â€¢ Prophylaxis and chronic treatment of asthma
â€¢ Allergic Rhinitis
â€¢ Exercise-Induced Bronchoconstriction (EIB)
â€¢ COPD (Chronic obstructive pulmonary disease)
15 years & older- 10 mg tab
6 years â€“ 14 years- 5 mg chewable tab
2-5 years- 4 mg chewable tablet
6-23 months- 4mg oral granules
Montelukast is contraindicated to patients with hypersensitivity to any component of this product.
Generally, Montelukast is well-tolerated. Side effects include
â€¢ Abdominal pain
Pregnancy category B
It is recommended to only use this medication during pregnancy if necessary.
The efficacy of montelukast for the treatment of acute asthma attacks has not been established. Therefore, montelukast should not be used to treat acute asthma attacks. Patients should be advised to have appropriate rescue medication available.
While the dose of concomitant inhaled corticosteroid may be reduced gradually under medical supervision, montelukast should not be abruptly substituted for inhaled or oral corticosteroids.
Neuropsychiatric events have been reported in patients taking. Since other factors may have contributed to these events, it is not known if they are related to montelukast. Physicians should discuss these adverse experiences with their patients. Patients should be instructed to notify their physician if these changes occur.
In rare cases patients receiving anti-asthma agents, including leukotriene receptor antagonists, have experienced one or more of the following: eosinophilia, vasculitic rash,worsening pulmonary symptoms, cardiac complications, and/or neuropathy sometimes diagnosed as Churg-Strauss syndrome, a systemic eosinophilic vasculitis. These cases have been sometimes associated with the reduction or withdrawal of oral corticosteroid therapy. Although a causal relationship with leukotriene receptor antagonism has not been established, caution and appropriate clinical monitoring are recommended in patients receiving montelukast.
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