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Composition
Content Reviewed By:
Dr. Neha Patel
, (MBBS)
Written By:
Mr. Ankit Jain
, (B.Pharm)
Common side effects of Monticope Suspension may include: Drowsiness, Headache, Fatigue, Dry mouth, Nausea, Vomiting, Diarrhea, Abdominal pain. Uncommon side effects may include: Agitation, Anxiety, Depression, Sleep disturbances, Dizziness, Tremors, Skin rash, Itching, Increased liver enzymes.Rare side effects may include: Allergic reactions (hives, swelling, difficulty breathing), Seizures, Palpitations.

Psychiatric and Behavioral Effects
Monitor closelyMontelukast has been associated, in some patients, with neuropsychiatric events such as agitation, aggression, anxiety, sleep disturbances, depression, and, rarely, suicidal thoughts or behavior.
Monticope Suspension is used to treat symptoms of allergies such as runny nose, sneezing, watery eyes, and skin rashes. It also helps in preventing asthma symptoms.
Monticope Suspension contains Montelukast and Levocetirizine.
Common side effects of Monticope Suspension include drowsiness, dry mouth, fatigue, and headache.
Monticope Suspension is safe for use in children as per the dosage and duration prescribed by the doctor.
Store Monticope Suspension at room temperature, away from direct sunlight and moisture.
Monticope Suspension can be taken with or without food, but it is better to take it at the same time every day.
If you miss a dose of Monticope Suspension, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and take the next dose at the scheduled time.
Yes, Monticope Suspension may cause drowsiness in some individuals.
It may take a few days for Monticope Suspension to provide relief from symptoms.
Consult a doctor before taking Monticope Suspension with other medications.
No, Monticope Suspension is not a steroid.
No, do not overdose on Monticope Suspension. Always follow the dosage prescribed by the doctor.
If you experience any side effects after taking Monticope Suspension, contact your doctor immediately.
Consult a doctor before using Monticope Suspension for a long time.
Other medications containing Levocetirizine and Montelukast include Montair LC, Levocet M, and Monticope.
Monticope syrup is primarily used to relieve symptoms of allergic rhinitis, such as sneezing, runny or blocked nose, nasal itching, and post‑nasal drip. It is also used in patients who have asthma associated with allergies, as an add‑on preventive therapy to help reduce wheezing and cough. In some cases, it may be prescribed for other allergy‑related conditions as decided by the doctor.
Monticope syrup combines two active components: montelukast and levocetirizine. Levocetirizine blocks H1 histamine receptors, reducing typical allergy symptoms like sneezing, itching, and runny nose. Montelukast blocks leukotriene receptors, which helps decrease inflammation, mucus production, and bronchoconstriction in the airways. Together, they provide broader control of allergic and airway symptoms than either agent alone.
No. Monticope syrup is not a rescue medicine for acute asthma attacks. It does not provide rapid bronchodilation and should not replace short‑acting inhaled bronchodilators prescribed for sudden breathing difficulty. Monticope syrup is used as a controller or preventive medication to reduce the frequency and severity of symptoms over time. In an acute attack, patients should follow their asthma action plan and seek urgent medical care if symptoms do not improve.
Monticope syrup is commonly prescribed for children with allergic rhinitis or asthma associated with allergies, but its use must be strictly guided by a pediatrician. Safety and appropriateness depend on the child’s age, body weight, medical history, and other medicines being taken. Parents should never adjust the dose or continue long‑term therapy without medical advice, and they should monitor for side effects such as drowsiness, abdominal pain, behavioral changes, or rash.
Commonly reported side effects include drowsiness or sleepiness, headache, dry mouth, abdominal pain, nausea, diarrhea, and fatigue. Some children may experience irritability, restlessness, or difficulty sleeping. Rare but serious adverse effects can include mood or behavior changes, allergic reactions (such as rash, swelling, or breathing difficulty), and liver‑related problems. Any unusual or severe symptom should be reported to a doctor immediately.
Yes. Although levocetirizine is considered a second‑generation antihistamine with relatively lower sedative potential than older agents, some patients, especially children, may still experience drowsiness, fatigue, or reduced alertness. Caregivers should observe how the child responds to the medicine and avoid activities that require full concentration, such as cycling or older children driving, if drowsiness occurs. Adults taking the syrup should be cautious with driving or operating machinery.
Symptomatic relief of nasal allergy, such as reduction in sneezing and runny nose, may begin within a few hours of dosing due to the antihistamine component. The full preventive benefit on asthma‑related symptoms may take several days of regular use, as montelukast works by modifying inflammatory pathways over time. The exact onset and degree of relief vary between individuals and depend on the underlying condition and adherence to the prescribed regimen.
Monticope syrup already contains an antihistamine and a leukotriene receptor antagonist, so combining it with additional antihistamines or montelukast‑containing products is generally not recommended unless specifically advised by a doctor. Concomitant use with intranasal corticosteroid sprays or inhaled asthma medications is common and often appropriate, but all medicines should be reviewed by a healthcare professional to avoid duplication, interactions, or excessive sedation.
If a dose is missed, it should be given as soon as it is remembered, unless it is almost time for the next scheduled dose. In that case, the missed dose should be skipped and the regular dosing schedule resumed. Two doses should not be given at the same time or very close together to make up for a missed dose, as this may increase the risk of side effects. Persistent difficulty in remembering doses should be discussed with the prescribing doctor.
Monticope syrup should generally be avoided in individuals with known hypersensitivity to montelukast, levocetirizine, cetirizine, or any component of the formulation. Caution or avoidance may be necessary in patients with significant liver or kidney impairment, a history of severe psychiatric or behavioral disorders, or those who have previously experienced serious adverse reactions to leukotriene receptor antagonists or antihistamines. A doctor should review the full medical history before starting therapy.
Monticope syrup is designed to target allergic mechanisms and is not a general cough or cold remedy. In some patients, viral infections can coexist with allergies, and a doctor may still prescribe it if allergic components are contributing to symptoms. However, using Monticope syrup on your own for every episode of viral cough or cold is not advisable. The underlying cause of symptoms should be assessed, and treatment should be tailored accordingly.
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MANKIND PHARMA LIMITED
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India

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