Telekast-T Tablet CR: 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
- Severe chest pain or palpitations
- Seizures or convulsions
- Difficulty breathing that does not improve with rescue inhaler
- Yellowing of eyes or skin
- Severe skin rash or blistering
- Persistent vomiting or severe abdominal pain
- Fainting or loss of consciousness
If experiencing severe symptoms, call emergency services immediately.
What is telekast-t tablet cr used for?
This medicine is a combination of Montelukast and Theophylline used to treat chronic asthma and COPD. It works by reducing airway inflammation and relaxing airway muscles. It is not for sudden breathing attacks.
- Generic Name: Montelukast (10mg) + Theophylline (400mg)
- Manufacturer: Lupin Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 telekast-t tablet cr के बारे में (Hindi Summary)
उपयोग: यह दवा मोंटेलुकास्ट और थियोफिलिन का संयोजन है, जिसका उपयोग दमा (अस्थमा) और क्रॉनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज (सीओपीडी) के इलाज में किया जाता है। यह श्वास नलियों की सूजन को कम करती है और मांसपेशियों को आराम देकर सांस लेना आसान बनाती है। यह दवा अचानक होने वाले दमे के दौरे के लिए नहीं है; उसके लिए तुरंत असर करने वाला इनहेलर इस्तेमाल करें।
साइड इफेक्ट्स: आम दुष्प्रभावों में सिरदर्द, जी मिचलाना, उल्टी, पेट दर्द, बेचैनी और हल्का कंपन शामिल हैं। गंभीर दुष्प्रभावों में तेज़ धड़कन, अनियमित हृदय गति, दौरे, त्वचा पर गंभीर दाने और लीवर की समस्या हो सकती है। अगर आपको सीने में दर्द, बेहोशी, आंखों या त्वचा का पीलापन दिखे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे चबाएं या तोड़ें नहीं। शराब और कैफीन का सेवन कम करें। बिना डॉक्टर की सलाह के कोई अन्य दवा शुरू या बंद न करें। अचानक सांस फूलने पर तुरंत इनहेलर का उपयोग करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। नियमित जांच और फॉलो-अप जरूरी है।
💊 telekast-t tablet cr Uses & Benefits
[{"condition":"Bronchial asthma","description":"Used as add-on maintenance therapy to reduce asthma symptoms and exacerbations in patients not controlled by inhaled corticosteroids alone.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"Helps relieve bronchospasm and improve lung function in patients with COPD, though it is not a first-line therapy.","evidence":"Moderate"},{"condition":"Exercise-induced bronchoconstriction","description":"Montelukast component helps prevent narrowing of airways triggered by physical activity.","evidence":"Well-established for montelukast component"},{"condition":"Allergic rhinitis with asthma","description":"Montelukast provides relief from nasal allergy symptoms in patients who also have asthma.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Sleep-related breathing disorders","description":"Sometimes prescribed off-label for mild obstructive sleep apnea in children, but evidence is limited.","evidence":"Limited"},{"condition":"Urticaria","description":"Montelukast has been used off-label for chronic urticaria not responding to antihistamines.","evidence":"Limited"}]
Primary treatment for: Bronchial asthma
Also treats: Chronic obstructive pulmonary disease (COPD), Exercise-induced bronchoconstriction, Allergic rhinitis
📋 Drug Information
| Generic Name(s) | Montelukast (10mg) + Theophylline (400mg) |
| Brand Name | telekast-t tablet cr |
| Manufacturer | Lupin Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| 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 actions. Montelukast selectively blocks cysteinyl leukotriene receptors (CysLT1) in the airways, preventing leukotriene-mediated bronchoconstriction, mucus secretion, and inflammation. Theophylline inhibits phosphodiesterase enzymes, increasing cyclic AMP levels, which leads to smooth muscle relaxation in the bronchi. Theophylline also blocks adenosine receptors, reducing airway hyperresponsiveness and improving diaphragmatic contractility. Together, they reduce airway obstruction and inflammation.
Mechanism Steps
💡 How to Take telekast-t tablet cr
Strength: Tablet containing Montelukast 10 mg and Theophylline 400 mg (immediate release).
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once or twice daily, depending on the severity of the condition and theophylline blood levels. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and smoking status. Do not exceed the prescribed dose. Regular monitoring of theophylline levels is required to avoid toxicity. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require lower doses due to reduced liver and kidney function. Theophylline clearance decreases with age, increasing the risk of toxicity. Dose must be individualized by a qualified clinician with close monitoring. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Theophylline is excreted by the kidneys, and accumulation can occur. Consult a clinician for individualized dosing. |
| Hepatic Impairment | Dose reduction is recommended in patients with hepatic impairment because both montelukast and theophylline are metabolized in the liver. Close monitoring is advised. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. For theophylline, the usual maximum is 400 mg per day for this combination, but individual limits vary. Do not exceed the dose recommended by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of telekast-t tablet cr
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ciprofloxacin | Major | |
| Erythromycin | Major | |
| Fluconazole | Major | |
| Rifampicin | Major | |
| Phenytoin | Moderate | |
| Carbamazepine | Moderate | |
| Propranolol | Moderate | |
| Furosemide | Moderate | |
| Cimetidine | Minor | |
| Oral contraceptives | Minor |
🚨 Major Interactions
- Ciprofloxacin
- Erythromycin
- Fluconazole
- Rifampicin
⚡ Moderate Interactions
- Phenytoin
- Carbamazepine
- Propranolol
- Furosemide
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol can increase the risk of stomach bleeding, worsen liver strain, and may affect theophylline metabolism, leading to unpredictable drug levels. It can also add to central nervous system effects such as dizziness and drowsiness.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to montelukast, theophylline, or any component of the formulation","Active peptic ulcer disease","Uncontrolled cardiac arrhythmias","Severe liver disease","Children under 12 years for this strength (unless specifically prescribed)"]
⚠️ Warnings & Precautions
["Do not use for acute asthma attacks; keep a rescue inhaler available.","Theophylline has a narrow therapeutic index; regular blood level monitoring is essential.","Avoid alcohol and caffeine-containing products.","Use with caution in patients with heart disease, liver disease, kidney disease, or seizure disorders.","May cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor about all other medicines you are taking, including over-the-counter products."]
🤱 Lactation Safety
Montelukast is excreted in breast milk in small amounts; caution is advised. Theophylline is excreted in breast milk and can cause irritability or insomnia in the infant. Consult your doctor before breastfeeding while on this medicine.
💊 Overdose Management
Overdose can cause severe nausea, vomiting, rapid heartbeat, seizures, and cardiac arrest. If you suspect an overdose, seek emergency medical care immediately. Treatment is supportive and may include activated charcoal, antiarrhythmics, and management of seizures. Hemodialysis may be considered in severe cases.
⏰ 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 the dose to catch up.
Additional Safety Advice
Always take this medicine exactly as prescribed by your doctor. Do not crush or chew the tablet unless your doctor advises otherwise. Avoid drinking alcohol while taking this medicine because it can increase the risk of stomach bleeding and liver strain. Do not start or stop any other medicine without informing your doctor, especially antibiotics, antifungals, or heart medicines. Keep a rescue inhaler with you at all times for sudden breathing difficulty. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Do not take more than the prescribed dose, as Theophylline can be toxic in higher amounts. Regular follow-up and blood tests may be needed to check drug levels and liver function.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to theophylline side effects due to reduced liver and kidney function. Lower doses and close monitoring are advised.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before conception. Theophylline may need dose adjustment during pregnancy. Montelukast should be used only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before any surgery. Theophylline can interact with anesthetic agents and may need to be temporarily stopped.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may interact with certain local anesthetics or sedatives.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise in cold or polluted air. Warm up gradually and use your rescue inhaler if prescribed before exercise. Stop immediately if you feel chest tightness or severe breathlessness.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It should not interfere with most desk jobs, but discuss with your doctor if your work involves physical exertion.
🛑 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 advice on dose adjustment or alternative treatment.
📅 Long-Term Use Effects
Long-term use requires regular monitoring of theophylline blood levels, liver function, and heart rhythm. Prolonged use may lead to tolerance or toxicity if levels are not monitored. Do not stop suddenly without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
First-line anti-inflammatory therapy for asthma.
Evidence: Well-establishedUsed in combination with inhaled steroids for better control.
Evidence: Well-establishedExercise and education program for COPD patients.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Annual influenza vaccination and pneumococcal vaccination are recommended for patients with chronic respiratory diseases. Discuss with your doctor about timing and suitability.
📦 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 it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing times gradually in consultation with your doctor. Keep enough supply for the entire trip and carry it in your hand luggage. Check customs regulations for controlled substances in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Theophylline starts working within 30 minutes to 2 hours, while Montelukast takes a few days to weeks for full anti-inflammatory effects.
A: Yes, but only under your doctor's supervision. Some medicines can interact and increase side effects.
A: Consult your doctor. Theophylline crosses the placenta and may affect the baby. Your doctor will weigh the benefits and risks.
🤔 Common Patient Concerns
🔄 Substitutes for telekast-t tablet cr
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used to treat sudden asthma attacks.
Fact: This medicine is for maintenance therapy only. It does not provide immediate relief during an acute attack. Always use a rescue inhaler for sudden symptoms. - Myth: Once symptoms improve, the medicine can be stopped.
Fact: Do not stop this medicine without consulting your doctor. Stopping suddenly can worsen your condition. - Myth: It is safe to take extra doses if you feel breathless.
Fact: Taking extra doses can lead to serious side effects, including seizures and heart problems. Follow your prescribed dose strictly.
🔄 Alternative Options
Generic Alternatives
- Montelukast + Theophylline combination tablets from other manufacturers
Brand Alternatives
- Telekast-T Tablet CR