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Presented By:
Sultan Mahmud
Senior Product Executive
Cell: 01713374701
Welcome
Discussion on
Respiratory Tract Diseases
Asthma
What is Asthma ?
Asthma is a chronic disease involving the airways in the
lungs. These airways or bronchial tubes, allow air to come in
and out of the lungs.
If you have asthma your airways are always inflamed. They
become even more swollen and the muscles around the
airways can tighten when something triggers your symptoms.
This makes it difficult for air to move in and out of the lungs.
According to American Academy of Allergy Asthma & Immunology (AAAAI)
Coughing
Shortness of breath
Chest tightness
Wheezing
Asthma Symptoms
Asthma Triggers
 Outdoor allergens- such as pollens from grass, trees and weeds
 Indoor allergens- such as pet dander, dust mites and mold
 Certain drugs and food additives
 Irritants in the air- such as smoke, chemical fumes and strong
odors
 Colds, the flu or other illnesses
 Exercise
 Stress
 Weather conditions- such as cold air or extremely dry, wet or
windy weather
• Exercise-induced asthma is triggered by exercise or
physical exertion.
Many people with asthma experience some degree of
symptoms with exercise. With exercise-induced
asthma, airway narrowing peaks 5 to 20 minutes
after exercise begins
Exercise-Induced Asthma
Aspirin-induced Asthma
 Taking aspirin or other NSAIDs (non-steroidal anti-
inflammatory drugs) triggers an asthma.
 Between 2% and 25% of adults with asthma are
sensitive to aspirin.
 Aspirin-induced asthma is more common in adults than
children.
 This type of asthma is usually severe.
This asthma type accounts for nearly 60 percent of all
asthma. It involves airway obstruction and typical
asthma symptoms often associated with allergies and
triggered by allergens. Examples of common triggers
include pollens, molds, dust mites and animal dander.
Allergic Asthma
Night time asthma, also called nocturnal asthma,
is a common type of the disease. If you have
asthma, the chances of having symptoms are
much higher during sleep because asthma is
powerfully influenced by the sleep-wake cycle
(circadian rhythms). Your asthma symptoms of
wheezing, cough, and trouble breathing are
common and dangerous, particularly at
nighttime.
Night time (Nocturnal) Asthma
Allergic Rhinitis?
An allergen  that  causes  an allergic  reaction. 
Allergic rhinitis, is an allergic response to specific 
allergens. Pollen is the most common allergen in 
seasonal  allergic  rhinitis.  These  are  allergy 
symptoms  that  occur  with  the  change  of 
seasons.
What is Allergic Rhinitis?
Common symptoms of allergic rhinitis include:
•Sneezing
•A runny nose
•A stuffy nose
•An itchy nose
•Coughing
•A sore or scratchy throat
Symptoms of allergic rhinitis
In addition to tree pollen, other common allergens include:
•Grass pollen
•Dust mites
•Animal dander, which is old skin
•Cat saliva
•Mold
What causes Allergic Rhinitis
• Perennial rhinitis is characterized by the frequency of 
symptoms – occurring for at least one hour on most 
days throughout the year.
• The most common allergens that trigger symptoms 
of perennial allergic rhinitis are dust mites and 
animals – especially household pets like cats and 
dogs.
What is Perennial Allergic Rhinitis
So,
To Prevent
Asthma and
Allergic rhinitis…
…Introducing
Breathe better, Live better
Opso Saline…
Montelukast 10 mg Tablet
Justification of Brand Name
LOCk LeukoTRIenes by
MonteLukast
Montelukast is a selective and orally active leukotriene
receptor antagonist that inhibits the Cysteinyl leukotriene
CysLT1 receptor. Each 10 mg film-coated Loctril tablet
contains 10.4 mg Montelukast sodium, which is
equivalent to 10 mg of Montelukast.
Loctril Tablet
Montelukast is A Potent Leukotrienes Receptor Antagonist
Anti Asthmatic
Therapeutic Class of Loctril Tablet
Leukotrienes are a naturally occurring chemical substance
(Autacoids) that promotes an inflammatory response. 
When produced and released in the body, this chemical causes 
airway constriction, the tightening of muscles and excess mucus
and fluid.
What are Leukotrienes?
When Leukotrienes are Released?
If anyone breathe an asthma triggers, the body of asthmatics 
person release Leukotrienes.
Mechanism of Action of Loctril
Phospholipids
Arachidonic acid
COX
(Cyclooxy
genase)
5-lipooxygenease
PG
Thromboxane
LeukotrienesLeukotrienes
Binds with Leukotriene
Receptor
LoctrilLoctril
1. Causes bronchoconstriction
2. Increases mucus secretion
3. Increases Vascular permeability
4. Causes edema
Asthma
Binds with Cystinyl
Leukotriene receptor that
inhibits Asthma symptoms
Indications
Dosage and administrations
For asthma - Take once daily in the evening:

One 10-mg tablet for adults and adolescents 15 years of age and
older
For exercise-induced asthma - Take at least 2 hours before
exercise, but not more than once daily:

One 10-mg tablet for adults and adolescents 15 years of age and
older.
For allergic rhinitis - Take once daily at about the same time each
day:

One 10-mg tablet for adults and adolescents 15 years of age and
older
B
Pregnancy Category
Product Brief
Product
Name
Generic Name Strength
Dosage
Form
Pack
Size
TP TP+VAT
MRP/
box
MRP/
Tablet
Loctril®
Montelukast 10 mg Tablet 10X3 339.58 393.91 453.00 15.10
Dear Sir/Madam
In this visual you are
watching that a fish is
facing challenge to
take breathe due to
lack of watery
environment
like that it is also
challenge to prevent
the root cause of
Asthma & Allergic
Rhinitis
Market Analysis
Market Analysis (IMS_MAT_2017)
Company Value (Cr.) Share Growth
Respiratory market 1739 100.00 11.67
Montelukast 392 22.54 16.04
1 Monas ACME 83 21.20 21.82
2 Montair Incepta 63 15.95 19.33
3 Provair Unimed 37 9.41 17.83
4 M-kast Drug 30 7.57 155.63
5 Telukast General 23 5.86 0.79
6 Trilock Opsonin 22 5.65 12.91
7 Reversair ACI 20 5.13 108.22
8 Lumona Eskeayf 18 4.56 3.29
9 Aeron Health care 12 3.06 50.00
10 Montene Square 10 2.66 -47.89
Brand Company Rx Unit share (%)
Monas ACME 18.22
Trilock Opsonin 17.96
Montair Incepta 9.50
M-Kast Drug-Intl 7.65
Reversair ACI 5.56
Telukast General 5.53
Competitors’ analysis (4P_ Unit_Share_Jan’17)
Product positioning
Loctril®
Tablet is the drug of choice for the Chronic Asthma &
allergen induced Broncho constriction.
Speciality Wise:
1. Chest Specialist
2. Medicine Specialist
3. Cardiologist
4. ENT Specialist
5. Skin & VD Specialist
6. GP
7. Doctor Cum Chemist
8. RMP
Target Doctors of Loctril
Ans: The pathophysiology processes of asthma may also increase
the risk of other disease involving inflammatory processes, such as
cardiovascular disease (eg.) atherosclerosis by generating
inflammatory biomarker CRP (Carbon reactive protein), IL-6
(Interleukin 6), LDL-C (Low density lipoprotein C), triglyceride etc.
Asthma patients are
43% more likely to have heart disease than non-asthmatics.
36% more likely to have high blood pressure than non-asthmatics.
Montelukast Lowers the CVD risk of asthma patients.
So, Loctril is the suitable treatment option for cardiologist.
Why Montelukast can be the suitable option for Cardiologist?
• Effectively blocks Cystinyl Leukotriene receptor
• Significantly reduces Day and Night time Asthma
symptoms
• Effectively reduces Allergic rhinitis symptoms
• Better than Salmeterol in bronchodilation
Unique selling point
• Ensure adequate shelving of Loctril®
tablet in front of nearest
all chemist shops, clinics and institutions of the targeted
doctors.
• Give special emphasis to the Chest Specialist, Medicine
Specialist because they have greater scope of prescribing
Loctril®
.
• Ensures effective outcome of Loctril®
samples by ensuring
huge number of prescriptions from every potential
prescribers.
• Focus should be given to RMPs, PCs as there is also huge
opportunities to generate Rx and sales from these physicians.
Actions to be taken
• Strong monitoring over the prescribers of Monas (Acme),
Montair (Incepta), Provair (Unimed), M-kast (Drug Int), Trilock
(Opsonin), Telukast (General), Lumona (Eskeayf), Reversair
(ACI), Montene (Square), Aeron (Healthcare), Monocast
(Beximco), Montril (Aristo), Odmon (Renata) and convince
them to prescribe Loctrol®
.
Actions to be taken
Thank You !

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Loctril (Montelukast)

  • 1. Presented By: Sultan Mahmud Senior Product Executive Cell: 01713374701 Welcome
  • 4. What is Asthma ? Asthma is a chronic disease involving the airways in the lungs. These airways or bronchial tubes, allow air to come in and out of the lungs. If you have asthma your airways are always inflamed. They become even more swollen and the muscles around the airways can tighten when something triggers your symptoms. This makes it difficult for air to move in and out of the lungs. According to American Academy of Allergy Asthma & Immunology (AAAAI)
  • 5. Coughing Shortness of breath Chest tightness Wheezing Asthma Symptoms
  • 6. Asthma Triggers  Outdoor allergens- such as pollens from grass, trees and weeds  Indoor allergens- such as pet dander, dust mites and mold  Certain drugs and food additives  Irritants in the air- such as smoke, chemical fumes and strong odors  Colds, the flu or other illnesses  Exercise  Stress  Weather conditions- such as cold air or extremely dry, wet or windy weather
  • 7. • Exercise-induced asthma is triggered by exercise or physical exertion. Many people with asthma experience some degree of symptoms with exercise. With exercise-induced asthma, airway narrowing peaks 5 to 20 minutes after exercise begins Exercise-Induced Asthma
  • 8. Aspirin-induced Asthma  Taking aspirin or other NSAIDs (non-steroidal anti- inflammatory drugs) triggers an asthma.  Between 2% and 25% of adults with asthma are sensitive to aspirin.  Aspirin-induced asthma is more common in adults than children.  This type of asthma is usually severe.
  • 9. This asthma type accounts for nearly 60 percent of all asthma. It involves airway obstruction and typical asthma symptoms often associated with allergies and triggered by allergens. Examples of common triggers include pollens, molds, dust mites and animal dander. Allergic Asthma
  • 10. Night time asthma, also called nocturnal asthma, is a common type of the disease. If you have asthma, the chances of having symptoms are much higher during sleep because asthma is powerfully influenced by the sleep-wake cycle (circadian rhythms). Your asthma symptoms of wheezing, cough, and trouble breathing are common and dangerous, particularly at nighttime. Night time (Nocturnal) Asthma
  • 12. An allergen  that  causes  an allergic  reaction.  Allergic rhinitis, is an allergic response to specific  allergens. Pollen is the most common allergen in  seasonal  allergic  rhinitis.  These  are  allergy  symptoms  that  occur  with  the  change  of  seasons. What is Allergic Rhinitis?
  • 17. …Introducing Breathe better, Live better Opso Saline… Montelukast 10 mg Tablet
  • 18. Justification of Brand Name LOCk LeukoTRIenes by MonteLukast
  • 19. Montelukast is a selective and orally active leukotriene receptor antagonist that inhibits the Cysteinyl leukotriene CysLT1 receptor. Each 10 mg film-coated Loctril tablet contains 10.4 mg Montelukast sodium, which is equivalent to 10 mg of Montelukast. Loctril Tablet
  • 20. Montelukast is A Potent Leukotrienes Receptor Antagonist Anti Asthmatic Therapeutic Class of Loctril Tablet
  • 21. Leukotrienes are a naturally occurring chemical substance (Autacoids) that promotes an inflammatory response.  When produced and released in the body, this chemical causes  airway constriction, the tightening of muscles and excess mucus and fluid. What are Leukotrienes?
  • 22. When Leukotrienes are Released? If anyone breathe an asthma triggers, the body of asthmatics  person release Leukotrienes.
  • 23. Mechanism of Action of Loctril Phospholipids Arachidonic acid COX (Cyclooxy genase) 5-lipooxygenease PG Thromboxane LeukotrienesLeukotrienes Binds with Leukotriene Receptor LoctrilLoctril 1. Causes bronchoconstriction 2. Increases mucus secretion 3. Increases Vascular permeability 4. Causes edema Asthma Binds with Cystinyl Leukotriene receptor that inhibits Asthma symptoms
  • 25. Dosage and administrations For asthma - Take once daily in the evening:  One 10-mg tablet for adults and adolescents 15 years of age and older For exercise-induced asthma - Take at least 2 hours before exercise, but not more than once daily:  One 10-mg tablet for adults and adolescents 15 years of age and older. For allergic rhinitis - Take once daily at about the same time each day:  One 10-mg tablet for adults and adolescents 15 years of age and older
  • 27. Product Brief Product Name Generic Name Strength Dosage Form Pack Size TP TP+VAT MRP/ box MRP/ Tablet Loctril® Montelukast 10 mg Tablet 10X3 339.58 393.91 453.00 15.10
  • 28. Dear Sir/Madam In this visual you are watching that a fish is facing challenge to take breathe due to lack of watery environment like that it is also challenge to prevent the root cause of Asthma & Allergic Rhinitis
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  • 36. Market Analysis (IMS_MAT_2017) Company Value (Cr.) Share Growth Respiratory market 1739 100.00 11.67 Montelukast 392 22.54 16.04 1 Monas ACME 83 21.20 21.82 2 Montair Incepta 63 15.95 19.33 3 Provair Unimed 37 9.41 17.83 4 M-kast Drug 30 7.57 155.63 5 Telukast General 23 5.86 0.79 6 Trilock Opsonin 22 5.65 12.91 7 Reversair ACI 20 5.13 108.22 8 Lumona Eskeayf 18 4.56 3.29 9 Aeron Health care 12 3.06 50.00 10 Montene Square 10 2.66 -47.89
  • 37. Brand Company Rx Unit share (%) Monas ACME 18.22 Trilock Opsonin 17.96 Montair Incepta 9.50 M-Kast Drug-Intl 7.65 Reversair ACI 5.56 Telukast General 5.53 Competitors’ analysis (4P_ Unit_Share_Jan’17)
  • 38. Product positioning Loctril® Tablet is the drug of choice for the Chronic Asthma & allergen induced Broncho constriction.
  • 39. Speciality Wise: 1. Chest Specialist 2. Medicine Specialist 3. Cardiologist 4. ENT Specialist 5. Skin & VD Specialist 6. GP 7. Doctor Cum Chemist 8. RMP Target Doctors of Loctril
  • 40. Ans: The pathophysiology processes of asthma may also increase the risk of other disease involving inflammatory processes, such as cardiovascular disease (eg.) atherosclerosis by generating inflammatory biomarker CRP (Carbon reactive protein), IL-6 (Interleukin 6), LDL-C (Low density lipoprotein C), triglyceride etc. Asthma patients are 43% more likely to have heart disease than non-asthmatics. 36% more likely to have high blood pressure than non-asthmatics. Montelukast Lowers the CVD risk of asthma patients. So, Loctril is the suitable treatment option for cardiologist. Why Montelukast can be the suitable option for Cardiologist?
  • 41. • Effectively blocks Cystinyl Leukotriene receptor • Significantly reduces Day and Night time Asthma symptoms • Effectively reduces Allergic rhinitis symptoms • Better than Salmeterol in bronchodilation Unique selling point
  • 42. • Ensure adequate shelving of Loctril® tablet in front of nearest all chemist shops, clinics and institutions of the targeted doctors. • Give special emphasis to the Chest Specialist, Medicine Specialist because they have greater scope of prescribing Loctril® . • Ensures effective outcome of Loctril® samples by ensuring huge number of prescriptions from every potential prescribers. • Focus should be given to RMPs, PCs as there is also huge opportunities to generate Rx and sales from these physicians. Actions to be taken
  • 43. • Strong monitoring over the prescribers of Monas (Acme), Montair (Incepta), Provair (Unimed), M-kast (Drug Int), Trilock (Opsonin), Telukast (General), Lumona (Eskeayf), Reversair (ACI), Montene (Square), Aeron (Healthcare), Monocast (Beximco), Montril (Aristo), Odmon (Renata) and convince them to prescribe Loctrol® . Actions to be taken