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Diagnosed with allergic asthma. Prescribed montair lc. What are the side effects if taken daily?

hello doctor i need some help..!! frm past many years i use to get sneezing attacks,,runny nose ,ichy nose and some times shortness of breath with weezing,,.so around 2 or 3 months ago i told my symptoms to an e.n.t expert he told me m suffering frm allergies (dust allergies) and allergic asthma ...and he prescribed me 1 tablet of montair lc daily..i start taking it controlled my symptoms..nw the problem is m not able to stop taking montair lc,,if i miss a single dose my symptoms come back within 24 hours even worst thn before... nw i dnt knw wat to do,,will i have to take this tablet daily in my whole lyf??if yes thn is it safe to take daily??wat will be the side effects in future if i take montair lc dailly.... please give me advice what should i do?
Asked On : Tue, 27 Nov 2012
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Allergist and Immunologist 's  Response
Hello Waaris,
The optimal treatment for severe house dust mite allergy is long acting antihistamines like Allegra 180mg once daily plus flixonase or nasonex nasal spray 1-2 sprays/nostril twice daily. Montelukast 10mg can be added at night if there is asthma such as in your case.

Montair LC is a combination of montelukast and Levocetirizine that can be given in severe dust allergy. Montelukast has side effects though nothing very serious (such as nausea, vomiting, ocasionally dizziness hence taken at night, drynes of mucosa) and the only serious one reported in develpment of Churg Strauss syndrome, a vasculitis, though yet to be proven. Levocetirizine is a very safe second generation antihistamine. Use of the nasal spray sometimes allows you to withdraw the montair LC. You have to avoid dust as much as possible.

The long term treatment is immunotherapy (subcutaneous or sublingual drops) against house dust mite given over 3-5 years. This should only be given by a specialist trained in this therapy.

I hope this helps.
Best Wishes.
Answered: Fri, 30 Nov 2012
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