Overview
Acebrophylline 200mg + Montelukast 10mg is a combination medication used to manage chronic respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), allergic rhinitis, and bronchitis. It offers both anti-inflammatory and bronchodilator effects, helping improve airflow and reduce symptoms like wheezing, coughing, and breathlessness.
Active Ingredients & Mechanism
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Acebrophylline (200mg)
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Class: Bronchodilator and mucolytic agent
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Mechanism: A derivative of theophylline, acebrophylline relaxes bronchial muscles and decreases mucus viscosity, enhancing mucus clearance and improving breathing.
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Montelukast (10mg)
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Class: Leukotriene receptor antagonist
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Mechanism: Blocks leukotrienes, substances that cause inflammation, swelling, and constriction of airways, thereby preventing asthma and allergy symptoms.
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Indications (Uses)
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Bronchial asthma (mild to moderate)
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Chronic obstructive pulmonary disease (COPD)
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Allergic rhinitis
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Chronic bronchitis
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Cough associated with excessive mucus production
How to Use
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Dosage: Usually one capsule daily, preferably in the evening or as prescribed by a physician.
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Administration: Take with or without food. Swallow whole with a glass of water.
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Do not crush or chew.
Common Side Effects
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Headache
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Nausea or stomach upset
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Dry mouth
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Drowsiness
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Cough or sore throat
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Skin rash
These are usually mild and resolve with time. Inform your doctor if symptoms persist.
Serious Side Effects (Seek Immediate Medical Attention)
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Chest pain or palpitations
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Breathing difficulty or worsening asthma symptoms
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Severe allergic reactions (rash, swelling, itching, difficulty breathing)
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Liver enzyme elevation (jaundice, dark urine)
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Behavioral changes (agitation, aggression, suicidal thoughts – linked to Montelukast)
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Seizures (rare, more likely with high doses of Acebrophylline)
Monitoring & Follow-Up
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Liver function tests periodically, especially during long-term use
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Lung function tests (spirometry) to assess treatment effectiveness
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Psychological symptoms in patients using Montelukast, particularly in children or adolescents
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Heart rate and rhythm, especially if the patient has a history of arrhythmia
Warnings & Precautions
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Pregnancy & Breastfeeding: Use only if clearly needed; consult your doctor.
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Kidney or Liver Impairment: Dose adjustment may be necessary.
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Avoid alcohol: It may worsen dizziness and increase liver stress.
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CNS Effects: May cause drowsiness; avoid driving or machinery if affected.
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Interaction with other drugs: Inform your doctor if using theophylline, phenytoin, or antiepileptics.
Summary
Acebrophylline + Montelukast (200/10mg) is a powerful combination therapy for managing chronic respiratory conditions by offering anti-inflammatory, anti-allergic, bronchodilator, and mucolytic actions. It improves breathing and reduces allergic triggers. While generally safe, close monitoring is essential in long-term use to avoid liver stress, behavioral side effects, or rare allergic reactions. Always take this medication under the supervision of a healthcare professional and report any unusual symptoms promptly.
Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.





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