INTRODUCTION TO MONTEMAC L
MONTEMAC L SYRUP is a combination of Levocetirizine and Montelukast which belongs to the group of medicines called H₁ receptor antagonists and Leukotriene receptor antagonists respectively. MONTEMAC L SYRUP is indicated for the treatment and prevention of allergic rhinitis, chronic idiopathic urticaria (allergic skin reaction with red raised itchy bumps on skin) and bronchial asthma in children aged between 2–5 years.
Allergic rhinitis (also known as hay fever) is a heterogeneous disorder characterized by inflammation of the inner lining of nose accompanied by nasal decongestion, repeated sneezing, wheezing or red, watery and itchy eyes.
It is usually caused by allergens such as pollens, dust, mold or flakes of skin from certain animals and can occur seasonally or year-round. Bronchial asthma is a long-term medical condition in which the path of the airways becomes inflamed, narrow and swollen. Symptoms include coughing, wheezing and chest tightness.
MONTEMAC L SYRUP is contraindicated for use in children with severe kidney impairment. Consult You’re pediatrician before using MONTEMAC L SYRUP.
MONTEMAC L SYRUP may cause certain unpleasant neuropsychiatric events (such as behavior and mood-related changes: agitation including aggressive behavior or hostility, depression) in some children and so parents or caregivers should immediately consult You’re child’s doctor if you notice any unusual behavior in you’re child.
The most common side effects of taking MONTEMAC L SYRUP are upper respiratory tract infection, fever, cough, inflammation of the pharynx, dryness of mouth, headache and sleepiness. Consult you’re child’s doctor if any of the side effects worsen.
USES OF MONTEMAC L
- Treats and prevents allergic rhinitis, chronic idiopathic urticaria and bronchial asthma in children aged between 2–5 years
HOW MONTEMAC L WORKS?
MONTEMAC L SYRUP provides relief from the symptoms of allergic rhinitis, asthma and urticaria where levocetirizine acts by blocking the actions of histamines (a substance that causes an allergic reaction), at the H₁ receptors present on the surface of cells and montelukast acts by blocking the action of leukotrienes D4 (an inflammatory molecule causing narrowing and swelling of the airways) in the lungs, thus causing relaxation of smooth muscle, reduction in swelling and/or inflammation of the airways and a marked decrease in the onset of allergic reactions.
DIRECTIONS FOR USE
Give MONTEMAC L SYRUP to You’re child as advised by the physician. Shake well before use. Use a measuring cup to properly measure the dose. You’re child’s doctor will decide the correct dose and duration of MONTEMAC L SYRUP for You’re child depending upon the child’s age, body weight and disease condition.
SIDE EFFECTS OF MONTEMAC L
COMMON EFFECTS OF MONTEMAC L
- Sinusitis (inflammation of the nasal passage)
- Rhinorrhea (thin mucus discharge from nose)
- Upper respiratory infection
- Cough, cold, fever or flu-like symptoms
- Pharyngitis (inflammation of the pharynx)
- Headache and tiredness
- Dizziness, sleepiness
- Nausea, vomiting, dry mouth, thirst, stomach pain, diarrhoea, indigestion
- Otitis media (inflammation or infection of the ears)
- Skin rash, eczema, urticaria (itching)
- Myopia or conjunctivitis (eye problems)
- Varicella infection
- Bleeding from the nose
- Muscle pain, joint pain
UNCOMMON EFFECTS OF MONTEMAC L
- Behavior and mood related changes: dream abnormalities, including nightmares, trouble sleeping, sleepwalking, irritability, feeling anxious, restlessness
- Drowsiness, tingling, prickling and numbness sensation usually in hands or legs
- Bruising, itching, hives
- Muscle cramps
- Bedwetting in children
- Weakness, feeling unwell, swelling
RARE EFFECTS OF MONTEMAC L
- Behavior and mood-related changes: disturbance in attention, memory impairment
- Uncontrolled muscle movements
Stop giving MONTEMAC L SYRUP to you’re child and contact the doctor immediately if you’re child experiences any of the following side effects:
- Allergic reactions including swelling of the face, lips, tongue, and/or throat which may cause difficulty in breathing or swallowing
- Behavior and mood-related changes: agitation including aggressive behavior or hostility, depression
- Seizure
- Increased bleeding tendency
- Tremor
- Palpitations
HOW TO MANAGE SIDE EFFECTS
Nausea and vomiting:
Follow a simple meal plan for You’re child while administering MONTEMAC L SYRUP. Avoid giving foods that are oily, fried or spicy foods. Do not let You’re child to lie down or sleep immediately after eating. Consult the child’s doctor if the symptom does not improve.
Diarrhoea:
Advise You’re child to drink plenty of water and stay hydrated. Avoid giving You’re child a high-fat diet or spicy foods. Try to avoid giving any medicine on You’re own to You’re child to treat diarrhoea. Consult the child’s doctor if the symptom gets worse.
Stomach pain:
Advise You’re child to rest and relax. Tell You’re child to eat and drink slowly or try to have lesser and more frequent meals. Keep a heating pad on the child’s stomach to relieve pain. Consult the child’s doctor if the symptom gets worse.
Headache:
Apply a hot or cold-water bag on You’re child’s head. Advise You’re child to take a rest in a quiet room. Massage the child’s scalp or head with mild pressure for relieving effect. Consult the child’s doctor if the symptom does not improve.
Skin rash:
Avoid hot showers because hot water can irritate You’re child’s skin further. Tell You’re child not to scratch the affected area. Use protective clothing for You’re child when going outdoors. Regularly moisturize You’re child’s skin. Consult You’re child’s doctor if the symptom did not improve.
WARNING & PRECAUTIONS
PREGNANCY
MONTEMAC L SYRUP is not recommended for use in pregnant women as it is used only in children. Consult You’re doctor for advice.
BREASTFEEDING
MONTEMAC L SYRUP is not recommended for use in breastfeeding women as it is used only in children. Consult You’re doctor for advice.
DRIVING AND USING MACHINES
Do not let You’re child drive their play cycle in outdoors or make them travel along with you for long hours, because this medicine may cause somnolence, sleepiness, tiredness or dizziness in them.
KIDNEY
MONTEMAC L SYRUP is not recommended for use in children with severe impairment of kidney function and should be used with caution in children with impaired kidney function. Consult You’re child’s doctor for advice before administration of MONTEMAC L SYRUP to You’re child.
LIVER
MONTEMAC L SYRUP should be taken with caution in children with liver disease. Consult You’re child’s doctor for advice before administration of MONTEMAC L SYRUP to you’re child.
ALLERGY
Talk to You’re child’s doctor if You’re child is allergic to Montelukast, Levocetirizine or Cetirizine or other ingredients of MONTEMAC L SYRUP.
LUNGS
MONTEMAC L SYRUP is not recommended for use in children with acute asthma attacks including status asthmaticus. Consult You’re child’s doctor for advice before administration of MONTEMAC L SYRUP to You’re child.
OTHERS
MONTEMAC L SYRUP is not recommended for use if You’re child:
- Has galactose intolerance (an inherited condition in which the body cannot convert galactose to glucose)
- Has Lapp lactase deficiency (deficiency of the enzyme lactase in the body)
- Has glucose-galactose malabsorption
- Has phenylketonuria (release of phenylalanine in urine)
Before giving MONTEMAC L SYRUP to You’re child, inform the child’s doctor if You’re child:
- Has epilepsy
- Has sensitivity to aspirin or other NSAIDs
- Has schedule for allergy skin tests
- Has any predisposing factors of urinary retention (Ex. spinal cord lesion, prostatic hyperplasia)
Use in pediatrics:
MONTEMAC L SYRUP is strictly not recommended for use in children aged below 2 years of age. Consult You’re child’s doctor for advice.
Use in geriatrics:
MONTEMAC L SYRUP is not recommended for use in elderly patients as it is used only in children. Consult You’re doctor for advice.
INTERACTIONS
A. Drug-Drug interactions:
Before giving MONTEMAC L SYRUP to You’re child, inform to child’s doctor if You’re child is taking or receiving any of the following medicines:
- Gemfibrozil (used to control high blood cholesterol levels)
- Phenytoin, phenobarbital (used to treat epilepsy)
- Rifampicin (used to treat tuberculosis)
- Ritonavir (a medicine used to treat viral infections)
- Theophylline (a medicine used to treat asthma)
- Alcohol-containing medicines (Ex. antitussives)
Overdosage:
If You’re child or anyone else accidentally takes too much of MONTEMAC L SYRUP, consult You’re child’s doctor immediately or visit the nearby hospital. Overdosage symptoms of MONTEMAC L SYRUP might include stomach pain, thirst, sleepiness, headache, vomiting, psychomotor hyperactivity, agitation and restlessness.
MORE INFORMATION
- Keep MONTEMAC L SYRUP out of reach of children
- Store MONTEMAC L SYRUP at room temperature
FAQs ABOUT MONTEMAC L
Q. My child is having a cough as well as allergic symptoms. Can I give both MONTEMAC L SYRUP and cough medicine together?
Ans. No, avoid concomitant use of cough medicine with MONTEMAC L SYRUP because it can add on the side effects like excessive sleepiness, fatigue and dizziness in You’re child. Always consult You’re paediatrician before using any medicine on You’re child. Ask You’re paediatrician to suggest any non-alcoholic cough medicine during treatment with MONTEMAC L SYRUP.
Q. Can MONTEMAC L SYRUP make my child sleep?
Ans. Yes, MONTEMAC L SYRUP can cause sleepiness or drowsiness in some children, although not everybody gets them. This is quite normal and does not need to worry about it. Avoid unnecessary distractions in children and try to make them stay relaxed. Avoid taking them outdoors unnecessarily. Avoid giving them concomitant medicines that can make them drowsier like cough syrups or sedatives. If the symptom does not improve or worsens contact You’re child’s doctor.
Q. Can MONTEMAC L SYRUP affects my child’s mood?
Ans. Yes, MONTEMAC L SYRUP can cause hyperactivity in some children, although not everybody gets them. Contact You’re paediatrician immediately if you notice any unusual psychological behavior in You’re child during treatment with MONTEMAC L SYRUP.
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