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Purpose of taking Deriphyllin retard and montelukast during asthma. Difference between chewable and non-chewable tablet?

1. Why exactly is Deriphyllin retard 150 tablets taken in Mild Asthma? Is it an antagonist or a drug that creates a reaction with some element in the body? 2. The same question for Montelukast 10 mg. 3. Which is the primary drug and which is complimentary? Deriphyllin 150 or Montelukast 10mg 4. Is there any difference in effect of a chewable tablet viz a viz non-chewable one? Thank You.
Asked On : Thu, 26 Jul 2012
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Pulmonologist 's  Response
Welcome to healthcare magic.
1) Deriphyllin is a bronchodilator medicine (relaxes the airways), which is being used for treatment of asthma and COPD. Because of frequent side effects (commonly stomach upsets, palpitations, headaches etc.) and interaction with other drugs, this is not the first choice for treatment of mild asthma. For mild asthma, first choice treatment is use of salbutamol inhaler whenever required.
2) Montelukast is a controller medicine which is to be taken regularly to prevent asthma attacks. It reduces inflammation of aiways, which is the cause for asthma. It can be taken alone or in combination with steroid inhalers depends on severity
3) Deriphyllin cannot be considered as a primary treatment of asthma
4) Montelukast is available as 4mg chewable tablets for children 2-6 year old, 5 mg chewable for 6-12 years and 10 mg tablets for adults and children above 12 years. The difference is in the dose.

Hope I have cleared your doubts
Answered: Fri, 27 Jul 2012
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