Product image of Montelukast Combix (Montelukast) supplied by GNH India

Montelukast Combix

Active Ingredient:
Montelukast
Origin:
EU

Montelukast Combix (Montelukast)

Montelukast, the active ingredient in Montelukast Combix, is a leukotriene receptor antagonist presented as an oral tablet for systemic use. It is indicated for the management of asthma, allergic rhinitis, and exercise‑induced bronchoconstriction in children and adults.

GNH India supplies Montelukast Combix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable global distribution. Montelukast Combix is manufactured under EU GMP guidelines and exported to multiple regions.

Manufacturer / TM Owner

Laboratorios Combix, S.L.U.

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Indications & Clinical Uses

  • Montelukast acts on the leukotriene pathway to control inflammatory airway diseases.
  • Asthma: reduces frequency of exacerbations and improves lung function.
  • Allergic rhinitis: alleviates nasal congestion, sneezing and itching.
  • Exercise‑induced bronchoconstriction: prevents airway narrowing triggered by physical activity.

How It Works

  • Montelukast selectively blocks the cysteinyl leukotriene receptor CysLT1 on airway smooth‑muscle cells, mast cells and eosinophils. By preventing leukotriene D4 binding, it inhibits bronchoconstriction, mucus secretion and inflammatory cell recruitment, thereby reducing airway hyper‑responsiveness and allergic inflammation. The antagonism is dose‑dependent and does not affect prostaglandin pathways, allowing targeted control of leukotriene‑mediated effects without compromising bronchodilator response. Its oral bioavailability allows convenient once‑daily dosing in most patients.

Side Effects

Montelukast is generally well tolerated, but several adverse reactions have been reported.

Common Side Effects

  • Headache
  • Abdominal pain
  • Cough
  • Nausea
  • Dizziness

Serious or Rare Side Effects

  • Allergic reactions (rash, angioedema)
  • Neuropsychiatric events (mood changes, suicidal thoughts)
  • Hepatic enzyme elevation
  • Stevens‑Johnson syndrome
  • Anaphylaxis

Precautions & Warnings

  • When prescribing Montelukast, clinicians should consider several safety and handling measures.
  • Assess asthma control before initiating: ensure baseline disease status is stable.
  • Monitor for neuropsychiatric symptoms: watch for mood changes or depression.
  • Use with caution in hepatic impairment: dose adjustment may be required.
  • Not for acute asthma attacks: it does not replace rescue bronchodilators.
  • Avoid in patients with known hypersensitivity: discontinue if allergic reaction occurs.
  • Store at room temperature: keep in original pack, protect from moisture.

Avoid Interactions

Montelukast may interact with other medicines that affect its metabolism or pharmacodynamic profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine) may reduce efficacy.
  • Phenobarbital may increase clearance and lower plasma levels.
  • Ketoconazole (CYP3A4 inhibitor) may increase exposure.

Moderate Interactions (Monitor Closely)

  • Concurrent leukotriene modifiers (zafirlukast) may increase risk of side effects.
  • Warfarin: monitor INR as montelukast may affect plasma protein binding.
  • Beta‑agonists: observe for additive bronchodilation effects.

Frequently Asked Questions

Montelukast Combix contains montelukast, a leukotriene receptor antagonist indicated for the long‑term management of asthma, relief of symptoms of allergic rhinitis, and prevention of exercise‑induced bronchoconstriction. It is prescribed for children and adults as part of a comprehensive asthma control plan.

Montelukast selectively blocks the cysteinyl leukotriene receptor CysLT1 on airway smooth‑muscle cells, mast cells and eosinophils. By preventing leukotriene D4 from binding, it stops bronchoconstriction, mucus production and inflammatory cell recruitment, thereby reducing airway hyper‑responsiveness and allergic inflammation.

The appropriate dose of Montelukast Combix is determined by the prescribing healthcare professional based on the patient’s age, weight, disease severity and response to therapy. Dosing recommendations are provided in the product label and should be followed exactly as instructed by the prescriber.

Safety data for montelukast in pregnancy are limited, and the product is classified as pregnancy category unknown. It should only be used if the potential benefit justifies any potential risk to the fetus. Caution is also advised during breastfeeding, and a clinician should evaluate the risk‑benefit ratio.

To request Montelukast Combix, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Montelukast belongs to the leukotriene receptor antagonist class, offering an oral alternative to inhaled corticosteroids and long‑acting beta‑agonists. It is particularly useful for patients with aspirin‑sensitive asthma or those who need additional control of allergic rhinitis, but it does not replace rescue bronchodilators for acute attacks.

Montelukast Combix tablets should be stored at room temperature, below 25 °C, in the original blister pack or container to protect them from moisture and light. Keep the medication out of reach of children and do not use it after the expiration date.

Montelukast Combix is taken orally, usually once daily in the evening, with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water and not chewed or crushed, unless the prescriber provides specific instructions.

Although uncommon, serious adverse reactions to Montelukast can include severe allergic responses such as rash, angioedema or anaphylaxis, and neuropsychiatric events like mood changes, depression or suicidal thoughts. Patients should seek immediate medical attention if they experience any of these symptoms.

Montelukast Combix should be avoided in individuals with known hypersensitivity to montelukast or any of the tablet’s excipients. It is also not suitable for treating acute asthma attacks and should not replace rescue inhalers. Patients with severe hepatic impairment should use it only under close medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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