (allergy-causing agents) such as pollen, dust, pet danders etc. Certain food items are known to cause allergies to you. Concurrent use of Montelukast+levocetirizine+ambroxol with alcohol or other antidepressants should be avoided to reduce your mental alertness. Please do not stop taking the Montelukast+levocetirizine+ambroxol of a sudden, as it may lead to an increased risk of an acute attack of asthma. Avoid intake of Montelukast+levocetirizine+ambroxol with fruit juices (like apple, orange, or grapefruit) as they might make the drug less effective and decrease its efficacy. Antacids like magnesium hydroxide, aluminium hydroxide etc., should be taken at least 30 minutes before or after taking Montelukast+levocetirizine+ambroxol as taking together may slow the absorption of Montelukast+levocetirizine+ambroxol.

Drug Interactions

Drug-Drug Interactions: Montelukast+levocetirizine+ambroxol may have an interaction with other anti-allergic drugs, NSAIDs (ibuprofen, naproxen, diclofenac), antifungals (fluconazole, miconazole, or voriconazole), heart medications (amiodarone), and antibiotics (amoxicillin, cefuroxime, and erythromycin).

Drug-Food Interactions:  Do not take Montelukast+levocetirizine+ambroxol with fruit juices (like apple, orange, or grapefruit) as it might affect the working of Montelukast+levocetirizine+ambroxol. Besides this, Montelukast+levocetirizine+ambroxol may interact with a multi-mineral or other herbal/ayurvedic supplement, St. John's wort plant (used for depression). So, if you are using any of the OTC items, please tell your doctor.

Drug-Disease Interactions: Patients affected with liver/kidney disease, epilepsy, and alcoholism should not take Montelukast+levocetirizine+ambroxol as it has severe interaction.

Drug-Drug Interactions Checker List:

  • IBUPROFEN
  • NAPROXEN
  • DICLOFENAC
  • FLUCONAZOLE
  • MICONAZOLE
  • AMIDODARONE
  • AMOXICILLIN
  • ERYTHROMYCIN
  • CEFUROXIME
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      It is not advised to consume alcohol while taking Montelukast+levocetirizine+ambroxol as it leads to excessive drowsiness.

    • Safety Warning

      Pregnancy

      safe if prescribed

      Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

    • Safety Warning

      Breast Feeding

      safe if prescribed

      Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

    • Safety Warning

      Driving

      unsafe

      Avoid engaging in hazardous work requiring complete mental alertness like driving or operating machinery when taking Montelukast+levocetirizine+ambroxol.

    • Safety Warning

      Liver

      caution

      Montelukast+levocetirizine+ambroxol to be taken with caution, especially if you have a history of liver diseases/conditions as dose adjustment might be required.

    • Safety Warning

      Kidney

      caution

      Montelukast+levocetirizine+ambroxol to be taken with caution, especially if you have a history of kidney diseases/conditions as dose adjustment might be required.

    • Safety Warning

      Children

      caution

      Montelukast+levocetirizine+ambroxol is not recommended for children below 15 years of age without the doctor's consent. For children above 15 years, the dose to be adjusted and recommended by a child specialist only.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Eat a healthy diet, especially green leafy vegetables, and strictly do not consume alcohol and caffeine (coffee, tea, cola drinks, and chocolate). Caffeine is a stimulant and can decrease Montelukast+levocetirizine+ambroxol’s calming effects, and alcohol can enhance Montelukast+levocetirizine+ambroxol's effects.
    • Smoking should be avoided while taking Montelukast+levocetirizine+ambroxol as it can alter theophylline's blood levels, which may affect the dosing.
    • Maintaining hygiene like washing hands after coming from outside is essential, as people with asthma are at a greater risk of infections.
    • Stay active and exercise regularly to improve quality of life and increase tolerance to shortness of breath.
    • Talk with a family member if you feel low or stressed, as it improves asthma symptoms and keeps it under control.
    • Shortness of breath can be eased by doing pursed-lip breathing exercises. In this, relax your neck and shoulder muscles, breathe in with your nose for two seconds and breathe out through pursed lips for four seconds. Breathing techniques and such exercises will help you to improve your breathing capacity and lung health.

    Patients Concern

    Disease/Condition Glossary

    Allergy: Allergy is an immune system response to foreign elements typically not harmful to your body. These foreign elements are known as ‘allergens.’ Allergic condition varies from person to person. Some might be allergic to certain foods and seasonal allergies like hay fever. At the same time, others might be allergic to pollen or pet dander. One of the symptoms of allergy is cough. Coughing occurs as a reflex action in the throat when mucus or any other foreign irritant is in it.

    Asthma: It is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty in breathing. The asthma symptoms include wheezing (whistling sound while breathing), shortness of breath, chest tightness and cough, especially at night. The symptoms of mild persistent asthma may occur more than two times in a week and up to 4 nights in a month, whereas in the case of severe persistent asthma, the symptoms occur several times every day and most nights. The treatment for asthma includes medication, breathing exercises and self-care. 

    FAQs

    Montelukast+levocetirizine+ambroxol is a combination of anti-asthma and anti-allergic drugs, consisting of three medicines: Levocetirizine, Ambroxol, and Montelukast. Levocetirizine blocks the effects of a chemical messenger known as 'histamine,' which is naturally involved in allergic reactions. It helps relieve allergy symptoms such as sneezing, running nose, watery eyes, itching, swelling, congestion, or stiffness. Ambroxol is a mucolytic that reduces mucus and makes coughing easy. Montelukast is a leukotriene antagonist, which blocks a chemical messenger (leukotriene) and reduces inflammation and swelling in the nose, making it easy to breathe. Collectively, all of them help to improve symptoms and treat asthma.

    Montelukast+levocetirizine+ambroxol is generally given for the long-term management of asthma. Please do not stop taking Montelukast+levocetirizine+ambroxol even if you feel better, which may worsen your condition. For the best advice, consult your doctor and do as recommended.

    If you remember, within 4 hours of the time the Montelukast+levocetirizine+ambroxol was due, take Montelukast+levocetirizine+ambroxol straight away. Take your next dose at your normal time. Do not take a double dose to make up for a forgotten dose of Montelukast+levocetirizine+ambroxol.

    Syrup formulations of Montelukast+levocetirizine+ambroxol may affect the blood sugar/blood glucose levels. You are advised to monitor your blood glucose levels while taking the Montelukast+levocetirizine+ambroxol regularly. Inform your doctor if you have diabetes before consuming Montelukast+levocetirizine+ambroxol. However, you can also use sugar-free formulations.

    Yes, sometimes taking Montelukast+levocetirizine+ambroxol causes dry mouth. If you feel your mouth is dry, increase fluid intake, and do frequent mouthwashes.

    Available Medicines for

    Montelukast+levocetirizine+ambroxol

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