Brief Answer:
Explained below in detail..

Detailed Answer:
Hi XXXXXXX
Thanks for posting your query,

I have read through your query and can certainly understand your concern.

The tendency to develop allergic, or IgE-mediated, reactions to extrinsic allergens (proteins capable of causing an allergic reaction) has a genetic component.

In susceptible individuals, exposure to certain foreign proteins leads to allergic sensitization, which is characterized by the production of specific IgE directed against these proteins. This specific IgE coats the surface of mast cells, which are present in the nasal mucosa. When the specific protein (eg, a specific pollen grain) is inhaled into the nose, it can bind to the IgE on the mast cells, leading to immediate and delayed release of a number of mediators.

So the line of treatment involves treating the release of mediators, as they are the causative organisms of your symptoms.

I would suggest you to do the following:
- if no laboratory tests where done, get a total serum Ig E and total eosinophil count count.

- Get room humidifiers, so as to keep your airways moist and will relieve the itching on the pallet

- take Montek AB which comprises of Acebrophylline and Montelukast twice daily for a period of 2 weeks

- I would also suggest you to talk to your doctor to change your Asthalin inhaler to an inhalational steroid which will give due relief.

- also wash and dry clean the curtains, bed roles so as to avoid any exposure to pollens.


Yes, you can take Montair LC for a few months but in some tolerance to the drug has been reported. I would suggest you to discuss with your doctor.

Other available suggestions include immunotherapy, which involves desensitizing to the allergens gradually thereby decreasing the allergic response.

Hope I have answered to your queries,

Please feel free to discuss further or else kindly close and give your feedback.

Warm regards

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Brief Answer:
explained below..

Detailed Answer:
Hello XXXXXXX
Thanks for writing back,

I have read through your query and I'm pleased to know that your symptoms have subsided a little.

Montek AB is a new combination drug, like I said in my earlier answer, consisting of acebrophylline and montelukast. Montair LC contains montelukast and levocetrizine, which if taken for a while develops tolerance in most of the patients. Also Allegra contains fexofenadine which is an alternative to levocetrizine and has not proved much relief in patients with seasonal allergic rhinitis.

Ideally, Montek AB can be taken once to twice a day, since you feel that your symptoms have subsided after taking for 2 days, I would suggest you to continue for one week in the same regimen and then reduce it to once a day for another week. It is not advised to continue after 2 weeks. This is aimed to attack the mediators released in your body, thereby relieving the nasal congestion and other symptoms.

It is always advised to gargle mouth and rinse properly after the use of inhalers and if failed to do so, you will be prone to throat itching and hoarseness of voice. Also consider the use of lozenges which will soothen and give relief for your throat.

Meanwhile, I would suggest you to do the following for stuffy nose and snoring:

- use 2 pillows while sleeping

- use saline nasal drops and steam inhalation always before going to sleep

- may also consider the use of eucalyptus oil.

Hope this helps

Warm regards
Dr. Remy

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