Levocetirizine Dihydrochloride + Montelukast Sodium

Levocetirizine Dihydrochloride and Montelukast Sodium is a fixed-dose combination medication. Levocetirizine is a non-sedating, long-acting second-generation antihistamine that selectively inhibits peripheral H1-receptors, reducing symptoms like sneezing, runny nose, and watery eyes. Montelukast is a selective leukotriene receptor antagonist that inhibits the cysteinyl leukotriene CysLT1 receptor, helping to reduce airway inflammation, bronchoconstriction, and nasal congestion.

Dosage by Body Weight

The standard adult dose is one tablet (Levocetirizine 5 mg + Montelukast 10 mg) taken once daily, preferably in the evening to counteract potential drowsiness. Pediatric dosing is based on age and body weight, typically administered as syrup or dispersible/chewable kid tablets. Can be taken with or without food. Do not exceed the prescribed dose.

  1. Body Weight
    Below 5 kg
    Dose
    Not routine
    Frequency
    Use only if prescribed
    Tracking Notes
    Safety and efficacy are not established in infants under 6 months of age.
  2. Body Weight
    5-7 kg
    Dose
    2.5 mL syrup (containing Levocetirizine 1.25 mg + Montelukast 2 mg)
    Frequency
    Once daily in the evening
    Tracking Notes
    For infants aged 6 months to 1 year. Use strictly under direct pediatric supervision.
  3. Body Weight
    8-10 kg
    Dose
    2.5 mL syrup (containing Levocetirizine 1.25 mg + Montelukast 2 mg)
    Frequency
    Once daily in the evening
    Tracking Notes
    Ensure exact dosing using a measured syringe or medical dropper.
  4. Body Weight
    11-15 kg
    Dose
    5 mL syrup OR 1 kid/dispersible tablet (containing Levocetirizine 2.5 mg + Montelukast 4 mg)
    Frequency
    Once daily in the evening
    Tracking Notes
    Typically suitable for children aged 2 to 5 years. Dissolve dispersible tablets in water before administration.
  5. Body Weight
    16-20 kg
    Dose
    5 mL syrup OR 1 kid/dispersible tablet (containing Levocetirizine 2.5 mg + Montelukast 4 mg)
    Frequency
    Once daily in the evening
    Tracking Notes
    For children older than 5 years, higher pediatric tablet strengths (such as Levocetirizine 2.5 mg + Montelukast 5 mg) may be recommended depending on clinical response.

Formulation

TabletDispersible TabletSyrupSuspension

Purpose

Relief of symptoms associated with allergic rhinitis (seasonal and perennial), allergic bronchitis, and comorbid asthma.

Generic Name

Levocetirizine Dihydrochloride + Montelukast Sodium

Branded Drug Names

Levocetirizine Dihydrochloride + Montelukast Sodium is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.