Levocetirizine + Montelukast

Dosage Forms Available

• Levocetirizine + Montelukast is available as oral tablets, chewable tablets, dispersible tablets, and syrup. The available dosage forms and strengths may vary depending on the product.

Age and Dose Restrictions

• The appropriate dose depends on the patient's age, medical condition, kidney function, and the strength of the product prescribed. Higher-strength tablets intended for adults should not be given to young children. Children should receive this medicine only in the dose and dosage form prescribed by a doctor.

Contraindications

• Do not take this medicine if you are allergic to levocetirizine, cetirizine, montelukast, or any other ingredient in the product.
• Medicines containing levocetirizine should not be used in patients with end-stage kidney disease, a creatinine clearance below 10 mL/min, or those undergoing dialysis.
• Warnings related to galactose intolerance apply only to products containing lactose or related excipients. Check the product label for ingredient information.

Medications to Avoid with This Drug

• Tell your doctor if you are taking rifampicin, phenobarbital, ritonavir, theophylline, sedatives, or other medicines that depress the central nervous system. These medicines are not contraindicated in all situations, but your doctor may need to monitor you or adjust your treatment.
• Consult your doctor or pharmacist before starting or stopping any prescription, over-the-counter, or herbal medicine.

Overdose and Missed Dose

• Taking more than the prescribed dose may cause drowsiness, abdominal pain, headache, vomiting, excessive thirst, restlessness, or agitation. If an overdose is suspected, contact your doctor or the nearest emergency medical centre immediately. Do not attempt to induce vomiting unless instructed by a healthcare professional.
• If you miss a dose, take it as soon as you remember. If it is nearly time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at the same time.

Management of Side Effects

• Some mild side effects may improve as your body adjusts to the medicine. Do not stop taking the medicine without consulting your doctor. If you develop mood or behavioural changes, swelling of the face or throat, severe difficulty breathing, or a serious skin reaction, stop taking the medicine and seek immediate medical attention.

Use in Driving and Operating Machinery

• This medicine may cause drowsiness, sleepiness, fatigue, or dizziness in some people. Avoid driving, operating machinery, or performing tasks that require full alertness until you know how this medicine affects you.

Use in Pregnancy and Lactation

• Do not take this medicine during pregnancy or while breastfeeding unless advised by your doctor. Your doctor will recommend it only after carefully assessing the potential benefits and risks. While breastfeeding, monitor the infant for unusual sleepiness, irritability, or poor feeding.

Caution in Other Conditions

• Inform your doctor if you have kidney or liver disease, urinary retention, an enlarged prostate, a spinal cord disorder, epilepsy, or a pre-existing mental health condition.
• Patients with asthma should always keep their prescribed rescue inhaler available for acute asthma attacks. This combination should not be used as a substitute for an inhaler or other prescribed controller medicines.

Special Dietary & Lifestyle Recommendation

• Avoid consuming alcohol while taking this medicine, as it may increase drowsiness and reduce mental alertness.
• Minimise exposure to known allergens such as pollen, dust, dust mites, mould, and pet dander. Avoid only those foods that have previously caused an allergic reaction or those your doctor has specifically advised you to avoid.