Montelukast is a leukotriene antagonist with which helps in reducing allergy induced inflammation. In Allergic rhinitis, it is less effective than intranasal steroids in relieving nasal symptoms. In patients with concomitant asthma, use of monteleukast is more effective especially in seasonal allergic rhinitis and asthma.
Addition of antihistaminics with montelukast does not confer additional benefits.
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