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ETHCET M SUSPENSION

Levocetirizine Dihydrochloride syrup 2.5 mg Montelukast Sodium 4 mg

PACKING SIZE / TYPE

60 ML WITH MEASURING CUP & PP CAP, PLAIN SILVER, GMP PRINTED, AMBER BOTTLE

Summary

ETHCET M SUSPENSION is a combination medication designed to treat various allergy symptoms and respiratory conditions. It contains Levocetirizine Dihydrochloride, a potent antihistamine, and Montelukast Sodium, a leukotriene receptor antagonist. This dual-action formula helps relieve symptoms like sneezing, runny nose, itchy or watery eyes, and breathing difficulties associated with allergic rhinitis and asthma.

Side Effects

ETHCET M SUSPENSION may cause side effects, although not everyone will experience them. Common side effects include:

  • Drowsiness or fatigue
  • Dry mouth
  • Dizziness or headache
  • Nausea or gastrointestinal discomfort
  • Sore throat
  • Increased heart rate (rare)
  • Rash (rare)

If any of the following serious side effects occur, consult your doctor immediately:

  • Difficulty breathing or swallowing
  • Swelling of face, lips, tongue, or throat (signs of an allergic reaction)
  • Severe dizziness or fainting

Usage

  • Adults and Children: The usual dosage for adults and children over 6 years old is 1 teaspoon (5 ml) of the suspension once daily.
  • Children under 6 years old: Use only under the direction of a healthcare professional.
  • Take the suspension in the evening, preferably after a meal.
  • Shake the bottle well before use.

Concerns

  • Pregnancy and Breastfeeding: Consult a doctor before using ETHCET M SUSPENSION during pregnancy or breastfeeding.
  • Kidney or Liver Impairment: Special care is needed if you have kidney or liver problems, as the medication may not be fully metabolized and excreted.
  • Alcohol Use: Alcohol may increase drowsiness or dizziness, so it is recommended to avoid alcohol while taking this medication.

When not to use?

ETHCET M SUSPENSION should not be used in the following conditions:

  • Hypersensitivity to Levocetirizine, Montelukast, or any other ingredients of this formulation.
  • Severe renal or liver impairment: Patients with severe kidney or liver dysfunction should not use this medication.
  • Acute asthma attacks: This medication is not meant to treat acute asthma attacks. Seek immediate medical help in case of a sudden asthma exacerbation.

Warnings

  • Drowsiness: Levocetirizine may cause drowsiness. Do not drive or operate machinery until you know how this medicine affects you.
  • Respiratory Infection: Use with caution if the patient has a current respiratory infection, as Montelukast may sometimes exacerbate symptoms in such cases.
  • Tapering Off: If discontinuing the medication, consult your healthcare provider for guidance on tapering off, especially for patients with asthma.

Dosage

  • Adults and Children (above 6 years): The usual dosage is 1 teaspoon (5 ml) once daily.
  • Children (under 6 years): Dose adjustment is necessary, based on the healthcare provider’s advice.
  • The syrup should be taken in the evening, preferably after a meal.
  • Missed Dose: If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. Do not double the dose to make up for a missed one.

Interactions

  • Alcohol: Increases the sedative effect of Levocetirizine, causing excessive drowsiness.
  • CNS Depressants: May enhance the sedative effects of other central nervous system depressants, including sedatives, anti-anxiety medications, and narcotic pain relievers.
  • Rifampicin and Erythromycin: May alter the effectiveness of Montelukast.
  • Theophylline: Concurrent use with Theophylline may require dose adjustments for optimal therapeutic effect.

General Instructions

  • Shake the bottle well before each use to ensure the correct dosage.
  • Store at room temperature, away from direct sunlight, and out of reach of children.
  • Do not exceed the recommended dosage unless instructed by a doctor.

Other Details

  • Packaging: Available in a 100 ml bottle.
  • Form: Syrup
  • Price: Available upon request from pharmacies.
  • Shelf Life: 2 years from the manufacturing date.

References

  • Ducharme, F. M., & Lemire, C. (2010). Montelukast in the treatment of asthma and allergic rhinitis. Canadian Respiratory Journal, 17(3), 147-154.
  • Greig, R. (2008). The safety and efficacy of Levocetirizine in the management of allergic rhinitis. Drugs, 68(12), 1577-1586.
  • National Institute for Health and Care Excellence (NICE). (2018). Allergic Rhinitis: Management in Primary Care. NICE Guidelines.
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