Doxofylline+montelukast
About Doxofylline+montelukast
Doxofylline+montelukast is a prescription medication used to prevent and manage the symptoms of asthma and chronic obstructive pulmonary disease (COPD). It is designed to relieve long-term breathing difficulties by keeping your airways open and reducing swelling in the lungs.
For this medicine to work effectively, you must take it consistently every day, even when you feel perfectly fine. It is typically taken once daily, with or without food, ideally at the same time each day. Making healthy adjustments, such as staying away from smoke and dust, can significantly improve how well this medicine works for you.
While taking Doxofylline+montelukast, you might experience mild side effects like a mild headache, nausea, or an upset stomach. These symptoms usually fade as your body gets used to the medication, but if you experience a very fast heartbeat, severe dizziness, or breathing trouble, contact your doctor right away.
Do not take this if you have had a severe allergic reaction to similar airway-opening medicines in the past. You should discuss your medical history with your doctor before starting this medication, especially if you have heart rhythm issues, high blood pressure, active stomach ulcers, or severe liver disease.
This medicine can interact with certain substances; for instance, drinking alcohol or smoking can change how your body processes it, which may either reduce its effectiveness or increase the risk of side effects. Always let your doctor know if you are pregnant, planning to breastfeed, or are caring for an elderly patient, as they may require extra monitoring.
Uses of Doxofylline+montelukast
Medicinal Benefits
The main benefit of Doxofylline+montelukast is that it helps you breathe more comfortably throughout the day and night. By targeting two different causes of breathing trouble, it provides comprehensive, long-term relief.
- Improves Breathing: Helps relax the airways, reducing chest tightness and making breathing easier.
- Reduces Respiratory Flare-Ups: Regular use helps lower the frequency of asthma symptoms and COPD exacerbations.
- Supports Better Sleep: Helps reduce nighttime breathing symptoms, allowing more restful sleep.
- Improves Daily Activities: Better symptom control helps you stay active with less breathlessness and fatigue.
Directions for Use
- Doxofylline+montelukast can be taken with or without food as advised by your doctor.
- Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
- Swallow Doxofylline+montelukast as a whole with a glass of water.
- Do not chew, crush, or break it.
Storage
Side Effects of Doxofylline+montelukast
Common Side Effects (Usually mild)
- Headache
- Nausea or vomiting
- Upset stomach or mild abdominal pain
- Dizziness or mild sleepiness
Serious Side Effects (Consult your doctor right away)
- Signs of a severe allergic reaction, such as swelling of the face, lips, tongue, or throat, severe skin rash, or extreme difficulty breathing
- A very fast, pounding, or irregular heartbeat
- Severe mood or behavioural changes, including anxiety, agitation, vivid dreams, or depression
- Severe muscle weakness or numbness
Medicines Containing this Salt
View AllDrug Warnings
- Not a rescue medication: Do not use Doxofylline+montelukast to treat a sudden, acute asthma attack. Always carry your quick-relief rescue inhaler for sudden breathing emergencies.
- Watch your mood: Montelukast carries a regulatory boxed warning for serious neuropsychiatric side effects. Contact your doctor immediately if you, your family, or your caregivers notice changes in mood or behaviour, anxiety, agitation, depression, sleep disturbances, or suicidal thoughts while taking this medicine.
- Do not stop suddenly: Even if your breathing improves completely, keep taking this medicine. Stopping it abruptly can cause your symptoms to return quickly.
- Avoid self-medicating: Always check with your pharmacist before taking over-the-counter cough, cold, or allergy medicines, as they may interact poorly with Doxofylline+montelukast.
- Limit alcohol: Avoid drinking alcohol while on this medication, as it can increase the risk of dizziness and stress your liver.
Drug Interactions
Some medicines may affect how Doxofylline+montelukast works or increase the risk of side effects. Tell your doctor about all the medicines you are taking, including:
Certain antibiotics (like erythromycin): May increase the amount of this medicine in your body, raising the risk of side effects like a racing heart.
Seizure medicines (like phenobarbital or phenytoin): May lower the levels of this medicine in your blood, making it less effective.
Stomach acid reducers (like cimetidine): Can increase the concentration of the active ingredients in your blood, which might cause toxicity.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionAvoid drinking alcohol while taking Doxofylline+montelukast to avail the maximum benefits and prevent the worsening of side-effects.
Pregnancy
cautionThere is limited data on how Doxofylline+montelukast affects pregnancy. Please consult your doctor if you are planning to conceive or already pregnant before starting Doxofylline+montelukast.
Breast Feeding
cautionThere is limited data on how Doxofylline+montelukast affects breastfeeding. Please consult your doctor before starting Doxofylline+montelukast.
Driving
cautionDo not drive or operate machinery if you experience drowsiness or difficulty in concentrating while using Doxofylline+montelukast. Doxofylline+montelukast may affect your ability to drive. Seek medical attention if the symptoms persist longer.
Liver
cautionDoxofylline+montelukast should be used with caution in patients with liver diseases. Let your doctor know if you have any history of hepatic impairment before taking Doxofylline+montelukast.
Kidney
cautionDoxofylline+montelukast should be used with caution in patients with kidney diseases. Let your doctor know if you have any history of kidney diseases. Your doctor will weigh the benefits and potential risks before prescribing Doxofylline+montelukast.
Children
cautionNo information is available for use in children. Hence, consult your paediatrician before giving Doxofylline+montelukast to your child.
Habit Forming
Diet & Lifestyle Advise
- Identify and avoid triggers: Keep a journal to track what triggers your breathing problems (such as pollen, pet dander, or strong perfumes) and try to limit your exposure.
- Limit caffeine intake: Doxofylline is a xanthine derivative that is chemically related to caffeine. Consuming large amounts of coffee, tea, energy drinks, or other caffeinated products while taking this medicine may increase stimulant effects such as restlessness, tremors, palpitations, or a rapid heartbeat.
- Stay hydrated: Drinking plenty of water helps keep the mucus in your lungs thin and easier to clear.
- Avoid tobacco smoke: Avoid active smoking and secondhand smoke, as they damage your lungs and can severely reduce the effectiveness of this medication.
Special Advise
Patients Concern
Disease/Condition Glossary
Asthma: It is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty in breathing. The symptoms of asthma include wheezing (whistling sound while breathing), shortness of breath, chest tightness, and cough, especially at night. The symptoms of mild persistent asthma may occur more than 2 times a week and up to 4 nights in a month, whereas, in the case of severe persistent asthma, the symptoms occur several times every day and most nights. The treatment for asthma includes medication, breathing exercises, and self-care.
Chronic obstructive pulmonary disease (COPD): It is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).
FAQs
Doxofylline+montelukast is a respiratory medication primarily used to treat and prevent asthma and chronic obstructive pulmonary diseases (COPD).
Doxofylline+montelukast consists of Doxofylline and Montelukast. Doxofylline is a bronchodilator that works by relaxing muscles and widening the airways of the lungs. Montelukast is a leukotriene receptor antagonist that blocks leukotrienes (chemicals released in response when a body comes in contact with an allergen) and reduces inflammation and swelling in the nose.
Please take the missed dose as soon as possible. However, if it is time for the next dose, skip the missed dose and go back to your regular dosing schedule.
Doxofylline+montelukast is not recommended for use during a sudden asthma attack since it does not act right away. It is advised to please consult your doctor to prescribe a fast-acting inhaler for rescuing your sudden breathing problems.
Therapy with leukotriene receptor antagonists like Montelukast may worsen the symptoms of psychotic events in patients with a history of mental illness. Careful administration and monitoring are essential before taking Doxofylline+montelukast in patients with neuropsychiatric disorders. Please consult your doctor before taking Doxofylline+montelukast if you have been diagnosed or have a history of mental illness like depression, seizures (fits) etc.
It is essential to let your doctor know if you have any history of heart, liver, kidney, and lung diseases, neuropsychiatric disorders like seizures (fits) and depression, phenylketonuria (birth defect caused by the build-up of an amino acid called phenylalanine in the body), hyperthyroidism (overactive thyroid), high blood pressure, hypoxaemia (low levels of oxygen in the blood), stomach ulcers and viral infections before taking Doxofylline+montelukast.
Doxofylline+montelukast is usually taken in the evening for asthma and allergies, but the exact reason isn’t clear. Taking it in the evening helps control symptoms overnight and provides better relief throughout the next day.
No, the Doxofylline+montelukast is not a steroid. It contains Doxofylline (bronchodilator) and Montelukast (leukotriene receptor antagonist) that relieves asthma and allergy symptoms.
No, Doxofylline+montelukast doesn’t cause drowsiness, instead it causes insomnia (difficulty in sleep) as side effect. Consult the doctor if the side effect persists for long time.
Avoid alcohol consumption while using Doxofylline+montelukast. Intake of alcohol may increase the side-effects like drowsiness. Consult the doctor if you have any concerns regarding this.
Take Doxofylline+montelukast as advised by your physician. Swallow it with water. Do not chew, break or crush it.
Limited information is available on use of Doxofylline+montelukast in children. Consult the children specialist before giving Doxofylline+montelukast to child.
If you have any liver or kidney problems, inform your doctor before taking Doxofylline+montelukast. You doctor will consider benefits and risks before prescribing Doxofylline+montelukast. Do not self-medicate.
The side effects of Doxofylline+montelukast include fever, nausea, vomiting, stomach pain, headache, insomnia (difficulty in sleeping), sore throat, and increased heart-rate. Most of these do not require any medical treatment. They will reduce by time. However, if these side effects persists, please consult the doctor.
If you think you have taken overdose of Doxofylline+montelukast, consult your doctor immediately. Do not exceed recommended daily dose.
It is best to limit your intake of coffee, tea, and other caffeinated beverages. One of the active components in this medicine is closely related to caffeine, and combining them can cause side effects like a rapid heart rate, jitters, and sleep issues. Talk to your doctor about safe limits.
You should only take this medicine during pregnancy if your doctor determines that the benefits outweigh the risks. Always inform your healthcare provider if you are pregnant or planning to become pregnant before starting this medication. Talk to your doctor to discuss your treatment options.
Yes, in some cases, one of the active components in this medicine can cause mood changes, sleep problems, vivid dreams, or anxiety. If you or your family notice any changes in your mood or behaviour, you should contact your healthcare provider immediately. Talk to your doctor for guidance.
No, you should not stop taking this medication even if you feel completely healthy. This medicine is designed to prevent symptoms from starting, and stopping it suddenly can cause your breathing difficulties to return. Only stop or change your dose if directed by your healthcare provider. Talk to your doctor.
A fast or fluttering heartbeat is a known side effect that requires prompt medical attention. If you feel your heart racing or pounding, sit down, rest, and contact your healthcare provider right away. Talk to your doctor to see if your dosage needs adjustment.
Some over-the-counter cold and cough preparations contain stimulants or other ingredients that can interact poorly with Doxofylline+montelukast, potentially worsening heart rate or blood pressure. Always check with a healthcare professional before combining any medicines. Talk to your doctor or pharmacist.

