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Introduction About MONTINA L TABLET

Montina L Tablet is a combination of Montelukast (10 mg) and Levocetirizine (5 mg), formulated to support relief from allergic conditions like sneezing, runny nose, nasal congestion, watery eyes, itching, and seasonal allergies. It is particularly helpful for individuals whose allergies are triggered by dust, pollen, pets, or environmental factors. The dual-action formula works by blocking the effects of histamine (through Levocetirizine) and leukotrienes (through Montelukast), thereby reducing both allergic symptoms and airway inflammation.

Montina L is ideally suited for adults and adolescents (above 15 years) who experience recurring allergic rhinitis or associated skin allergies. It may also be considered for individuals with nighttime allergy symptoms that disturb sleep. The tablet is usually taken once daily in the evening, with or without food. Taking it regularly at the same time each day can enhance its effectiveness and provide consistent symptom relief.

Precautions to follow include informing your doctor about any history of liver, kidney, or mental health conditions. Avoid alcohol while on this medication, as it may increase drowsiness or dizziness. Patients are advised not to drive or operate heavy machinery if they feel sleepy or lightheaded. The tablet should be taken as per medical advice and not used as a rescue medication for acute asthma attacks.

Montina L should be used with caution during pregnancy and breastfeeding. Although limited data does not suggest significant risk, it should only be used if clearly advised by a healthcare provider. Common side effects may include dry mouth, headache, drowsiness, stomach pain, or fatigue. These effects are typically mild and self-limiting. Any unusual mood changes or persistent symptoms should be promptly discussed with a doctor.

Uses Of MONTINA L TABLET

Allergic rhinitis (sneezing, runny or stuffy nose, nasal itching, red, watery or itchy eyes, throat irritation, cough, headache and tiredness)
Chronic idiopathic urticaria (skin rashes and flares)
Bronchial asthma (breathing difficulties)

Benefits of MONTINA L TABLET

Montina L for Allergic Rhinitis

Montina L Tablet is commonly recommended to support relief in individuals experiencing symptoms associated with allergic rhinitis, such as nasal congestion, itching, and watery eyes. It contains a combination of Montelukast and Levocetirizine, which work by helping reduce the effects of allergens on the nose and airways. People often explore this tablet during weather changes, pollen seasons, or when exposed to dust, mold, or animal dander.

Montina L Tablet for Runny Nose and Sneezing

Montina L Tablet is often chosen by individuals who deal with runny nose, sneezing fits linked to allergic exposure. The Levocetirizine component supports relief from sneezing and nose itching, while Montelukast may help with inflammation caused by allergens.

This combination makes it a helpful choice for those managing frequent outdoor exposure or indoor allergens. When taken as per medical advice, Montina L may contribute to a clearer nasal passage and better day-to-day comfort. Pairing the tablet with allergen avoidance strategies such as keeping windows closed during pollen peaks or using dust-proof bedding can enhance overall benefit.

How MONTINA L TABLET Works

Mechanism Action of Montina L

Montina L Tablet combines two active ingredients Montelukast and Levocetirizine each working in different ways to support relief from allergy symptoms:

Levocetirizine is an antihistamine that blocks the action of histamine, a chemical released in the body during allergic responses. By reducing histamine activity, it helps manage symptoms like sneezing, itchy eyes, and runny nose.
Montelukast is a leukotriene receptor blocker. Leukotrienes are substances released by the immune system that cause swelling, mucus buildup, and narrowing of airways during allergic exposure. By blocking these, Montelukast helps support easier breathing and reduces nasal stuffiness.

Together, this dual-action approach makes Montina L effective in providing round-the-clock support for common allergic symptoms, especially when used regularly and under guidance.

How to use MONTINA L TABLET

How to Take Montina L

Take Montina L Tablet once daily, preferably in the evening or as directed by your doctor.
Swallow the tablet whole with a glass of water do not crush or chew.
Maintain a consistent timing each day for better effect.
Store the tablet in a cool, dry place away from sunlight and moisture.
Follow the prescribed dose and duration exactly do not skip or double up on missed doses.

Is Montina L Tablet Taken Before or After Meals?

Montina L can be taken with or without food.
It is not dependent on meal timing, making it flexible with your daily schedule.
Some users prefer taking it after meals to reduce any chance of stomach discomfort.
Taking it in the evening after dinner is commonly recommended to support nighttime allergy symptoms.
Always follow your healthcare provider’s advice for personalized guidance.

What if I forgot to take MONTINA L TABLET

If you forget to take a dose of Montina L, take it as soon as you remember.
If it’s almost time for your next scheduled dose, skip the missed one.
Do not take two doses at the same time to make up for the missed dose.
Maintaining a regular routine (e.g., setting a reminder) can help you stay consistent.
If you're unsure about what to do, consult your doctor or pharmacist for guidance.

Overdose

If you or anyone else take too much of MONTINA L TABLET, contact your doctor immediately or go to a hospital straight away. Overdosage symptoms of MONTINA L TABLET might include stomach pain, thirst, sleepiness, headache, vomiting, hyperactivity, agitation, excitation and restlessness.

Side Effects Of MONTINA L TABLET

Common side effects of MONTINA L TABLET

upper respiratory infection
cough, cold, fever or flu-like symptoms
pharyngitis (inflammation of the pharynx)
headache and tiredness
dizziness, sleepiness
nausea, vomiting, dry mouth, thirst, stomach pain, diarrhoea, indigestion
otitis media (inflammation or infection of the ears)
skin rash
bleeding from the nose
muscle pain, joint pain

When to Seek Medical Attention?

Stop taking this medicine and contact doctor immediately if you experience any of the following side effect:

neuropsychiatric disorders (such as agitation, anxiety, depression, disorientation, hyperactivity, nightmares, hallucinations, insomnia, memory impairment, walking in the sleep, tremor, attention disturbance)
thoughts of harming or killing yourself (suicidal ideation)

How To Manage Side Effects

Headache

Rest in a Quiet, Dark Room: Find a calm, quiet space away from bright lights and loud noises. Lie down and close your eyes.
Hydrate: Dehydration can contribute to headaches, so drink plenty of water.
Apply a Cold or Warm Compress: A cold pack on your forehead may reduce pain, or a warm compress on your neck or shoulders can relieve tension.
Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like acetaminophen or ibuprofen if appropriate for you. Follow the recommended dosage.
Practice Relaxation Techniques: Deep breathing exercises, meditation, or gentle stretching can help reduce stress and alleviate headache symptoms.

Skin rash Or Itching

Apply a clean, soft cloth soaked in cold water to the rash for 10–15 minutes.
Helps reduce inflammation, itching, and redness quickly.
If the symptom does not improve, contact your doctor immediately.

Stomach Pain

Heat relaxes abdominal muscles and improves blood flow, easing cramps and bloating.
Drink warm water slowly or place a hot water bag on your abdomen for 15–20 minutes.
Cumin aids digestion and helps relieve gas and bloating.
Boil 1 tsp cumin seeds in 1 cup of water, cool slightly, and drink after meals.

Warning & Precautions

Pregnancy

Consult your doctor

Before taking MONTINA L TABLET, inform your doctor if you are pregnant or think you may be pregnant as a precaution.

Breastfeeding

Use with Caution

It is not known whether the combination of levocetirizine and Montelukast can pass through breast milk. Therefore, this medicine should be used with caution in breastfeeding women

Driving and Using Machines

Use with Caution

Do not drive or operate any machines if you experience sleepiness/drowsiness, fatigue or physical weakness.

Alcohol

Contraindicated

Avoid consumption of alcohol while taking MONTINA L TABLET as it could cause reduction in alertness and impairment of performance.

Kidney

Consult your doctor

MONTINA L TABLET is not recommended for use in patients with severe kidney impairment. It should be taken with extreme caution in patients with kidney disease.

Liver

Use with Caution

MONTINA L TABLET should be taken with caution in patients with liver disease.

Allergy

Contraindicated

Do not take MONTINA L TABLET if you are allergic to Montelukast or Levocetirizine.

Lungs

Contraindicated

MONTINA L TABLET is not recommended for use in patients with asthma attacks.

Use In Pediatrics

Consult your doctor

MONTINA L TABLET can be used in adolescents (aged 15 years or older). For children aged below 15 years, you must consult your doctor for an optimum dosage.

Use In Geriatrics

Monitoring required

MONTINA L TABLET 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.

Other Warnings for MONTINA L TABLET

Before taking MONTINA L TABLET, inform your physician if you:

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

Who should not take [GBNKEYWORD

MONTINA L TABLET 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)

Safety Advice

Use only with doctor’s advice: Always take Montina L as prescribed by a qualified healthcare professional. Do not self-medicate or increase the dose on your own.
Inform about other medicines: Share a list of all medicines, supplements, or herbal products you are using to avoid unwanted interactions.
Watch for drowsiness: Montina L may cause mild drowsiness or dizziness in some people. Avoid driving or using heavy machines if you feel sleepy.
Disclose medical history: Let your doctor know if you have liver disease, kidney issues, asthma, or any ongoing medical condition.
Monitor in children or elderly: Special care is needed when used in children or elderly individuals. Doses may be adjusted based on age and health.
Do not share medicine: This medicine is meant for individual use. Avoid sharing even if someone has similar symptoms.

Diet and Lifestyle Advice

Diet Advice While Taking Montina L

Stay hydrated: Drink plenty of water to help ease dryness in the mouth, a common side effect.
Limit alcohol and caffeine: These may worsen drowsiness or dizziness caused by the medicine.
Eat light meals in the evening: Heavy or spicy foods at night may affect digestion and sleep.
Avoid known allergens: Identify and reduce exposure to allergy triggers such as pollen, dust, and certain foods.
Include vitamin C-rich foods: Citrus fruits, berries, and leafy greens may support the immune system naturally.

Lifestyle Advice While Taking Montina L

Take the tablet at the same time daily: Preferably in the evening to reduce night-time allergy symptoms.
Avoid driving or operating machinery: Especially if you feel drowsy or dizzy after taking the tablet.
Practice nasal hygiene: Use saline sprays or steam inhalation to keep airways clear.
Keep windows closed during high pollen seasons: Use air purifiers if needed to reduce indoor allergens.
Follow a consistent sleep schedule: Adequate rest helps the body respond better to allergy management.

1. Montina L vs Allegra 120 mg

Feature	Montina L Tablet	Allegra 120 mg Tablet
Composition	Montelukast + Levocetirizine	Fexofenadine
Class	Leukotriene receptor antagonist + Second-gen antihistamine	Second-generation antihistamine
Main Use Case	Nasal congestion, allergic rhinitis, sneezing, seasonal allergies	Sneezing, itchy nose, runny nose, skin allergies
Action Mechanism	Blocks leukotrienes + histamine response	Blocks histamine response only
Onset of Action	Within 1 hour	Within 1–2 hours
Daytime Drowsiness Risk	Mild to moderate (Levocetirizine may cause sedation)	Low (non-drowsy in most people)
Helpful in Nighttime Allergy	Yes – may offer relief from night symptoms and sleep disturbance	Limited – mostly helpful during daytime symptoms
Additional Benefit	May reduce breathing issues linked to allergens	More focused on nasal and skin-related symptoms
Use in Asthma-Linked Allergies	Sometimes recommended under supervision	Less commonly used for such cases
Dosage Frequency	Once daily	Once daily

2. Montina L vs Montek LC

Feature	Montina L Tablet	Montek LC Tablet
Active Ingredients	Montelukast 10 mg + Levocetirizine 5 mg	Montelukast 10 mg + Levocetirizine 5 mg
Pharmacological Class	Leukotriene receptor antagonist + Antihistamine	Leukotriene receptor antagonist + Antihistamine
Main Purpose	Relief from allergic rhinitis, sneezing, nasal congestion, mild wheezing	Same as Montina L
Brand Manufacturer	Manufactured by different pharmaceutical companies	Manufactured by Cipla Ltd.
Formulation Type	Tablet (may vary slightly in excipients)	Tablet
Onset of Action	Typically, within 1 hour	Typically, within 1 hour
Sedation Possibility	Mild to moderate drowsiness possible	Mild to moderate drowsiness possible
Availability	May vary depending on pharmacy	Widely available in many regions
Pricing	May differ by brand	May be priced differently based on market
Patient Suitability	Same use-case; choice often depends on doctor's preference or brand access	Same

Drug - Drug interaction

1.Interaction with Rifampicin (an anti-tuberculosis antibiotic)

Rifampicin can increase the breakdown of Montelukast in the liver, reducing its level in the blood and possibly lessening its effectiveness.

Management: Let your healthcare provider know if you are taking Rifampicin. They may monitor symptom control more closely or consider alternative options if necessary.

2. Interaction with Anti-Seizure Medicines (Phenytoin, Phenobarbital)

These medicines may induce liver enzymes that process Montelukast, potentially lowering its concentration in the body.

Management: If you’re on anti-epileptic drugs, inform your doctor. Monitoring may be required to assess whether Montina L continues to offer the expected benefits, and adjustments may be made based on clinical judgment.

3. Interaction with Theophylline (used for asthma and breathing issues)

Combining Theophylline with Montina L may lead to a slight increase in side effects such as restlessness or stomach discomfort, though this interaction is not considered severe.

Management: Be observant of any new or unusual symptoms if you are taking Theophylline alongside Montina L. Discuss any concerns with your healthcare provider for appropriate guidance.

4. Interaction with Macrolide Antibiotics (e.g., erythromycin, clarithromycin)

These antibiotics can affect liver enzymes responsible for metabolizing Montelukast, potentially altering its effectiveness.

Management: Usually, no dose change is needed but inform your doctor if you start taking antibiotics while on Montina L. Watch for changes in how your symptoms respond during this time.

Drug - Food interaction

1. Food Delaying Absorption of Levocetirizine

Taking Montina L with a heavy or high-fat meal may slow down the absorption of Levocetirizine, slightly delaying its effect.

Management: To get the best results, it is advisable to take Montina L with water on an empty stomach or a light meal. If taken with food, it still works but the onset of action may be slower. Consistency in timing (e.g., taking it every night) is more important for daily users.

2. Interaction with Grapefruit Juice

Grapefruit juice is known to interfere with the metabolism of many drugs by affecting liver enzymes. Though the impact on Montelukast or Levocetirizine is not strongly proven, it may theoretically alter drug levels.

Management: As a precaution, it is best to avoid grapefruit juice while using Montina L regularly. opt for plain water or non-citrus juices instead.

3. Caffeine-containing Beverages (Coffee, Energy Drinks)

There is no direct harmful interaction between Montina L and caffeine. However, caffeine can mask drowsiness, which might lead users to underestimate the sedative effect of Levocetirizine.

Management: Use caffeine cautiously, especially if you're sensitive to stimulants. Monitor your alertness levels and avoid overcompensation with coffee or energy drinks if you feel sleepy after the dose.

4. Histamine-Rich Foods (Aged Cheese, Smoked Fish, Wine)

These foods are naturally high in histamines, which can mimic allergy symptoms like itching or nasal stuffiness potentially reducing the noticeable benefit of an antihistamine like Levocetirizine.

Management: Limiting intake of histamine-rich foods may help maximize the comfort provided by Montina L. This is especially helpful for users prone to chronic nasal allergies or sinus discomfort.

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, Soft gel capsule, Dispersible tablet, Syrup, Suspension

More Information

FAQs About MONTINA L TABLET

Q: What is Montina L Tablet used for?

A: Montina L Tablet is used to support relief from allergy symptoms like runny nose, sneezing, itchy or watery eyes, and nasal congestion. It is commonly taken for seasonal allergies or allergic rhinitis.

Q: What are the main ingredients in Montina L?

A: Montina L contains two active ingredients Montelukast and Levocetirizine. These work together to manage allergic reactions caused by dust, pollen, pets, or seasonal changes.

Q: When should I take Montina L?

A: It is usually taken once a day in the evening or as advised by your doctor. Taking it at the same time daily helps maintain steady relief from symptoms.

Q: Should I take Montina L before or after food?

A: Montina L can be taken with or without food. If you have a sensitive stomach, you may prefer to take it after meals.

Q: Is Montina L safe for daily use?

A: Montina L may be taken daily as prescribed by your doctor. Always follow the recommended dose and do not use it for longer than advised.

Q: Can children take Montina L?

A: Montina L is sometimes prescribed to children, but only if recommended by a paediatrician. Dosage differs based on age and body weight.

Q: Can Montina L make me sleepy?

A: Yes, some people may feel drowsy or tired after taking Montina L. It’s best to avoid driving or using machinery until you know how it affects you.

Q: Can I stop taking Montina L if I feel better?

A: Don’t stop suddenly without checking with your doctor. Allergy symptoms may return if the medicine is stopped too soon.

Q: Can I take Montina L with other medicines?

A: Some medicines can interact with Montina L. Always tell your doctor about other tablets, supplements, or herbal products you're taking.

Q: Is Montina L addictive?

A: No, Montina L is not known to be habit-forming. Still, it should only be taken as prescribed.

References

KD. Tripathi. Histamines and Antihistamines & Drugs for cough and bronchial asthma. Essentials of medical pharmacology. Seventh edition. 2013. Page – 166-168 & 228-229.
TusharKanti Sarkar. Effectiveness and safety of levocetirizine 10 mg versus a combination of levocetirizine 5 mg and montelukast 10 mg in chronic urticaria resistant to levocetirizine 5 mg: A double-blind, randomized, controlled trial. ResearchGate. Indian Journal of Dermatology, Venereology and Leprology. [ Revised in september 2017]. [Accessed on 22nd July 2025]
Torrent pharmaceuticals Ltd. Lezyncet-M. Torrentian.com. [Accessed on 22nd July 2025]
RND Laboratories. Laboratories division. Rnd Kast-L10 Tablets. [Accessed on 22nd July 2025]

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Author Details

Written By Dr. Karthikeyan Rajagopal - M.Pharm (Pharmacology)

Reviewed For Accuracy By Dr. M N Himaja - MBBS

Last updated on 04 Sep 2025 | 03:36 PM(IST)