Alerfix Total Tablet (15 Tab)

ALERFIX TOTAL TABLET (15 TAB) by ERIS LIFESCIENCES LIMITED

Name: Alerfix Total Tablet (Brand Name: Alerfix Total)

Composition: Each tablet contains a combination of three active ingredients:

• Ambroxol: 75 mg
• Levocetirizine: 5 mg
• Montelukast: 10 mg

Uses: Alerfix Total Tablet is primarily used to manage and prevent asthma and to relieve a wide range of allergy symptoms. It is prescribed for conditions such as allergic rhinitis (hay fever), chronic obstructive pulmonary disease (COPD), and bronchitis. It helps alleviate symptoms like sneezing, runny nose, watery and itchy eyes, nasal congestion, and allergic skin reactions, as well as productive (wet) cough associated with respiratory disorders.

Dosage and Administration: This medicine should be taken orally, with or without food, as directed by a healthcare professional. Typically, it is advised to take one tablet daily. The tablet should be swallowed whole and not crushed, chewed, or broken. Dosage and duration of treatment depend on the individual's condition and response to the medication. It is not intended for the immediate relief of acute asthma attacks.

Side Effects: Common side effects may include upset stomach, diarrhea, vomiting, dry mouth, headache, fatigue, drowsiness, nausea, dizziness, and skin rash. More serious, though rare, side effects can include aggression, anxiety, depression, suicidal behavior, and seizures. If any severe or persistent side effects occur, medical attention should be sought immediately.

Precautions:

• Allergies: Do not use if allergic to ambroxol, levocetirizine, or montelukast.
• Medical Conditions: Exercise caution with severe liver or kidney problems, epilepsy, a history of seizures, or gastrointestinal bleeding.
• Pregnancy & Breastfeeding: Generally not recommended during pregnancy and is probably unsafe during breastfeeding; consult a doctor.
• Alcohol: Avoid alcohol consumption as it can increase drowsiness.
• Drug Interactions: Inform your doctor about all other medications, especially NSAIDs, antacids, other allergy medications, theophylline, ketoconazole, fluconazole, and anticholinergic agents.
• Activities: Avoid driving or operating machinery if experiencing dizziness or drowsiness.
• Discontinuation: Do not stop taking the medicine suddenly without consulting your doctor, as it may worsen symptoms or cause withdrawal effects.
• Age: Not recommended for children below 18 years of age.

Storage: Store in a cool and dry place, away from direct sunlight, and out of the reach of children. It should be kept in its original packaging at temperatures typically below 30°C or between 10ºC to 25ºC.

What is Alerfix Total Tablet used for?

Alerfix Total Tablet is primarily used to manage respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), allergic rhinitis (hay fever), and bronchitis. It helps relieve associated symptoms like sneezing, runny nose, watery eyes, itching, nasal congestion, and productive cough.

How does Alerfix Total Tablet work?

Alerfix Total Tablet is a combination of three active ingredients: Ambroxol, Levocetirizine, and Montelukast. Levocetirizine is an antihistamine that blocks histamine, a chemical responsible for allergic symptoms like sneezing and itching. Ambroxol is a mucolytic agent that thins and loosens mucus (phlegm), making it easier to cough out. Montelukast is a leukotriene antagonist that blocks leukotrienes, reducing inflammation and swelling in the airways and nose, thereby improving breathing.

What is the usual dosage for Alerfix Total Tablet?

The dosage and duration of Alerfix Total Tablet should be strictly followed as prescribed by your doctor, as it depends on your specific condition and response to treatment. It is typically advised to take one tablet daily, with or without food. The tablet should be swallowed whole and not crushed, chewed, or broken.

What are the possible side effects of Alerfix Total Tablet?

Common side effects may include upset stomach, diarrhea, vomiting, dry mouth, headache, fatigue, nausea, drowsiness, and flu-like symptoms. Some individuals may also experience dizziness or a skin rash. More serious, though less common, side effects can include abdominal pain, chest tightness, joint pain, or, rarely, psychiatric events such as anxiety, aggression, depression, suicidal behavior, or seizures. If you experience any persistent, severe, or concerning side effects, consult your doctor immediately.

Is Alerfix Total Tablet safe during pregnancy or breastfeeding?

Alerfix Total Tablet is generally advised against during pregnancy as it may cause harm to the unborn baby. If you are pregnant or planning to become pregnant, you must consult your doctor before taking this medicine. Similarly, it is probably unsafe to use while breastfeeding, as it may pass into breast milk and potentially harm the baby. Always seek medical advice from your doctor if you are breastfeeding.

Can Alerfix Total Tablet be taken with other medications?

It is crucial to inform your doctor about all other medications, including over-the-counter drugs, supplements, and herbal remedies, you are currently taking or plan to take. Alerfix Total Tablet can interact with certain medicines. For example, it may interact with NSAIDs, antacids, and other allergy medications. Specific interactions include decreased effectiveness when co-administered with phenytoin, phenobarbital, and rifampin, and increased effect with gemfibrozil. Montelukast, one of its components, may increase theophylline levels, and certain medications like ketoconazole and fluconazole can increase montelukast levels. Anticholinergic agents like atropine may enhance the drying effects of levocetirizine. It is generally not recommended to take it with cough suppressants.

What precautions should be taken while using Alerfix Total Tablet?

Do not use Alerfix Total Tablet for sudden (acute) asthma attacks; always keep your prescribed inhaler for emergencies. Avoid consuming alcohol while taking this medicine as it can increase drowsiness and impair cognitive function. Exercise caution if you have severe liver or kidney problems, epilepsy, or a history of seizures. This medicine may cause dizziness or drowsiness, so avoid driving or operating heavy machinery until you know how it affects you. It is not recommended for children below 18 years of age. If you are scheduled for allergy skin tests, your doctor may advise you to stop taking this medicine 72 hours prior. Do not stop taking the medication suddenly without consulting your doctor, as it may worsen your condition or lead to withdrawal symptoms. Report any psychiatric events like aggression, anxiety, or depression to your doctor.

What happens if a dose of Alerfix Total Tablet is missed?

If you miss a dose of Alerfix Total Tablet, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to make up for a forgotten dose without consulting your doctor.

How should Alerfix Total Tablet be stored?

Alerfix Total Tablet should be stored at room temperature, ideally below 25°C or 30°C, in a cool, dry place. Keep it in its original packaging, tightly closed, and away from moisture, heat, and direct sunlight. Ensure it is kept out of sight and reach of children and pets.