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Schedule H (Prescription Required)Antihistamines & Allergy ReliefCode: 1711

Montelukast 4mg + Levocetirizine 2.5mg Syrup

Generic Formulation:Montelukast 4mg and Levocetirizine 2.5mg Syrup
Pack Size:60 ml
Common Commercial Brand Equivalents:Market reference only
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₹18.75
Brand Estimate*
₹138.72
Estimated Savings:₹119.97 (86% saved)
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Clinical Overview

Montelukast Sodium (4mg/10mg) and Levocetirizine Dihydrochloride (2.5mg/5mg Tablets, Syrup, with or without Ambroxol SR 75mg) is a premier dual-action antiallergic and anti-inflammatory combination on the WHO Model List framework. Montelukast is a selective cysteinyl leukotriene receptor-1 (CysLT1) antagonist that blocks the bronchoconstricting, mucus-secreting, and eosinophil-recruiting actions of LTD4. Levocetirizine is an active R-enantiomer second-generation H1-antihistamine that blocks histamine-mediated itching, sneezing, and vascular permeability. Together, they simultaneously block both early-phase (histamine) and late-phase (leukotriene) allergic inflammatory cascades. Indicated for seasonal and perennial allergic rhinitis, allergic rhinitis with co-existing asthma, and chronic urticaria.

AI-assistedClinical summary synthesized from pharmacopoeial references (CDSCO, WHO EML, IP/BP/USP). Not clinician-reviewed. Drug code 1711.Report inaccuracy

Usage Guidelines

Take orally once daily in the evening with water, with or without food. Adults: 1 tablet daily (10 mg montelukast / 5 mg levocetirizine). Children: Measure pediatric syrup accurately as prescribed. Evening administration coincides with circadian peak in nocturnal airway resistance and allergen-induced histamine/leukotriene release.

General Administration Advice: Adhere strictly to the prescribed dosage, frequency, and treatment course. For oral medications, swallow with sufficient water. Never stop antibiotics, psychiatric medications, or antihypertensives abruptly without clinical direction.

Possible Side Effects

Common: Somnolence/drowsiness, fatigue, dry mouth, headache, nasopharyngitis, abdominal discomfort. Rare/Severe: Neuropsychiatric events (abnormal dreams, insomnia, anxiety, depression, suicidal ideation), Churg-Strauss syndrome (eosinophilic granulomatosis with polyangiitis), and angioedema.

*Note: Individual physiological responses vary. While many patients experience few or no side effects, notify your treating physician if adverse reactions persist or if hypersensitivity (angioedema, skin rash, dyspnea) occurs.

Precautions & Warnings

Black Box Warning: Serious neuropsychiatric events (mood/behavior changes, depression, suicidal ideation); counsel patients and caregivers to stop medication and contact a physician immediately if psychiatric symptoms emerge. Causes mild drowsiness; avoid driving or operating dangerous machinery.

Medical Disclaimer: Statutory Clinical Disclaimer: The information provided is for educational and price-transparency purposes only and does not constitute medical advice, pulmonological diagnosis, or respiratory management recommendations. Inhalation therapies and allergy medications should be used strictly under the guidance of a qualified pulmonologist or registered medical practitioner.