Lhist Mont Syr

L-Hist Mont Syrup by Alkem Laboratories Ltd. (Generic Division)

Name

• Brand Name: L-Hist Mont Syrup
• Common Name: Levocetirizine and Montelukast Syrup

Composition L-Hist Mont Syrup is a combination medication containing two active ingredients:

• Levocetirizine (2.5 mg per 5 ml)
• Montelukast (4 mg per 5 ml)

Uses L-Hist Mont Syrup is primarily used to treat various allergic conditions, especially in children, and may also be suitable for adults in some cases. It helps alleviate symptoms associated with:

• Allergic rhinitis (hay fever), including runny nose, sneezing, itchy nose, and watery eyes
• Asthma, by managing symptoms and preventing airway inflammation and bronchospasm. It is not for acute asthma attacks
• Allergic skin conditions such as urticaria (hives), allergic dermatitis, and atopic eczema, by reducing itching and inflammation
• Allergic cough

Dosage and Administration L-Hist Mont Syrup is for oral administration.

• The typical recommended dose for children and adults is often 5ml once a day, or as directed by a healthcare provider.
• It can be taken with or without food.
• Shake the bottle well before use and administer the prescribed dose using a measuring cup or syringe.
• For asthma, it is often advised to administer the syrup in the evening or 2 hours before physical activity. For allergy management, it can be given in the morning or evening, depending on symptom onset. If both conditions are present, evening administration is generally recommended.
• It is crucial to complete the entire treatment course as prescribed, even if symptoms improve. If a dose is missed, take it as soon as remembered, but skip it if it's almost time for the next dose. Do not double the dose.

Side Effects Common side effects may include:

• Headache
• Drowsiness or fatigue
• Dry mouth
• Abdominal pain
• Vomiting
• Diarrhea
• Nausea

Less common or more serious side effects (though generally rare) can include:

• Skin rash
• Increased liver enzymes
• Mental/mood changes such as restlessness, agitation, anxiety, depression, irritability, and in very rare cases, suicidal thoughts

If side effects persist or worsen, medical attention should be sought.

Precautions

• Allergies: Do not administer if there is a known allergy to levocetirizine, montelukast, or any other components of the formulation.
• Medical Conditions: Use with caution in patients with liver, kidney, or heart problems. Dosage adjustments may be necessary, especially in severe cases. Inform the doctor if the child has a history of seizures or neuropsychiatric disorders.
• Drug Interactions: Inform the healthcare provider about all current medications, including over-the-counter drugs, vitamins, and herbal supplements, to avoid potential interactions. Avoid combining with other cold and flu medicines without consulting a doctor.
• Alcohol: Alcohol consumption should be avoided or limited as it may increase drowsiness and dizziness.
• Activities Requiring Alertness: This medicine may cause dizziness and sleepiness, so caution is advised when performing activities requiring concentration.
• Asthma Attacks: L-Hist Mont Syrup helps prevent asthma attacks but should not be used to stop an acute attack that has already started.
• Pregnancy and Breastfeeding: L-Hist Mont Syrup is generally considered unsafe during breastfeeding as levocetirizine can pass into breast milk. Its safety during pregnancy is not well established, and it should be used only if prescribed by a doctor.
• Diabetes: This medicine is sugar-based; caution is required if the child has diabetes. Consult a doctor.
• Allergy Tests: Stop taking L-Hist Mont Syrup at least three days before an allergy test as it can affect the results.

Storage

• Store in a cool and dry place.
• Keep below 30°C.
• Protect from light and moisture.
• Keep out of sight and reach of children.

LHIST MONT SYR by ALKEM LABORATORIES LTD. (GENERIC DIVISION) is a combination medication containing Levocetirizine and Montelukast, primarily used to treat allergic conditions.

What is LHIST MONT SYR used for?

LHIST MONT SYR is prescribed to relieve and prevent symptoms of allergic rhinitis, which includes seasonal allergies (hay fever) and perennial allergies (year-round allergies). It is also used to manage symptoms of asthma and allergic skin conditions like urticaria (hives).

How does LHIST MONT SYR work?

This syrup combines two active ingredients: Levocetirizine and Montelukast. Levocetirizine is an antihistamine that blocks histamine H1 receptors, a chemical messenger responsible for allergic symptoms such as sneezing, runny nose, and watery eyes. Montelukast is a leukotriene receptor antagonist that blocks leukotrienes, substances that cause inflammation, swelling, and constriction in the airways. Together, they provide comprehensive relief by reducing both allergy symptoms and inflammation in the nasal passages and airways.

What is the usual dosage of LHIST MONT SYR?

The dosage is typically determined by a doctor based on age and condition. For children aged 2-5 years, a common syrup dosage is 2.5 mL once daily in the evening. For children aged 6-11 years, the usual dose is 5 mL once daily in the evening. It is important to follow the prescribed dose and not exceed it.

What are the possible side effects of LHIST MONT SYR?

Common side effects may include abdominal pain, skin rash, sleepiness or drowsiness, headache, fatigue, dizziness, diarrhea, vomiting, and dry mouth. Some individuals, particularly children, may experience neuropsychiatric effects such as agitation, anxiety, nightmares, or depression. If any severe or persistent side effects occur, or if you notice changes in mood or behavior, consult your doctor immediately.

Is LHIST MONT SYR safe during pregnancy or breastfeeding?

LHIST MONT SYR is generally not recommended during pregnancy or breastfeeding. There are no adequate and well-controlled studies on the use of Montelukast or Levocetirizine in pregnant or breastfeeding women. It is important to consult your doctor if you are pregnant, planning pregnancy, or breastfeeding.

Can LHIST MONT SYR be taken with other medications?

This medicine may interact with certain other medications. It is crucial to inform your doctor about all medications you are currently taking, including over-the-counter drugs, vitamins, and herbal supplements. Potential interactions can occur with other anti-allergic drugs, painkillers (e.g., ibuprofen, diclofenac, naproxen), blood thinners (e.g., aspirin), antifungals (e.g., fluconazole), certain heart medications (e.g., amiodarone), epilepsy medications (e.g., phenobarbital), tuberculosis medications (e.g., rifampin), COPD medications (e.g., theophylline), and HIV medications (e.g., ritonavir).

What precautions should be taken while using LHIST MONT SYR?

Avoid alcohol consumption while taking this medication as it can increase drowsiness and dizziness. Exercise caution when driving or operating heavy machinery until you know how the medicine affects you. Inform your doctor if you have liver or kidney problems, asthma, epilepsy, or any other pre-existing medical conditions. The use of this combination is not recommended for infants and toddlers less than 2 years of age, and it is contraindicated in patients with severe renal impairment.

What happens if a dose of LHIST MONT SYR is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

How should LHIST MONT SYR be stored?

LHIST MONT SYR should be stored in a cool and dry place, protected from direct sunlight and moisture. Keep the bottle tightly closed and out of the sight and reach of children and pets.