Nucoshine Mr 60mg/4mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or severe asthma attack
- Swelling of face, lips, or throat
- Severe skin rash or hives
- Yellowing of skin or eyes
- Unusual mood changes or suicidal thoughts
- Severe abdominal pain
If experiencing severe symptoms, call emergency services immediately.
What is nucoshine mr 60mg/4mg tablet used for?
This medicine is a combination of nucoshine and montelukast used to treat allergic rhinitis and asthma. It works by blocking histamine and leukotriene receptors to reduce allergy and asthma symptoms.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nucoshine mr 60mg/4mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एलर्जी राइनाइटिस और अस्थमा के इलाज के लिए इस्तेमाल की जाती है। यह छींक, नाक बहना, खुजली, और सांस लेने में तकलीफ को कम करने में मदद करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में सिरदर्द, नींद आना, मुंह सूखना, थकान, और पेट में परेशानी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, मूड में बदलाव, या लीवर की समस्या हो सकती है।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। गाड़ी चलाने या मशीन चलाने से बचें क्योंकि इससे नींद आ सकती है। शराब न पिएं। अन्य दवाओं के बारे में डॉक्टर को बताएं।
💊 nucoshine mr 60mg/4mg tablet Uses & Benefits
[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itching, and watery eyes associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Asthma","description":"Helps prevent asthma attacks and reduces airway inflammation when used regularly.","evidence":"Well-established"},{"condition":"Exercise-induced bronchoconstriction","description":"May help prevent narrowing of airways triggered by physical activity.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Chronic urticaria","description":"Sometimes prescribed off-label to relieve itching and hives.","evidence":"Limited"}]
Primary treatment for: Allergic rhinitis and asthma
Also treats: Exercise-induced bronchoconstriction, Chronic urticaria
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nucoshine mr 60mg/4mg tablet |
| Manufacturer | Multiple manufacturers |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary mechanisms. Nucoshine blocks histamine H1 receptors, reducing allergic symptoms such as sneezing, itching, and runny nose. Montelukast selectively blocks leukotriene D4 receptors, decreasing airway inflammation, mucus production, and bronchoconstriction. Together, they provide relief from both immediate and delayed allergic responses.
Mechanism Steps
💡 How to Take nucoshine mr 60mg/4mg tablet
Strength: Tablet containing nucoshine 60 mg and montelukast 4 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once daily, preferably in the evening. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult your doctor. |
| Renal Impairment | No specific dose adjustment is established from the available information. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with liver disease. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (nucoshine 60 mg and montelukast 4 mg). Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nucoshine mr 60mg/4mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| CNS depressants | Major | |
| Phenobarbital | Moderate | |
| Rifampicin | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin
- CNS depressants
⚡ Moderate Interactions
- Phenobarbital
- Rifampicin
🍷 Alcohol Interaction
Alcohol may increase drowsiness and dizziness caused by this medicine. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to nucoshine, montelukast, or any component of this medicine","Not for use as a rescue inhaler for acute asthma attacks"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Do not use for acute asthma attacks; always have a rescue inhaler available.","Inform your doctor if you have liver disease.","Avoid alcohol while taking this medicine.","Do not stop suddenly without consulting your doctor."]
🤱 Lactation Safety
Not established from the available information. Consult your doctor before use.
💊 Overdose Management
Seek immediate medical attention if you suspect an overdose. Symptoms may include severe drowsiness, confusion, or rapid heartbeat. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid driving or operating heavy machinery until you know how this medicine affects you, as it may cause drowsiness. Inform your doctor about all other medicines you are taking, especially pain relievers, blood thinners, or other allergy medicines. Do not stop taking this medicine suddenly without consulting your doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to drowsiness and dizziness. Use with caution and monitor for side effects.
🤰 Pregnancy Planning (TTC)
Consult your doctor if you are planning pregnancy or are pregnant. The safety of this medicine during pregnancy is not well established.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may interact with other medications used during surgery.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may cause dry mouth, which can affect oral health.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise may trigger asthma symptoms. Use your rescue inhaler as prescribed before exercise. If you experience shortness of breath, stop and rest.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It should not interfere with most desk jobs.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may require periodic monitoring of liver function and mood changes. Do not stop without consulting your doctor. Regular follow-ups help ensure safety and effectiveness.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Reducing exposure to allergens can help control symptoms.
Evidence: Well-establishedAllergy shots may provide long-term relief for allergic rhinitis.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. Consult your doctor before receiving any vaccine while on this medicine.
📦 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, consult your doctor about adjusting the dosing schedule. Keep enough supply for your trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Nucoshine starts relieving allergy symptoms within 1 hour, while montelukast may take several days to reach full effect for asthma control.
A: Consult your doctor before combining with other antihistamines or allergy medicines to avoid additive effects.
A: Long-term use should be monitored by your doctor. Regular follow-ups are recommended to assess efficacy and side effects.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can be used as a rescue inhaler for asthma attacks.
Fact: This medicine is not for acute asthma attacks. Always use a rescue inhaler for sudden symptoms. - Myth: It is safe to stop this medicine suddenly.
Fact: Do not stop without consulting your doctor, as symptoms may worsen.