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INTRODUCTION

ALLERCET M KID is a combination of Levocetirizine and Montelukast which belongs to the group of medicines called H1 receptor antagonists and Leukotriene receptor antagonists respectively. ALLERCET M KID 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 adults and in adolescents (aged 15 years or above).

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 a red, watery, and itchy eyes. It is usually caused by allergens such as pollens, dusts, mould, 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.

Levocetirizine is a H1 receptor antagonist that antagonizes the effects of histamine (a substance that cause allergic reaction) on the surface of the cells and montelukast is a leukotriene receptor antagonist that blocks the actions of leukotrienes responsible for causing narrowing and inflammation of the airways, thus leading to relaxation of smooth muscles in the lungs and reduction in swelling and/or inflammation of the airways.

ALLERCET M KID is not recommended for use in patients having severe kidney impairment. Consult your doctor before taking. Avoid consumption of alcohol while taking ALLERCET M KID as it may reduce your alertness and cause impaired performance in activities requiring mental concentration. ALLERCET M KID may cause certain unpleasant neuropsychiatric events (such as anxiety, depression, nightmares, hallucinations, or even suicidal thoughts) in some individuals. Contact your doctor immediately if you or anyone else experience such events.

ALLERCET M KID should be taken during pregnancy only if clearly advised by your doctor and not recommended for use in breast-feeding women. ALLERCET M KID should be used with caution in elderly patients (above 65 years of age) and not recommended for use in children and adolescents (less than 15 years of age). The most common side effects of taking ALLERCET M KID are upper respiratory tract infection, fever, cough, inflammation of the pharynx, dryness of mouth, headache, and somnolence. Consult your doctor if any of the symptoms worsen.

USES OF ALLERCET M KID

  • To treat and prevent allergic rhinitis, chronic idiopathic urticaria and bronchial asthma in adults and in adolescents (aged 15 years or above)

HOW ALLERCET M KID WORKS

ALLERCET M KID provides relief from the symptoms of allergic rhinitis, asthma and urticaria where levocetirizine acts by blocking the actions of histamines (a substance that cause 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

Take ALLERCET M KID as advised by your physician. Swallow ALLERCET M KID with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF ALLERCET M KID

COMMON

  • upper respiratory tract infection
  • cough, cold, fever or flu-like symptoms
  • headache and tiredness
  • sleepiness
  • nausea, vomiting, dry mouth, thirst, stomach pain, diarrhea
  • otitis media (inflammation or infection of the ears)
  • skin rash

UNCOMMON

  • changes in behavior and mood (anxiety, nightmares, irritability, sleepwalking)
  • dizziness, tingling and prickling sensation or numbness in the body
  • indigestion
  • bleeding in the nose
  • itching, bruising
  • joint or muscle pain
  • muscle cramps, weakness
  • urinary incontinence in children
  • swelling

RARE

  • attention disturbance, memory impairment, uncontrolled muscle movements

Stop taking ALLERCET M KID and contact your doctor immediately if you experience any of the following side effects:

  • severe allergic reactions (such as swelling of the face, lips, tongue and/or throat, difficulty in breathing or swallowing, mood changes, agitation, aggressive behavior or hostility, depression, seizure)
  • increased bleeding tendency, tremor (shaking), palpitations (fast heartrate)
  • flu-like symptoms, numbness of arms and legs, worsening of pulmonary symptoms and/or rash (Churg-Strauss Syndrome)
  • decreased blood platelet count
  • neuropsychiatric changes (such as disorientation, hallucinations)
  • thoughts of harming or killing yourself (suicidal ideation)
  • inflammation (swelling) of the lungs
  • erythema multiforme (a severe skin reactions)
  • hepatitis (inflammation of the liver)

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

Try to take ALLERCET M KID with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if the symptom did not improve.

Diarrhoea:

Drink lots of fluids, such as water or fruit juices to keep yourself hydrated. Avoid taking any medicine on your own for treating diarrhea. Consult your doctor if the symptom did not improve.

Headache:  

Rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a pain-relieving balm on the head if required. Do not consume too much of alcohol. Consult your doctor if the symptom did not improve.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines while you are feeling dizzy. Do not consume too much of alcohol, as it can aggravate your dizziness. Consult your doctor if the symptom did not improve.

Stomach pain:

Rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heat pad on your stomach. Do not self-treat on your own and consult your doctor if the symptom did not improve.

WARNING & PRECAUTIONS

PREGNANCY

ALLERCET M KID should be used during pregnancy only if considered clearly necessary. Consult your doctor before taking ALLERCET M KID.

BREASTFEEDING

ALLERCET M KID is not recommended for use in breastfeeding women. Consult your doctor before taking ALLERCET M KID. 

DRIVING AND USING MACHINES

Do not drive or operate any machines if you experience drowsiness, tiredness, or sleepiness. Consult your doctor before taking ALLERCET M KID. 

ALCOHOL

Avoid consumption of alcohol while taking ALLERCET M KID as it may reduce alertness and impairment of performance. Consult your doctor before taking ALLERCET M KID. 

KIDNEY

ALLERCET M KID is not recommended for use in patients with severe kidney impairment. It should be taken with extreme caution in patients with mild to moderate kidney disease. Consult your doctor for before taking ALLERCET M KID.

LIVER

ALLERCET M KID should be taken with caution in patients with liver disease. Consult your doctor before taking ALLERCET M KID.

ALLERGY

Do not take ALLERCET M KID if you are allergic to Montelukast or Levocetirizine or Cetirizine.

OTHERS

ALLERCET M KID is not recommended for use if you:

  • have galactose intolerance (inherited condition in which the body cannot convert galactose to glucose)
  • have Lapp lactase deficiency (deficiency of the enzyme lactase in the body)
  • have glucose-galactose malabsorption
  • have phenylketonuria (release of phenylalanine in urine)
  • have acute asthma attacks

Before taking ALLERCET M KID, inform your physician if you:

  • have or at risk of having epilepsy
  • have sensitivity to aspirin or other NSAIDs
  • have any predisposing factors of urinary retention (Ex. spinal cord lesion, prostatic hyperplasia)
  • are scheduled for allergy testing

Use in pediatrics:

ALLERCET M KID is strictly not recommended for use in children aged below 15 years. Consult your doctor before taking ALLERCET M KID.

Use in geriatrics:

ALLERCET M KID should be used with caution in elderly patients (aged 65 years or above). Proper dose titrations and careful monitoring of kidney functions are required in such patients. Consult your doctor before taking ALLERCET M KID.

INTERACTIONS

A. Drug-Drug interactions:

Before taking ALLERCET M KID inform to your doctor, if you are taking any of these medicines:

  • gemfibrozil (used to control high blood cholesterol levels)
  • other CNS depressants such as phenobarbital or phenytoin (used to treat epilepsy)
  • rifampicin (used to treat tuberculosis)
  • ritonavir (used to treat viral infections)
  • theophylline (used to treat asthma)

Overdosage:

If you or anyone else take too much of ALLERCET M KID, contact your doctor immediately or go to a hospital straight away. Overdosage symptoms of ALLERCET M KID include stomach pain, thirst, sleepiness, drowsiness, headache, vomiting, psychomotor hyperactivity, agitation, and restlessness.

SYNOPSIS

Drug :  

Levocetirizine, Montelukast

Pharmacological Category :  

H1 receptor antagonist, Leukotriene receptor antagonist

Therapeutic Indication :  

Allergic rhinitis, Bronchial asthma, Chronic idiopathic urticaria

Dosage Forms :  

Tablet, Capsule, Dispersible tablet, Syrup, Suspension

MORE INFORMATION

  • Keep ALLERCET M KID out of reach of children
  • Store ALLERCET M KID at room temperature

FAQs ABOUT ALLERCET M KID

How long does it take for ALLERCET M KID to provide relief from symptoms?

Following oral administration of ALLERCET M KID, it is believed to provide relief from the symptoms of allergy and asthma within 30 minutes to an hour. Please note that the onset of action varies from product to product and consult your doctor if you have any queries.

Can ALLERCET M KID be used to treat acute asthma attacks?

No. ALLERCET M KID is used only to prevent asthma attack. It should not be used on an asthma attack that has been started already. Contact your doctor or go to the nearby hospital to avoid exacerbation of the attack.   

Can ALLERCET M KID be used in infants?

No. ALLERCET M KID is only meant to be used in adults and in adolescents (aged 15 years or above). ALLERCET M KID is strictly not recommended for use in children aged between 6 months to 11 years of age without consulting your doctor.   

Can ALLERCET M KID make you feel sleepy?

Yes. ALLERCET M KID may make you feel sleepy or drowsy. Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines while you are feeling sleepy. Avoid alcohol intake, as it could aggravate your existing condition. Consult your doctor if the symptom did not improve.

Can I drink alcohol while taking ALLERCET M KID?

Avoid consumption of alcohol while taking ALLERCET M KID as it may reduce your alertness and cause impaired performance in activities requiring mental concentration. Consult your doctor before taking ALLERCET M KID if you are alcoholic.

What to do If I forget to take ALLERCET M KID?

You should take ALLERCET M KID immediately when you remember. If it is time for your next dose skip the dose and follow your regular dose schedule. Do not double the dose of ALLERCET M KID to match up your missed dose.

REFERENCES

1. KD. Tripathi. Histamines and Antihistamines & Drugs for cough and bronchial asthma. Essentials of medical pharmacology. Seventh edition. 2013. Page – 166-168 & 228-229.

2. Peter J. Barnes. Pulmonary pharmacology. Randal A. Skidgel, Allen P. Kaplan and Ervin G. Erdos. Histamine, Bradykinin, and their antagonists. Goodman & Gilman’s: The Pharmacological basics of Therapeutics. 12th Edition. New York McGraw Hill Medical 2011. Page – 918-923 & 1052-1054.

3. Gerald G. Briggs and Roger K. Freeman. L & M. A reference guide to fetal and neonatal risk: Drugs in Pregnancy and Lactation. Tenth Edition. 2015. Page – 2219-2220 & 2629-2632.

4. Sheila Jacobs. Montelukast Plus Levocetirizine vs Monotherapy in Asthma, Allergic Rhinitis. Pulmonology adviser. [Revised in October 2018]. [Accessed on 13th October 2021] https://www.pulmonologyadvisor.com/home/meetings/chest-2018/montelukast-plus-levocetirizine-vs-monotherapy-in-asthma-allergic-rhinitis/#:~:text=Perennial%20Allergic%20Rhinitis-,Montelukast%20plus%20levocetirizine%20was%20well%20tolerated%2C%20with%20a%20safety%20profile,perennial%20allergic%20rhinitis%20and%20asthma.

5. S M Adsule, D Misra. Long term treatment with montelukast and levocetirizine combination in persistent allergic rhinitis: review of recent evidence. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. [Revised in June 2010] [Accessed on13th October 2021] https://pubmed.ncbi.nlm.nih.gov/21121394/

6. Mi-Kyeong Kim, Sook Young Lee, Hae-Sim Park, Ho Joo Yoon, Sang-Ha Kim, Young Joo Cho, Kwang-Ha Yoo, Soo-Keol Lee, Hee-Kyoo Kim, Jung-Won Park, Heung-Woo Park, Jin-Hong Chung, Byoung Whui Choi, Byung-Jae Lee, Yoon-Seok Chang, Eun-Jung Jo, Sang-Yeub Lee, You Sook Cho, Young-Koo Jee, Jong-Myung Lee, Jina Jung, Choon-Sik Park. A Randomized, Multicenter, Double-blind, Phase III Study to Evaluate the Efficacy on Allergic Rhinitis and Safety of a Combination Therapy of Montelukast and Levocetirizine in Patients with Asthma and Allergic Rhinitis. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. [Revised in July 2018] [Accessed on 13th October 2021] https://pubmed.ncbi.nlm.nih.gov/29945738/

7. E Nettis, G F Calogiuri, E Di Leo, F Cardinale, L Macchia, A Ferrannini, and A Vacca. Once daily levocetirizine for the treatment of allergic rhinitis and chronic idiopathic urticaria. NCBI; PMC US National Library of Medicine, National Institute of Health. 2009. [Accessed on 13th October 2021] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048603/

8. Paulina Korczyñska-Krawczyk, Iabela Kuprys-Lipiñska, Maciej Kupczyk, Malgorzata Wagrowska-Danilewicz, Janusz Szemraj, Wojciech Bienias, Joanna Narbutt, Janusz Smigielski, and Piotr Kuna. The effect of levocetirizine and montelukast on clinical symptoms, serum level and skin expression of COX-1 and COX-2 enzymes in patients suffering from chronic autoimmune urticaria – a pilot study. NCBI; PMC US National Library of Medicine, National Institute of Health. [Revised in February 2020]. [Accessed on 13th October 2021] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247068/

9. Cipla Ltd. MONTAIR LC & MONTAIR LC KID DT / Syrup (Montelukast sodium + Levocetirizine dihydrochloride). Ciplamed.com. [Revised in December 2020]. [Accessed on 13th October 2021] https://www.ciplamed.com/content/montair-lc-montair-lc-kid-dt-syrup

10. Cipla Ltd. RID-AR Tablets & RID-AR KID DT/Syrup (Montelukast sodium + Levocetirizine dihydrochloride). Ciplamed.com. [Revised in November 2013]. [Accessed on 13th October 2021] https://www.ciplamed.com/content/rid-ar-tablets-rid-ar-kid-dtsyrup

11. TORRENT PHARMACEUTICALS LTD. LEZYNCET-M. Torrentian.com. April 2020. [Accessed on 13th October 2021] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2916.pdf

12. RND Laboratories. Laboratories division. RND KAST-L10 TABLETS. [Accessed on 13th October 2021] http://www.rndlaboratories.com/laboratories_division.php

13. Glenmark Pharmaceuticals s.r.o., Tillomed Laboratories Ltd. And Glenmark Pharmaceuticals Europe Limited. Electronic Medicines Compendium (EMC). [Revised in November 2019] [Accessed on 13th October 2021] https://www.medicines.org.uk/emc/files/pil.9917.pdf

14. Accord Healthcare Limited. Electronic Medicines Compendium (EMC). [Revised in September 2020] [Accessed on 13th October 2021] https://www.medicines.org.uk/emc/files/pil.1243.pdf

USEFUL DIAGNOSTIC TESTS

  • Absolute Eosinophil Count
  • Complete Blood Count

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    17.5 g
    Ingredient
    LEVOCETIRIZINE DIHYDROCHLORIDE 2.5 mg+MONTELUKAST SODIUM 4 mg
    Hsn Code
    30049099
ALTERNATE BRANDS
Alzero M Kid Tablet 10'S
Prescription Allergies Rx required
Out of stock
Rs.122.50
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Allercet M Kid Tablet 10'S

Allercet M Kid Tablet 10'S Mkt: Micro Labs Ltd

M.R.P.: Rs.70.50
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