Romilast-l Sy

Romilast L Syrup by RPG UROLIFE

Romilast L Syrup is a combination medication primarily used for the management of allergic conditions and asthma in children.

• Name:

  • Brand Name: Romilast L Syrup

• Composition:

  • Romilast L Syrup contains a combination of two active ingredients: Montelukast and Levocetirizine.
  • Typically, the composition is Montelukast 4mg/5ml and Levocetirizine 2.5mg/5ml.
  • Montelukast is a leukotriene receptor antagonist that helps reduce inflammation and swelling in the airways and nose.
  • Levocetirizine is an antihistamine that blocks the action of histamine, a chemical messenger responsible for allergic symptoms like runny nose, watery eyes, and sneezing.

• Uses:

  • Romilast L Syrup is prescribed to treat various allergic symptoms in children, such as sneezing, watery eyes, itching, and a runny or blocked nose due to allergies (allergic rhinitis or hay fever).
  • It is also effective in managing asthma symptoms by lowering airway inflammation and preventing exercise-induced bronchoconstriction.
  • Furthermore, it treats allergic skin conditions, including rashes, itching, urticaria (hives), and atopic eczema.

• Dosage and Administration:

  • Romilast L Syrup should be administered orally as directed by a physician.
  • It can be given with or without food, preferably at a fixed time each day.
  • For asthma management, it is often recommended in the evening or 2 hours before physical activity. For allergy relief, it can be given in the morning or evening.
  • The prescribed dose, typically 5 ml once daily, should be measured using a measuring cup, dosing syringe, or dropper.
  • The bottle should be shaken well before use.
  • It is crucial to complete the full prescribed course for maximum benefit, even if symptoms improve.

• Side Effects:

  • Common side effects may include abdominal pain, vomiting, diarrhea, headache, fatigue, nausea, dry mouth, sleepiness, skin rash, fever, and increased liver enzymes.
  • Most mild side effects usually resolve over time. However, if they persist or worsen, medical consultation is advised.
  • Serious but rare neuropsychiatric events like agitation, anxiety, depression, or hallucinations have been reported, and a doctor should be consulted if such changes occur.

• Precautions:

  • Avoid administering Romilast L Syrup if the child is allergic to Montelukast, Levocetirizine, or any other components of the formulation.
  • Caution is advised for children with kidney problems; it is not recommended for severe kidney impairment.
  • Inform the doctor about the child's complete medical history, including existing conditions like liver or heart problems, and all current medications (including over-the-counter drugs, vitamins, and herbal supplements) to avoid potential interactions.
  • Drowsiness is a possible side effect, so activities requiring alertness should be avoided if affected.

• Storage:

  • Store Romilast L Syrup in a cool and dry place, away from direct sunlight.
  • Keep it out of the sight and reach of children.
  • The ideal storage temperature is typically below 30°C.

What is ROMILAST-L SY used for?

ROMILAST-L SY is a combination syrup primarily used in children to treat various allergic conditions, including seasonal allergies (allergic rhinitis or hay fever), chronic idiopathic urticaria (hives or skin rashes), and bronchial asthma. It helps alleviate symptoms such as sneezing, runny nose, nasal congestion, itching, watery eyes, cough, and throat irritation. It is also effective in managing allergic skin conditions and allergic cough.

How does ROMILAST-L SY work?

ROMILAST-L SY 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 allergic reactions, thereby reducing symptoms like itching, sneezing, and watery eyes. Montelukast is a leukotriene receptor antagonist that blocks the action of leukotrienes, which are substances that cause inflammation and constriction of the airways. By blocking these, Montelukast helps reduce swelling, relax airways, and make breathing easier, as well as controlling asthma symptoms and allergic rhinitis.

What is the usual dosage of ROMILAST-L SY?

The usual dosage of ROMILAST-L SY is typically once daily, as directed by a doctor. The specific dose and duration will depend on the child's age, body weight, the severity of the condition, and their response to the medicine. It can be taken with or without food. For asthma, it is often recommended to give it in the evening or 2 hours before physical activity. For other allergies, it can be given in the morning or evening based on symptom onset. Always use a measuring cup or spoon to ensure the correct dosage and shake the bottle well before use.

What are the possible side effects of ROMILAST-L SY?

While most children tolerate ROMILAST-L SY well, some common side effects may include nausea, diarrhea, dry mouth, fatigue, headache, skin rash, sleepiness, vomiting, fever, and increased liver enzymes. Other reported side effects include upper respiratory tract infection, cough, pharyngitis, dizziness, abdominal pain, chest tightness, and joint pain. Rarely, neuropsychiatric events such as agitation, anxiety, depression, irritability, nightmares, and even suicidal thoughts have been associated with montelukast. If your child experiences persistent or bothersome side effects, or any unusual behavioral changes, consult your doctor immediately.

Is ROMILAST-L SY safe during pregnancy or breastfeeding?

ROMILAST-L SY is primarily formulated for pediatric use, specifically for children between 2 and 12 years of age. Therefore, precautions related to pregnancy and breastfeeding are generally not applicable for this syrup formulation. For adult formulations containing levocetirizine and montelukast, caution is advised during pregnancy, and it is typically not recommended for breastfeeding women as the medication can pass into breast milk.

Can ROMILAST-L SY be taken with other medications?

Caution is advised when giving ROMILAST-L SY with certain other medications. It may interact with Central Nervous System (CNS) depressants (like diazepam or codeine), potentially increasing drowsiness. Anticholinergic medicines (like atropine) may increase side effects such as dry mouth and constipation. Antifungals (like ketoconazole) can potentially increase montelukast levels. It is crucial to inform your doctor about all medications, supplements, or herbal products your child is currently taking to avoid potential interactions. Avoid combining it with other cold and flu medicines unless specifically advised by a doctor.

What precautions should be taken when using ROMILAST-L SY?

Several precautions should be observed. Do not give ROMILAST-L SY if your child is allergic to levocetirizine, montelukast, or any other ingredients. It should be used with caution in children with kidney or liver problems, especially severe impairment. Patients with a history of neuropsychiatric disorders should be closely monitored. If your child has galactose intolerance or glucose-galactose malabsorption, or diabetes (due to the syrup being sugar-based), consult a doctor. This medicine is not intended for acute asthma attacks; an inhaler should be used for immediate relief. Also, report any unusual changes in your child's behavior or mood to your doctor.

What happens if a dose of ROMILAST-L SY is missed?

If you miss giving a dose of ROMILAST-L SY, administer it as soon as you remember. However, if it is almost time for the next scheduled dose, skip the missed one and continue with the regular dosing schedule. Do not give a double dose to make up for a missed one. If your child vomits within 30 minutes of taking the syrup, give the same dose again, unless it is nearly time for the next scheduled dose.

How should ROMILAST-L SY be stored?

ROMILAST-L SY should be stored in a cool and dry place, below 30°C (or below 25°C as per some instructions), and protected from direct sunlight and moisture. It is essential to keep the medicine out of the sight and reach of children and pets. Do not use the syrup after its expiry date, and dispose of any unused medicine properly.