Ambroxol + Levocetirizine + Montelukast

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.