Is Montelukast and Levocetirizine daily use safe in asthma?

Hello,

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Asthma is a chronic disease affecting the airways. The treatment of asthma usually runs for a long time. Treatment of asthma usually consists of two types of inhalers. One is called a presenter, which needs to be taken daily, and the other is a reliever, which needs to be taken as required in an emergency. Foracort 400 (Budesonide and Formoterol) is a preventer inhaler, which you need to take twice daily. Also, the tablet Montair-LC (Montelukast and Levocetirizine) works in the same way as a preventer. Taking this tablet for a long time is not a problem, as you are in need of it. Generally, we recommend regular inhalers like Foracort for optimal control of asthma. If the control is not good and you need to take a reliever inhaler like Asthalin (Salbutamol) regularly, then we need to add another preventer medicine like the tablet Montair-LC. So, if you have good control with Foracort 400, then you can skip taking the tablet Montair-LC. But, unfortunately, there is no option for stopping inhalers.

Inhalers are the standard treatment for asthma as they work at the ideal site where the disease is active, like in the airways. As in the case of diabetes or high blood pressure (BP), where you need to take treatment continuously even if your sugars and BP are normal, in asthma, too, you must take inhalers regularly. The only thing we can do is to decrease the dose of the inhaler after getting good control of asthma symptoms, and you no longer need to take the Asthalin Inhaler daily. This is best done under the guidance of your family doctor. So, I would recommend you continue your Foracort 400 Rotacaps daily and stop taking Montair-LC tablets. After two weeks, see your doctor for a check-up. If everything is fine, then you can continue with Rotacaps only. If you experience problems like a cough or breathlessness, then you may need to continue taking the tablet Montair-LC.

I hope this helps.

Thank you.