Q. Is it safe to use Montair LC kid in a 4-year-old for reactive airway disease?

Answered by
Dr. Faisal Abdul Karim Malim
and medically reviewed by Dr. Nithila A
Published on Jun 13, 2019 and last reviewed on: Jun 15, 2019

Hello doctor,

My son is four and a half years old, and he is suffering from reactive airway disease (enclosing the reports and prescription). Kindly suggest based on the above medication that till how long we can safely go ahead with Montair LC Kid. Is there any upper limit of giving this. I am very skeptical about continuing it in the long run.

He is completely fine with this medicine, but if I skip a single dose, he starts coughing just anyways and ends up vomiting everything he had. So I keep on giving him a daily dose of MLC kid. Also, he is a bit aggressive and impatient. I do not know whether these are the emotional changes associated with this medicine. Please tell me that is he losing his natural immunity due to this.

Dr. Faisal Abdul Karim Malim

Child Health Paediatrics


Welcome to icliniq.com.

Please note that the medications prescribed are to the best of my knowledge. Montelukast has been prescribed for patients for prolonged periods extending up to even two years without any problems. It uses has shown reduced requirements of admission and improving the quality of life in patients suffering from hyperreactive airway disease.

However, it would be good if we can omit the LC (Levocetirizine) content by just giving Montelukast alone in the form of tablet Montair 4 mg daily at 8 pm instead of Montair LC syrup (Levocetirizine, Montelukast). The Levocetirizine component may cause dry mouth, sleepiness consequent irritable behavior in very few children if given for prolonged periods.

The tablet (Montair) can be crushed in a small cup of water, and the child can consume the paste or solution. Most of such cases usually get alright as age advances with complete remission by the age of six to eight years. Very rarely this may persist till 10 years. If it continues until the age of 10 to 12 years, it may progress into asthma in adulthood.

Thank you doctor,

I have tried that also, but with him, it is not helping me. If I give him Montair then too, he is coughing all the time badly, not able to eat anything. And the allergy is aggravated by anything like if someone exhales in front oh him that too may trigger a cough. My question is that since I have already given him Mont LC kid tablet for two years now will it harm if I continue it for another year or so. Kindly help.

Dr. Faisal Abdul Karim Malim

Child Health Paediatrics


Welcome back to icliniq.com.

As I have said previously, in very few children, I have seen that the Levocetirizine component causes dry mouth, sleepiness, and consequent irritable behavior. Taking into consideration that you have mentioned that your child is a bit aggressive and impatient, these factors are suggesting that the LC component is causing some irritability or it might be that the child has fallen ill recurrently to the point that he is now agitated.

Either which ways, stopping the LC component will benefit. Now the next question is, how do we shift the child to Montair from Montair LC. The solution to this is we alternate the child everyday between tablet Montair (5 mg) and syrup. Montair LC and see how things go. Slowly over a period of two weeks increase the number of times you are giving montair and reduce the number of times you are giving Montair LC. This should take place over a period of four weeks to a point where Montair LC is stopped, and the child will be fine.

Also Read Answers From:

Related Questions & Answers

I am having cough and chest congestion for the last three days. Is this pneumonia?

Query: Hello doctor,I am having cough and chest congestion for the last three days. Also getting a mild fever again and again. I also have a chest X-ray done today only. Please suggest is it pneumonia and if yes how severe is it?  Read Full »

Does vomiting sensation after unprotected intercourse mean pregnancy?

Query: Hi, I had unprotected intercourse with my partner a month back. I did not ejaculate inside her. Later to be sure, she did a home pregnancy test after 21 days, it came negative. Since yesterday, she is having vomiting sensation, not able to eat anything, light stomach cramps and light fever. She did ...  Read Full »

I have a rash that appears only when I sweat or take a shower. Is it hives?

Query: Hello doctor, I am a 20 year old male. I have a weird rash on the back. It looks like hives but does not itch or burn at all. It only appears when I sweat or take a shower.  Read Full »



Ask your health query to a doctor online?

Ask a Child Health Specialist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.