LM TRUE PLUS Tablet 10's

Allergies Rx required

Best Price* ₹ 100.00 MRP ₹ 125.00
(Inclusive of all taxes) *10 Tablet(s) in a Strip * Mkt: Avighna Medicare Pvt Ltd * Country of Origin: India * Delivery charges if applicable will be applied at checkout

Check Availability & Expiry

PINCODE:


INTRODUCTION

LM TRUE PLUS is a combination of Levocetirizine and Montelukast which belongs to the group of medicines called H1 receptor antagonists and Leukotriene receptor antagonists respectively. LM TRUE PLUS 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.

LM TRUE PLUS is not recommended for use in patients having severe kidney impairment. Consult your doctor before taking. Avoid consumption of alcohol while taking LM TRUE PLUS as it may reduce your alertness and cause impaired performance in activities requiring mental concentration. LM TRUE PLUS 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.

LM TRUE PLUS should be taken during pregnancy only if clearly advised by your doctor and not recommended for use in breast-feeding women. LM TRUE PLUS 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 LM TRUE PLUS 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 LM TRUE PLUS

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

HOW LM TRUE PLUS WORKS

LM TRUE PLUS 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 LM TRUE PLUS as advised by your physician. Swallow LM TRUE PLUS 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 LM TRUE PLUS

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 LM TRUE PLUS 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 LM TRUE PLUS 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

LM TRUE PLUS should be used during pregnancy only if considered clearly necessary. Consult your doctor before taking LM TRUE PLUS.

BREASTFEEDING

LM TRUE PLUS is not recommended for use in breastfeeding women. Consult your doctor before taking LM TRUE PLUS. 

DRIVING AND USING MACHINES

Do not drive or operate any machines if you experience drowsiness, tiredness, or sleepiness. Consult your doctor before taking LM TRUE PLUS. 

ALCOHOL

Avoid consumption of alcohol while taking LM TRUE PLUS as it may reduce alertness and impairment of performance. Consult your doctor before taking LM TRUE PLUS. 

KIDNEY

LM TRUE PLUS 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 LM TRUE PLUS.

LIVER

LM TRUE PLUS should be taken with caution in patients with liver disease. Consult your doctor before taking LM TRUE PLUS.

ALLERGY

Do not take LM TRUE PLUS if you are allergic to Montelukast or Levocetirizine or Cetirizine.

OTHERS

LM TRUE PLUS 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 LM TRUE PLUS, 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:

LM TRUE PLUS is strictly not recommended for use in children aged below 15 years. Consult your doctor before taking LM TRUE PLUS.

Use in geriatrics:

LM TRUE PLUS 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 LM TRUE PLUS.

INTERACTIONS

A. Drug-Drug interactions:

Before taking LM TRUE PLUS 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 LM TRUE PLUS, contact your doctor immediately or go to a hospital straight away. Overdosage symptoms of LM TRUE PLUS 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 LM TRUE PLUS out of reach of children
  • Store LM TRUE PLUS at room temperature

FAQs ABOUT LM TRUE PLUS

How long does it take for LM TRUE PLUS to provide relief from symptoms?

Following oral administration of LM TRUE PLUS, 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 LM TRUE PLUS be used to treat acute asthma attacks?

No. LM TRUE PLUS 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 LM TRUE PLUS be used in infants?

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

Can LM TRUE PLUS make you feel sleepy?

Yes. LM TRUE PLUS 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 LM TRUE PLUS?

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

What to do If I forget to take LM TRUE PLUS?

You should take LM TRUE PLUS 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 LM TRUE PLUS 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

VIDEOS

Levocetirizine+Montelukast Tablet - Drug Information

Levocetirizine+Montelukast Tablet : Therapeutic Uses, Warning and Precautions, Interactions, Directions for Use, Side Effects and Storage

PRODUCT DETAILS

    Country Of Origin
    India
GET EXTRA DISCOUNT
Get upto 20%

Additional Discount on this product

Please get a call back from our expert

ALTERNATE BRANDS View All
L DIO 1 M KID Tablet 10's
Prescription Allergies Rx required
Rs.34.50
KASTIMIN Tablet 10's
Prescription Allergies Rx required
Rs.39.00
L DIO 1 M Tablet 10's
Prescription Allergies Rx required
Rs.47.70
DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

LM TRUE PLUS Tablet 10's

LM TRUE PLUS Tablet 10's Mkt: Avighna Medicare Pvt Ltd

M.R.P.: Rs.125.00
Copyright© 2022. All Rights Reserved.