Alerfix M Tablet ( 15 Tablet )

ALERFIX M TABLET, manufactured by ERIS LIFESCIENCES LIMITED, is a combination medication primarily used for managing allergic and respiratory conditions.

Name

• Common Name: ALERFIX M TABLET
• Brand Name: Alerfix M Tablet

Composition

ALERFIX M TABLET contains two active ingredients:

• Levocetirizine (5 mg)
• Montelukast (10 mg)

Uses

This medicine is prescribed for the treatment and prevention of symptoms associated with various allergic and respiratory conditions, including:

• Allergic Rhinitis: Seasonal (hay fever) and perennial allergic rhinitis, alleviating symptoms like sneezing, runny or stuffy nose, nasal itching, and watery/itchy eyes.
• Chronic Idiopathic Urticaria: Managing skin allergies, hives, itching, and rashes.
• Bronchial Asthma: Helping to control asthma symptoms by reducing airway inflammation and improving breathing.

Dosage and Administration

Typically, one ALERFIX M TABLET is taken once daily, as advised by a physician. It can be consumed with or without food, preferably in the evening, and should be swallowed whole with water. The dosage and duration depend on the patient's condition and response to the medication. It is generally recommended for adults and adolescents aged 15 years or older.

Side Effects

Common Side Effects include:

• Drowsiness, sleepiness, or fatigue
• Headache
• Dry mouth
• Nausea, abdominal pain, diarrhea
• Upper respiratory tract infection, sore throat, cough, fever

Serious Side Effects (less common/rare):

• Restlessness, agitation, or changes in mood/behavior
• Increased liver enzymes
• Allergic reactions (e.g., swelling of the face, lips, tongue, difficulty breathing)
• Suicidal thoughts (contact doctor immediately if experienced)

Precautions

• Allergy: Contraindicated if allergic to levocetirizine, montelukast, cetirizine, or any other components.
• Alcohol: Avoid alcohol consumption, as it can increase drowsiness and impair alertness.
• Pregnancy and Breastfeeding: Caution is advised during pregnancy. It is generally considered unsafe during breastfeeding as levocetirizine passes into breast milk. Consult a doctor.
• Kidney/Liver Impairment: Use with caution in patients with kidney or severe liver problems; dosage adjustments may be necessary. Not recommended for severe kidney impairment.
• Driving/Operating Machinery: May cause dizziness and sleepiness; avoid activities requiring mental alertness until you know how the medicine affects you.
• Interactions: Inform your doctor about all other medications, especially CNS depressants, as interactions may occur.
• This medicine is not intended for the relief of acute asthma attacks; use a prescribed inhaler for such episodes.

Storage

Store ALERFIX M TABLET in a cool, dry place at a temperature below 30°C (or 25°C), away from direct sunlight and moisture. Keep it out of the reach of children. Always check the expiration date before use.

What is ALERFIX M TABLET used for?

ALERFIX M TABLET is primarily used to manage symptoms associated with various allergic conditions and respiratory issues. These include allergic rhinitis (such as hay fever, characterized by sneezing, runny or stuffy nose, nasal itching, and watery eyes), chronic idiopathic urticaria (hives or allergic skin reactions with itchy bumps), and bronchial asthma. It helps alleviate symptoms like sneezing, runny nose, congestion, watery and itchy eyes, and skin rashes, while also reducing inflammation in the airways to support easier breathing and help prevent asthma attacks.

How does ALERFIX M TABLET work?

ALERFIX M TABLET contains two active ingredients: Levocetirizine and Montelukast. Levocetirizine is an antihistamine that works by blocking the action of histamine, a chemical released by the body during an allergic reaction, thereby reducing symptoms like itching, sneezing, and runny nose. Montelukast is a leukotriene receptor antagonist that blocks the action of leukotrienes, which are chemicals in the body that cause inflammation, swelling, and narrowing of the airways. By blocking these substances, Montelukast helps reduce inflammation in the nasal passages and airways, making breathing easier and controlling asthma symptoms.

What is the usual dosage for ALERFIX M TABLET?

The recommended dosage for adults and adolescents (generally aged 15 years or older, or above 12 years of age depending on the source) is typically one tablet once daily, or as advised by your doctor. It can be taken with or without food, preferably at the same time each day to maintain consistent medication levels. It's crucial to follow the prescribed dosage and duration of treatment and not to exceed it without consulting your doctor. Dosage adjustments may be necessary for individuals with kidney or liver problems, or for elderly patients.

What are the possible side effects of ALERFIX M TABLET?

Common side effects of ALERFIX M TABLET can include drowsiness, sleepiness, fatigue, dry mouth, headache, sore throat, nausea, diarrhea, stomach pain, and dizziness. Some individuals might also experience upper respiratory tract infection, cough, fever, or skin rash. If these side effects persist or worsen, it is advisable to consult your doctor.

Is ALERFIX M TABLET safe during pregnancy or breastfeeding?

Caution is advised when taking ALERFIX M TABLET during pregnancy. While some sources suggest it is generally considered safe if prescribed by a doctor with low or no adverse effects observed in animal studies, it is best to consult your doctor before use. ALERFIX M TABLET is generally considered unsafe during breastfeeding as levocetirizine, one of its components, can pass into breast milk and may cause toxicity to the baby. Breastfeeding women should discuss this with their doctor.

Can ALERFIX M TABLET be taken with other medications?

ALERFIX M TABLET can interact with certain medications. Levocetirizine may enhance the sedative effect of Central Nervous System (CNS) depressants such as barbiturates (e.g., phenobarbital), benzodiazepines (e.g., alprazolam, diazepam), and sedatives (e.g., zolpidem). Montelukast may interact with medicines metabolized by the Cytochrome P-450 CYP2C8 enzyme. Other interacting medicines include gemfibrozil (for high cholesterol), phenytoin (for epilepsy), rifampicin (for tuberculosis), ritonavir (an antiviral medicine), and theophylline (for asthma). Always inform your doctor about all other medications, supplements, and herbal products you are currently taking to avoid potential drug interactions.

What precautions should be taken while using ALERFIX M TABLET?

Avoid consuming alcohol while taking ALERFIX M TABLET, as it may increase drowsiness and fatigue, affecting your alertness. Be cautious when driving or operating heavy machinery, as this medicine can cause drowsiness or dizziness. If you have liver or kidney problems, discuss them with your doctor before starting this medication, as dosage adjustments may be necessary, and severe impairment may be a contraindication. Patients with a history of neuropsychiatric disorders should exercise caution, as montelukast has been associated with such events. It is generally advised for adults and adolescents, and caution is advised for children under 15 years and older patients over 70. Do not take this medicine if you are allergic to levocetirizine, montelukast, or any other ingredients.

What happens if a dose is missed?

If you miss a dose of ALERFIX M TABLET, 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 ALERFIX M TABLET be stored?

Store ALERFIX M TABLET in a cool, dry place at a temperature below 30°C. Keep the medicine away from direct sunlight and moisture, and out of reach of children. Always check the expiration date before taking the medicine.

Can ALERFIX M TABLET be stopped once I feel better?

It is important not to stop taking ALERFIX M TABLET without consulting your doctor, even if your symptoms improve. Stopping the medication too early may cause your symptoms to return or worsen. Follow your doctor's instructions regarding the duration of treatment.