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Advise to Patient:

This medicine is used to control and prevent symptoms caused by asthma (chronic inflammatory disease of the lungs characterized by a narrowing of the airways). It is also used before exercise to prevent breathing problems during exercise. It is also used to relieve symptoms of hay fever (type of inflammation in the nose in response to allergens in air) and allergic rhinitis (such as sneezing, stuffy/runny/itchy nose).

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Adverse Effects:

Abdominal pain, headache, thirst, rarely anaphylaxis (serious allergic reaction), angioedema (area of swelling of lower layer of skin and tissue just under the skin or mucous membrane), seizure, elevated ALT/AST, cholestatic hepatitis (injury of liver cells and varying degrees of inflammation), GI upset, hyperkinesia (muscle spasm). Discontinue the medication if patient is suffering from Chrug- Strauss Syndrome (disorder marked by blood vessel inflammation restricting blood flow to organs and tissues).

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Don’t Use:

It is contraindicated in patients with increased eosinophils in the blood, suicidal thoughts, depression (mental/mood disorders), inflammation of blood vessels in the skin and anxiety disorder (psychiatric disorders that involve extreme fear or worry).