Telekast-L

Dosage : Tablet
Contains : Montelukast + Levocetirizine dihydrochloride
Category : Antihistamines & Antiallergics
Uses : Allergies
Price :

Telekast L tablet is a combination drug containing Montelukast and Levocetirizine dihydrochloride.

 

Montelukast belongs to class of drugs called selective leukotriene receptor antagonist. It inhibits the effects of chemical called cysteinyl leukotrienes in the airway. Cysteinyl leukotrienes is associated with airway oedema, smooth muscle contraction and inflammation.

 

Levocetirizine is an antihistamine. Histamine is a chemical that is released in body when a person having allergy comes in contact with the allergy trigger like pollen, ragweed, pet dander, or dust mites, etc. Histamine leads to swelling of the tissue in nose making it stuffy, running nose and eyes, sometimes mouth to itch. It .can also lead to itchy rash on skin, called hives.

 

Telekast L is indicated for relief of following symptoms of allergic rhinitis:

 

  • Runny nose and nasal congestion
  • Watery, itchy, red eyes (allergic conjunctivitis)
  • Sneezing
  • Cough
  • Itchy nose, roof of mouth or throat
  • Swollen, blue-colored skin under the eyes (allergic shiners)
  • Postnasal drips
  • Fatigue

 

Telekast L is a product from Lupin. Lupin Limited, headquartered in Mumbai, India, is strongly research focused. The company has a state-of-the-art R&D center in Pune and is a leading global player in Anti-TB, Cephalosporins (anti-infectives) and Cardiovascular drugs (ACE-inhibitors and cholesterol reducing agents) and has a notable presence in the areas of diabetes, anti-inflammatory and respiratory therapy

Allergic symptoms are caused by your immune system due to various allergens that may trigger an allergic reaction. Allergies are dependant on your genes and can vary from person to person.

 

Allergic reactions happen when the immune system recognises an allergen and the cells release histamines which causes inflammation in that region. This prompts the immune system to respond to the inflammation and start deep repair.

 

Patients could be allergic to anything ranging from pollens, nuts, fur to even dairy products.. Allegra can be used to treat allergic symptoms that may include:

 

  • Tearing
  • Running nose
  • Itchy eyes
  • Sneezing
  • Redness of the eye
  • Hives
  • Eczema
  • Itching

 

Dosage

As directed by your Physician

Administration

As directed by your Physician

Adverse Reactions/ Side Effects

Significant:

Behavioural changes (e.g. agitation, anxiety, depression, dream abnormalities, obsessive-compulsive disorder). Rarely, systemic eosinophilia, vasculitis with eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).

 

Ear and labyrinth disorders:

Otalgia, otitis media.

 

Eye disorders:

Myopia, conjunctivitis.

 

Gastrointestinal disorders:

Diarrhoea, nausea, vomiting, abdominal pain, dyspepsia, gastroenteritis.

 

General disorders and administration site conditions:

Pyrexia.

 

Infections and infestations:

Viral infection, tooth infection.

 

Investigations:

Elevated serum transaminase levels (ALT, AST).

 

Nervous system disorders:

Headache, drowsiness, dizziness.

 

Respiratory, thoracic and mediastinal disorders:

Upper respiratory tract infection, cough, acute bronchitis, influenza, laryngitis, pharyngitis, rhinorrhoea, sinusitis, sinus headache, pneumonia.

 

Skin and subcutaneous tissue disorders:

Rash, eczema or atopic dermatitis, skin infection, urticaria.

 

Vascular disorders:

Epistaxis.

Warnings and Precautions

Aspirin-sensitive asthmatic patient must continue avoiding aspirin and other NSAIDs. Not intended for treatment of acute asthma attacks. Not recommended as monotherapy in treatment of moderate chronic asthma. Avoid abrupt substitution to oral or inhaled corticosteroids. Children. Pregnancy and lactation. Patient Counselling This drug may cause dizziness or drowsiness, if affected, do not drive or operate machinery. Monitoring Parameters Monitor for signs and symptoms of behavioural changes.

Contraindications

–

Drug Interactions

Decreased plasma concentration with CYP450 inducers (e.g. phenytoin, phenobarbital, rifampicin). Gemfibrozil may increase montelukast serum concentration.

Overdosage

Symptoms:

 

  • Abdominal pain
  • Somnolence
  • Thirst
  • Headache
  • Vomiting
  • Psychomotor hyperactivity

 

Management:

 

  • Supportive treatment

Storage

Oral: Store below 30°C. Protect from light and moisture.

Mechanism of Action

Montelukast is a selective leukotriene receptor antagonist with a long duration of action. It inhibits cysteinyl leukotriene type-1 (CysLT1) receptor found in the human airway and on pro-inflammatory cells. The binding of CysLTs in leukotriene receptors are involved in the pathophysiology of asthma, including smooth muscle contraction, airway oedema and inflammation; CysLTs are released from the nasal mucosa after allergen exposure which is associated with symptoms of allergic rhinitis.

References

https://www.mayoclinic.org/diseases-conditions/hay-fever/symptoms-causes/syc-20373039

http://www.drugsupdate.com/brand/generic/Montelukast/29796

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