### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My son is 16 years old and has been prescribed Monteluckast 10mg tablets along with Levocetrizine 5mg tablets. This combination has helped him greatly. He has been taking these drugs for the last 3 months. I would be grateful if you could advise me on how to taper him off these meds now that he is well AND most importantly if you would advise me how safe is it for a child to be on this dosage? Since allergies and bronchitis is a life long issue, is it safe to take them daily?

### output:

Hello. Thank you for asking at Chat Doctor. Montelukast is useful in both allergic rhinitis and asthma and Levocetirizine is useful in allergic rhinitis (nose symptoms) mainly. As your son has no complaints and has improved a lot, I would suggest you to Chat Doctor.  Decision regarding tapering montelukast depends upon how severe your sons bronchitis or asthma is. If he has only occasional episodes of bronchitis, he can stop montelukast and restart again when he develops symptoms of nose allergy or bronchitis and continue till the symptoms subside. If he has seasonal problems, I would suggest him to start montelukast 2 weeks prior to expected bad season and continue throughout the season. However, if he has frequent bronchitis all throughout the year, I would suggest him to continue montelukast daily at least for a year to prevent attacks of allergic bronchitis. I would also suggest you to consult an Allergist-Immunologist who will advise him allergy testing. This will help him to identify the substances he should avoid. An Allergist may advise him allergen immunotherapy which modifies his immune system to reduce allergy symptoms. I would suggest your son regular breathing exercises, a healthy nutritious diet & avoidance of dusts-smoke-air pollution as much as possible which will help him in a long run. Hope this will be helpful to you. Wish your son the best of the health. Regards.