dewset fm tablet - Montelukast (10mg) + Fexofenadine (120mg) medicine

Histafree-M Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Dew Drops Lab 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 20, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for allergic rhinitis; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Sep 20, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe skin rash with blisters or peeling
  • Yellowing of eyes or skin, dark urine
  • Chest pain or irregular heartbeat
  • Sudden mood changes, agitation, or suicidal thoughts
  • Severe abdominal pain or persistent vomiting

If experiencing severe symptoms, call emergency services immediately.

What is dewset fm tablet used for?

This medicine is a combination of Montelukast and Fexofenadine used to treat allergic rhinitis and related allergic symptoms. It works by blocking leukotrienes and histamine, two chemicals that cause allergy symptoms. It is taken once daily by mouth.

  • Generic Name: Montelukast (10mg) + Fexofenadine (120mg)
  • Manufacturer: Dew Drops Lab
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 dewset fm tablet के बारे में (Hindi Summary)

उपयोग: यह दवा मोंटेलुकास्ट और फेक्सोफेनाडीन का संयोजन है, जिसका उपयोग एलर्जी राइनाइटिस (नाक की एलर्जी) और संबंधित एलर्जी लक्षणों के इलाज के लिए किया जाता है। यह छींक, बहती नाक, खुजली वाली आंखें और नाक की भीड़ को कम करने में मदद करती है। यह दवा एलर्जी पैदा करने वाले रसायनों को रोककर काम करती है। इसे आमतौर पर दिन में एक बार मुँह से लिया जाता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, नींद आना, मुँह सूखना, जी मिचलाना और पेट में हल्की परेशानी शामिल हैं। कुछ लोगों को चक्कर आना, थकान या भूख बढ़ना भी महसूस हो सकता है। दुर्लभ मामलों में गंभीर एलर्जी प्रतिक्रिया, मूड में बदलाव, या दिल की धड़कन में गड़बड़ी हो सकती है। अगर आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपने आप डोज न बढ़ाएं या कम न करें। अगर आपको नींद या चक्कर आते हैं तो गाड़ी चलाने या मशीन चलाने से बचें। एंटासिड के साथ इस दवा को लेने से बचें, क्योंकि इससे दवा का असर कम हो सकता है। फलों के रस जैसे अंगूर, संतरा या सेब के जूस के साथ इस दवा को न लें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। इस दवा को बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 dewset fm tablet Uses & Benefits

[{"condition":"Allergic rhinitis","description":"This medicine helps relieve sneezing, runny nose, itchy eyes, and nasal congestion associated with seasonal and perennial allergic rhinitis.","evidence":"Well-established"},{"condition":"Allergic asthma with rhinitis","description":"Montelukast component provides anti-inflammatory benefits for mild persistent asthma, while Fexofenadine addresses allergic rhinitis symptoms.","evidence":"Moderate"},{"condition":"Chronic urticaria","description":"Fexofenadine helps reduce itching and hives, and Montelukast may add benefit in some patients with chronic urticaria.","evidence":"Limited"}]

Off-label uses: [{"condition":"Exercise-induced bronchoconstriction","description":"Montelukast is sometimes used off-label to prevent exercise-induced narrowing of airways, but this combination is not standard for this purpose.","evidence":"Limited"},{"condition":"Sleep-related breathing issues in allergic rhinitis","description":"Some clinicians may prescribe this combination off-label to improve sleep quality in patients with allergic rhinitis, but evidence is not robust.","evidence":"Insufficient"}]

Primary treatment for: Allergic rhinitis

Also treats: Allergic asthma, Chronic urticaria

📋 Drug Information

Generic Name(s)Montelukast (10mg) + Fexofenadine (120mg)
Brand Namedewset fm tablet
ManufacturerDew Drops Lab
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day for best results.
2
Avoid taking with fruit juices as they can reduce absorption.
3
If you take antacids, separate them by at least 2 hours.
4
Report any mood changes or unusual thoughts to your doctor immediately.
5
Do not use this medicine for an acute asthma attack.
6
Stay hydrated and maintain good sleep hygiene to support allergy management.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Sneezing and runny nose
This medicine is commonly prescribed for allergic rhinitis.
Likely Use
Itchy, watery eyes
Fexofenadine helps relieve eye allergy symptoms.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary
Acute asthma attack
This medicine is not a rescue medication for acute asthma attacks.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionMontelukast is rapidly absorbed after oral administration, with peak plasma concentration reached in 3 to 4 hours. Fexofenadine is also rapidly absorbed, with peak levels at about 2.5 hours. Food does not significantly affect Montelukast absorption but may slightly reduce Fexofenadine bioavailability.
DistributionMontelukast is highly protein-bound (more than 99%) and distributes into tissues. Fexofenadine is about 60-70% protein-bound and has a volume of distribution of approximately 5.4 L/kg. Both agents cross the placenta in animal studies, but human data are limited.
Protein BindingMontelukast: >99% bound to plasma proteins. Fexofenadine: 60-70% bound to plasma proteins, primarily albumin and alpha-1 acid glycoprotein.
MetabolismMontelukast is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP2C8 and CYP3A4. Fexofenadine undergoes minimal metabolism and is largely excreted unchanged.
Half-LifeMontelukast: 2.7 to 5.5 hours in healthy adults. Fexofenadine: 14.4 hours.
ExcretionMontelukast is excreted mainly in bile and feces. Fexofenadine is excreted primarily in feces (80%) and urine (11%) unchanged.
BioavailabilityMontelukast: approximately 64% after oral administration. Fexofenadine: approximately 33% due to poor absorption and efflux transport.
Onset of ActionFexofenadine begins to relieve allergic symptoms within 1 hour. Montelukast may take several days to show full clinical benefit for allergic rhinitis.
Peak Plasma TimeMontelukast: 3-4 hours. Fexofenadine: 2.5 hours.
Duration of ActionFexofenadine provides relief for about 24 hours. Montelukast provides 24-hour coverage with once-daily dosing.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Montelukast selectively blocks cysteinyl leukotriene receptor type 1 (CysLT1), preventing leukotriene-mediated bronchoconstriction, mucus secretion, and airway inflammation. Fexofenadine is a second-generation antihistamine that selectively antagonizes peripheral histamine H1 receptors, reducing symptoms of allergic rhinitis such as sneezing, rhinorrhea, and itching. Together, they address both histamine- and leukotriene-driven allergic pathways.

Mechanism Steps

1
Leukotriene receptor blockade: Montelukast binds to CysLT1 receptors on airway smooth muscle and inflammatory cells, preventing leukotriene D4 and other cysteinyl leukotrienes from causing bronchoconstriction and inflammation.
2
Histamine H1 receptor antagonism: Fexofenadine competes with histamine for H1 receptors on blood vessels, sensory nerves, and smooth muscle, reducing allergy symptoms like sneezing, itching, and runny nose.
3
Reduced allergic inflammation: The combined action decreases release of inflammatory mediators and recruitment of inflammatory cells, leading to less nasal congestion, airway swelling, and allergic discomfort.

💡 How to Take dewset fm tablet

Strength: Immediate-release tablet containing Montelukast 10 mg and Fexofenadine 120 mg.

1Take one tablet by mouth with a glass of water.
2Swallow the tablet whole. Do not crush or chew.
3Take it at the same time each day for best results.
4Avoid taking with fruit juices.
5If you take antacids, take this medicine at least 2 hours before or after.
6Follow your doctor's instructions regarding dose and duration.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet (Montelukast 10 mg + Fexofenadine 120 mg) taken orally once daily, with or without food. However, the dose and duration must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and clinical response. Do not self-adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageNo specific dose adjustment is required for elderly patients based on age alone. However, use with caution due to potential for increased sensitivity to side effects. Individualize dose by a clinician.
Renal ImpairmentFexofenadine dose may need adjustment in severe renal impairment. Montelukast does not require renal dose adjustment. Consult a doctor for individualized dosing.
Hepatic ImpairmentMontelukast should be used with caution in patients with moderate to severe hepatic impairment. Fexofenadine does not require hepatic dose adjustment. Consult a doctor for individualized dosing.
Maximum Daily DoseOne tablet (Montelukast 10 mg + Fexofenadine 120 mg) once daily. Do not exceed the recommended dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Can be taken with or without food
Food does not significantly affect Montelukast absorption, but may slightly delay Fexofenadine.
Grapefruit juice
Avoid
Reduces Fexofenadine absorption and effectiveness.
Orange juice
Avoid
May decrease Fexofenadine bioavailability.
Apple juice
Avoid
May reduce Fexofenadine absorption.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of dewset fm tablet

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Consult doctor if persistent or severe.
Drowsiness (Common (2-5%))
Avoid driving if affected. Consult doctor if it interferes with daily activities.
Dry mouth (Common (2-5%))
Stay hydrated. Chew sugar-free gum if needed.
Nausea (Common (2-5%))
Take with food. Consult doctor if persistent.
Fatigue (Uncommon (1-2%))
Rest well. Consult doctor if it continues.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, or difficulty breathing.
Neuropsychiatric events (Rare (<0.1%))
Report mood changes, agitation, depression, or suicidal thoughts to your doctor immediately.
Palpitations or irregular heartbeat (Rare (<0.1%))
Consult a doctor promptly if you notice heart racing or irregular beats.

⚠️ Rare Side Effects

Hepatitis
Seek medical attention if you notice yellowing of eyes or skin, dark urine, or severe fatigue.
Severe skin reactions (e.g., Stevens-Johnson syndrome)
Stop the medicine and seek immediate medical care if you develop a painful rash with blisters or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Aluminium/magnesium antacids Major
Erythromycin Moderate
Ketoconazole Moderate
Rifampicin Moderate
Phenobarbital Moderate
Fruit juices Minor
Alcohol Moderate

🚨 Major Interactions

  • Aluminium and magnesium-containing antacids
  • Erythromycin
  • Ketoconazole

⚡ Moderate Interactions

  • Rifampicin
  • Phenobarbital

🍷 Alcohol Interaction

Alcohol may increase drowsiness and dizziness caused by this medicine. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Montelukast or Fexofenadine","Children under 12 years (unless specifically prescribed)","Acute asthma attack (not a rescue medication)"]

⚠️ Warnings & Precautions

["Do not use for acute asthma attacks.","May cause drowsiness; avoid driving if affected.","Neuropsychiatric events have been reported with Montelukast. Monitor mood changes.","Avoid taking with fruit juices.","Consult doctor before use in pregnancy or breastfeeding.","Use with caution in patients with liver or kidney disease.","Do not exceed prescribed dose."]

🤱 Lactation Safety

Montelukast is excreted in breast milk in small amounts. Fexofenadine is also excreted in breast milk. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose may cause drowsiness, dizziness, dry mouth, and nausea. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without medical advice. Avoid driving or operating heavy machinery if you feel drowsy or dizzy after taking this medicine. Inform your doctor about all other medicines, supplements, and herbal products you are taking, especially antacids containing aluminium or magnesium, which can reduce the absorption of Fexofenadine. Avoid taking this medicine with fruit juices such as grapefruit, orange, or apple juice, as these can decrease the effectiveness of Fexofenadine. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for an acute asthma attack. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight. Do not share this medicine with others, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness and dizziness. Use with caution and monitor for falls. No specific dose adjustment is required based on age alone.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Montelukast is considered low risk, but Fexofenadine should be used only if clearly needed. Your doctor may adjust or change your treatment.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist about this medicine before surgery. It may need to be temporarily stopped. Follow your doctor's instructions regarding perioperative use.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. It does not usually require stopping, but your dentist may take precautions if you have any allergies or medical conditions.

💚 Lifestyle Tips for Better Results

🏃
Identify and avoid allergy triggers such as pollen, dust, and pet dander.
🥗
Use air purifiers and keep windows closed during high pollen seasons.
😴
Maintain a healthy diet rich in fruits and vegetables.
💧
Get regular exercise to boost overall immunity.
🧘
Practice good sleep hygiene to reduce allergy symptoms.
🌞
Stay hydrated to keep mucous membranes moist.

🏋️ Exercise Considerations

This medicine may cause drowsiness or dizziness in some people. Avoid strenuous exercise if you feel unsteady. Otherwise, regular exercise is encouraged as it can help reduce allergic inflammation.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseeds.
Reduce intake of processed and high-sugar foods.
Stay well hydrated with water.
Avoid fruit juices that interfere with Fexofenadine absorption.

💼 Impact on Daily Work & Life

This medicine may cause mild drowsiness in some individuals. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their daily activities without significant disruption.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects such as severe allergic reactions or mood changes, seek medical advice immediately. Your doctor will determine if and when to stop the medicine.

📅 Long-Term Use Effects

Long-term use of this medicine is generally well-tolerated. Montelukast has been associated with rare neuropsychiatric events, so monitoring mood changes is important. Fexofenadine is considered safe for long-term use. Regular follow-up with your doctor is recommended to assess symptom control and adjust therapy.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Allergen avoidance

Reducing exposure to allergens can decrease the need for medication.

Evidence: Well-established
Nasal saline irrigation

Helps clear nasal passages and reduce allergy symptoms.

Evidence: Moderate
Immunotherapy

Allergy shots or sublingual tablets can provide long-term relief.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. You can receive vaccinations as scheduled. Inform your healthcare provider about this medicine before any vaccination.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, continue taking it at the same time each day or adjust gradually as advised by your doctor. Check customs regulations for carrying prescription medicines. Keep enough supply for your entire trip.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 32-year-old woman with seasonal allergic rhinitis
She had been suffering from sneezing, runny nose, and itchy eyes every spring. Her doctor prescribed this medicine once daily. Within a week, her symptoms improved significantly. She was advised to avoid fruit juices with the medicine and to take it at the same time each day.
💡 Lesson: Consistent daily use and avoiding fruit juices can improve the effectiveness of this medicine.
👤 A 45-year-old man with allergic asthma and rhinitis
He was already using an inhaler for asthma but continued to have nasal symptoms. His doctor added this medicine to his regimen. Over a month, his nasal symptoms and nighttime coughing decreased. He was monitored for mood changes and reported none.
💡 Lesson: Combination therapy can provide better control of both asthma and allergic rhinitis symptoms when used under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Fexofenadine starts working within 1 hour, while Montelukast may take several days to show full effect for allergic rhinitis.

Q: Can I take this medicine with other allergy medicines?

A: Consult your doctor before combining with other antihistamines or allergy medicines to avoid additive effects and side effects.

Q: Is it safe to take during pregnancy?

A: Consult your doctor. Montelukast is category B and Fexofenadine is category C. Use only if clearly needed.

Q: Can I stop taking this medicine when I feel better?

A: Do not stop without consulting your doctor. Allergic conditions may require ongoing management.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for dewset fm tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure allergies permanently.
    Fact: This medicine controls symptoms but does not cure allergies. Allergies may persist, and avoidance of triggers is important.
  • Myth: It is safe to take extra doses for faster relief.
    Fact: Taking more than the prescribed dose does not provide faster relief and may increase side effects.
  • Myth: This medicine can be used for an acute asthma attack.
    Fact: This medicine is not a rescue inhaler and should not be used for acute asthma attacks. Seek emergency care for severe breathing difficulty.

🔄 Alternative Options

Generic Alternatives

  • Montelukast 10 mg + Fexofenadine 120 mg tablet (generic)

Brand Alternatives

  • Histafree-M Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Montelukast 10 mg + Fexofenadine 120 mg","uses":"Allergic rhinitis, allergic asthma","sedation":"Low","frequency":"Once daily"},{"medicine":"Montelukast + Levocetirizine","composition":"Montelukast 10 mg + Levocetirizine 5 mg","uses":"Allergic rhinitis, urticaria","sedation":"Moderate","frequency":"Once daily"},{"medicine":"Fexofenadine alone","composition":"Fexofenadine 120 mg","uses":"Allergic rhinitis","sedation":"Low","frequency":"Once daily"}]

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