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Ambroxol + Levocetirizine + Montelukast

Uses of Ambroxol + Levocetirizine + Montelukast

  • Ambroxol + Levocetirizine + Montelukast is primarily used to manage respiratory conditions. It belongs to the group of mucolytic agents, antihistamines, and leukotriene receptor antagonists.

  • Additionally, it is prescribed to prevent asthma symptoms and exercise-induced bronchoconstriction, treat perennial and seasonal allergic rhinitis, manage COPD and chronic bronchitis, and relieve cough due to sticky mucus and postnasal drip.

Side effects of Ambroxol + Levocetirizine + Montelukast

  • Fatigue

  • Headache

  • Dry mouth

  • Nausea

  • Nasopharyngitis

How Ambroxol + Levocetirizine + Montelukast works

  • Ambroxol, the first component, is a mucolytic agent. It works by thinning and loosening mucus in the airways, making it easier to cough out. This is achieved by increasing bronchial secretions and making the mucus less viscous, thus enhancing surfactant production and increasing water content in the airways.

  • Levocetirizine, the second component, is an antihistamine. It provides relief from allergy symptoms such as runny nose, watery eyes, and sneezing by selectively inhibiting histamine H1 receptors. This prevents histamine from causing allergic reactions like itching, swelling, and increased secretions.

  • Montelukast, the third component, is a leukotriene receptor antagonist. It reduces airway inflammation and improves breathing by blocking the action of leukotriene D4 on the cysteinyl leukotriene receptor CysLT1 in the lungs and bronchial tubes. This results in reduced bronchoconstriction, inflammation, and mucus production.

Certified content

Written By

docImg
Dr Vatsalya D GhanekarMedical Content Writer| 5 years

MD Ayurveda

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • The combination medication of Ambroxol + Levocetirizine + Montelukast (tablet) is to be taken orally.

Age and Dose Restrictions

  • This medication is typically prescribed for adults. The granule formulation of this medicine can be given to children as advised by the doctor.

Contraindications

  • This medication must not be used by patients who are hypersensitive or allergic to any of its components - ambroxol, levocetirizine or montelukast.

Other Medications to Avoid

  • The combination of Ambroxol + Levocetirizine + Montelukast may interact with inhibitors of antifungals (like ketoconazole and fluconazole), leading to an increase in montelukast levels.

  • It may also interact with antacids (such as aluminium hydroxide and magnesium hydroxide), which may decrease the absorption of Levocetirizine and Montelukast.

Overdose and Missed Dose

  • Overdosing on this medication may lead to symptoms like dizziness, headache, fatigue or nausea. If any such situation arises, it is advised to immediately consult your doctor.

  • In case you forget to take a dose, take it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to compensate for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • Drinking plenty of water may help manage symptoms of dry mouth.

  • If you experience dizziness or fatigue, it might be helpful to take the medication in the evening before bed.

Use in Driving and Operating Machinery

  • This medication may cause drowsiness; hence, it is advised to avoid driving or operating heavy machinery if these symptoms are experienced.

Use in Pregnancy and Lactation

  • The safety of Ambroxol + Levocetirizine + Montelukast during pregnancy and breastfeeding is not established. Therefore, it is advised to consult your doctor before using this medicine during these periods.

Caution in Other Conditions

  • Patients with severe hepatic insufficiency should exercise caution while taking this medication as it may potentially affect the metabolism of montelukast.

  • Although no dose adjustment is required for patients with kidney impairment, caution is still advised.

Special Dietary and Lifestyle Recommendations

  • For managing respiratory conditions like asthma and allergic rhinitis, it's advisable to avoid known triggers or allergens that could exacerbate symptoms.

  • Adopting a healthy lifestyle with regular exercise can help improve lung function.

  • Avoid exposure to smoke and pollutants, as they can worsen respiratory conditions.

  • Regular follow-up with your doctor for monitoring of lung function and symptom control is important.

Frequently asked questions

Yes, one of the common side effects of this medicine could be drowsiness. Therefore, caution is advised when performing activities requiring mental alertness.

The research does not provide any specific information about the impact of this combination on fertility. If you have concerns about fertility, it would be best to consult your doctor.

There are no specific diet restrictions mentioned in the research data. However, it is always wise to consult your doctor for personalised advice.

The time taken for this medicine to work varies with each patient and depends on the severity of the condition being managed.

Yes, a prescription from your doctor is required to obtain this medication.

You should continue taking the medicine as prescribed by your doctor, even during symptom-free periods.

Fruit juices may decrease the absorption of levocetirizine and montelukast, hence it is advised to avoid consuming fruit juices just before or after taking this medicine.

Terms & Conditions


Ambroxol + Levocetirizine + Montelukast in other salts

AMBROXOL + GUAIFENESIN + LEVOSALBUTAMOLFEXOFENADINE + MONTELUKASTLEVOCETIRIZINELEVOCETIRIZINE + MONTELUKASTAMBROXOL + GUAIFENESIN + MENTHOL + TERBUTALINEAMBROXOL + GUAIFENESIN + TERBUTALINEAMBROXOLMONTELUKASTAMBROXOL + GUAIPHENESINAMBROXOL + LEVOCETIRIZINELEVOCETIRIZINE + PSEUDOEPHEDRINEAMBROXOL + DOXYCYCLINE AMBROXOL + LORATADINEACETYLCYSTEINE + AMBROXOLCAFFEINE + LEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEACEBROPHYLLINE + DESLORATADINE + MONTELUKASTAMBROXOL + GUAIFENESIN + SALBUTAMOLAMBROXOL + LEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEAMBROXOL + GUAIFENESIN + LEVOSALBUTAMOL + MENTHOLAMBROXOL + CHLORPHENIRAMINE + DEXTROMETHORPHAN + MENTHOL + PHENYLEPHRINEAMBROXOL + GUAIFENESIN + MENTHOL + SALBUTAMOLAMBROXOL + GUAIFENESIN + LORATADINEAMBROXOL + SALBUTAMOLAMBROXOL + CETIRIZINE + GUAIFENESINAMBROXOL + AMMONIUM CHLORIDE + GUAIFENESIN + TERBUTALINEAMBROXOL + GUAIFENESIN + LEVOCETIRIZINE + MENTHOLAMBROXOL + CHLORPHENIRAMINE + GUAIFENESIN + PHENYLEPHRINEAMBROXOL + SALBUTAMOL + THEOPHYLLINEAMBROXOL + GUAIFENESIN + LEVOSALBUTAMOL / LEVALBUTEROLBILASTINE + MONTELUKASTLEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEAMBROXOL + AMOXICILLINAMBROXOL + LEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHENAMBROXOL + CETIRIZINEAMBROXOL + CHLORPHENIRAMINE MALEATE + GUAIFENESIN + PHENYLEPHRINEAMBROXOL + ROXITHROMYCINLEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PSEUDOEPHEDRINEAMBROXOL + CETIRIZINE + DEXTROMETHORPHANAMBROXOL + TERBUTALINEAMBROXOL + CHLORPHENIRAMINE + GUAIFENESIN + MENTHOL + PHENYLEPHRINELEVOCETIRIZINE + PHENYLEPHRINEAMBROXOL + GUAIFENESIN + LEVOCETIRIZINE + PHENYLEPHRINEAMBROXOL + CHLORPHENIRAMINE MALEATE + GUAIFENESIN + MENTHOL + PHENYLEPHRINEAMBROXOL + CETIRIZINE + GUAIFENESIN + PHENYLEPHRINEAMBROXOL + DESLORATADINE + GUAIFENESIN + MENTHOLACEBROPHYLLINE + MONTELUKASTACEBROPHYLLINE + LEVOCETIRIZINE + MONTELUKASTACEBROPHYLLINE + FEXOFENADINE + MONTELUKASTDOXOFYLLINE + MONTELUKASTAMBROXOL + LEVOCETIRIZINE + PSEUDOEPHEDRINEDESLORATADINE + MONTELUKASTAMBROXOL + AZITHROMYCINBAMBUTEROL + MONTELUKASTAMBROXOL + CEFADROXILAMBROXOL + DOXOFYLLINEAMBROXOL + CEFIXIME + LACTOBACILLUSEBASTINE + MONTELUKASTAMBROXOL + GATIFLOXACINAMBROXOL + LEVOFLOXACINLEVOCETIRIZINE + NIMESULIDE + PHENYLEPHRINEAMBROXOL + CETIRIZINE + GUAIFENESIN + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINELEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN
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