Dosage/Direction for Use Adult & childn >15 yr 1 tab daily. Terms of Use. Do not take a second dose within 24 hours of your regular dose. For exercise-induced bronchoconstriction, take a single dose at least 2 hours before exercise, and do not take another dose for at least 24 hours. Fluimucil 600 mg Tablet shows some common side effects like fever, nausea . When montelukast is used to treat asthma, it should be taken in the evening. Also tell them if you smoke, drink alcohol, or use illegal drugs. Discard any unused portion. Sodium is an inactive ingredient that allows montelukast to dissolve and be absorbed into your body. Some studies have tested montelukasts effectiveness for chronic (long-term) hives. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. This is not a complete list of side effects and others may occur. If youre interested in this option, check with your doctor or your insurance company. Copyright 2023 Elsevier Inc. All Rights Reserved. For information on montelukasts other forms, talk with your doctor or pharmacist. You can take montelukast oral tablets with or without food. Boxed Warning about mental health side effects for Singulair Do not use two doses at one time. Children 6 months to 23 months of age4 mg (one packet) once a day in the evening. Highly clinically significant. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. If you do not have an inhaled medicine to use for an attack, or if you have any questions about this, check with your doctor. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. once a day, around the same time each day, Serious behavior or mood changes, including, during treatment with montelukast oral tablets and after people have stopped taking the drug, in people with or without previously diagnosed mental health conditions, Ask the tough question: Are you considering suicide?. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Children 6 to 14 years of age5 milligrams (mg) at least 2 hours before exercise. It shouldnt. These may include maintenance medications such as montelukast oral tablets. 14,15,16,17 Patients should be counselled regarding diluting oral solutions in cola for taste masking, 7 the risk of . Montelukast is a medication that prevents and treats the symptoms of asthma and allergies. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). A maintenance medication is taken on an ongoing basis to help prevent or manage symptoms of your condition. Fish Oil (omega-3 polyunsaturated fatty acids), Probiotic Formula (bifidobacterium infantis / lactobacillus acidophilus), Email this report to a friend, doctor, or patient. The granules may also be mixed with baby formula or breast milk. This makes it easier to breathe. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. It also helps you get into a routine so that youre less likely to miss doses. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use montelukast only for the indication prescribed. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. The hypothesis is that a leukotriene receptor antagonist (LRA), montelukast, will decrease nasal congestion leading to increased patency of the nose and a decrease in nighttime sleep fragmentation in individuals with year round allergic rhinitis or perennial allergic rhinitis (PAR). Montelukast: MedlinePlus Drug Information For information on the side effects of montelukasts other forms, talk with your doctor or pharmacist. Your prescription label for montelukast oral tablets might refer to montelukast as montelukast sodium. These names refer to the same drug. This should be taken at about the same time each day. Inhaled corticosteroids combined with long-acting, quick-acting bronchodilators, such as an albuterol rescue inhaler (Proair HFA, Proventil HFA, Ventolin HFA). Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Guaifenesin belongs to a class of drugs known as expectorants. Sign up for free e-newsletters. If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. montelukast oral (Singulair Oral) Drug Interactions - Minor or - RxList Tell your doctor if you are breastfeeding, pregnant, or intending to become pregnant because they will need to discuss the risks versus benefits of using montelukast while pregnant or breastfeeding. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Learn about five natural, Many symptoms of an allergy, cold, and flu are similar, including a runny nose and sneezing. Copyright 1996-2023 Drugs.com. The following table summarizes when to take montelukast according to the manufacturers instructions: For asthma (and if you have both asthma and allergic rhinitis) the manufacturer of montelukast oral tablets recommends taking the drug in the evening. Depending on how severe your liver problems are, they may recommend urgent treatment in a hospital, or they may monitor you using blood tests. Before using montelukast, talk with your doctor and pharmacist. Montelukast oral tablets are small tablets that are either round or square-shaped. Drug information provided by: Merative, Micromedex. Montelukast is used to prevent asthma attacks. (For more information about this, see Serious behavior or mood changes in the Montelukast side effects section above.). Montelukast oral tablets should only be used if you cant take other allergy treatments, or if other treatments dont work well enough for your allergy symptoms. anticonvulsants, such as carbamazepine, divalproex, fosphenytoin, or phenytoin, antifungals, such as fluconazole, miconazole, or voriconazole, Montelukast. Stop taking montelukast and call your doctor right away if you have unusual changes in mood or behavior, such as: agitation, aggression, feeling restless or irritable; anxiety, depression, confusion, problems with memory or attention; stuttering, tremors, uncontrolled muscle movements; hallucinations, sleep problems, vivid, dreams, sleep-walking; or. Does montelukast interact with my other drugs? Administration May be taken with or without food. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988. How it works Montelukast may be used for the treatment of asthma or allergic rhinitis. Stop taking montelukast and call your doctor right away if you have any unusual changes in mood or behavior (such as agitation, confusion, depression, sleep problems, compulsive behaviors, hallucinations, or suicidal thoughts or actions). Asthma causes inflammation (swelling and damage) and . Tell them about all prescription, over-the-counter, and other drugs you take. Montelukast (Singulair): Uses, Side Effects, Dosage & Reviews Cleveland Clinic is a non-profit academic medical center. This is the dosage for adults as well as adolescents age 15 years and older. Adults and children 15 years of age and older10 milligrams (mg) once a day, taken in the morning or evening. The actual price youll pay depends on your insurance plan, your location, and the pharmacy you use. Children 2 to 5 years of age4 mg once a day, taken in the morning or evening. Montelukast oral tablets are usually prescribed as part of an asthma or allergy care plan. Do not share this medicine with others. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. montelukast oral (Singulair Oral) Drug Interactions - Serious - RxList Physical activity, especially in cold weather, commonly triggers asthma symptoms. Do not change your dose or stop using asthma medication without your doctor's advice. Use) ANTIBACTERIAL Fluimucil 100 mg/mL Solution for Injection (I.M./ I.V.) Children 2 to 5 years of age4 milligrams (mg) (one packet) once a day in the evening. It is a prescription medicine approved to prevent asthma attacks and for long-term treatment of asthma in adults and children 1 year and older. Chewable tablets are typically taken once daily in the evening (although studies have not been conducted to evaluate if there is any difference in effectiveness with morning dosing). Montelukast oral tablets should be swallowed. Medicines that interact with montelukast may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with montelukast. How long withdrawal lasts can vary. All rights reserved. Heavy breathing during exercise naturally causes bronchoconstriction (narrowing of the airways to the lungs). Steroid treatments for asthma, such as prednisone, may cause weight gain or increased blood pressure. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). These problems have occurred: Because of these possible side effects, montelukast oral tablets should only be used when the benefits of treatment outweigh these risks. Stay with the person until professional help arrives. Montelukast works to keep your airways open. Always have your rescue medication for asthma attacks with you. Montelukast Oral: Uses, Side Effects, Interactions, Pictures - WebMD So if youre taking montelukast oral tablets to treat asthma, stopping this drug shouldnt make your asthma symptoms suddenly get worse. This means that stopping montelukast oral tablets shouldnt make your asthma symptoms get suddenly worse. Montelukast oral tablets dont usually cause any harmful effects when you stop taking them. If you notice changes in your behavior or mood while taking montelukast oral tablets, call your doctor right away. (With dependence, your body needs the drug in order to feel normal.). For this purpose, montelukast oral tablets can be used in adults as well as adolescents ages 15 years and older. Other less common side effects include an increased bleeding tendency and liver enzyme changes. Comparison of efficacy, safety, and cost-effectiveness of montelukast This content does not have an English version. Life with Cancer If you would like to notify the FDA about a side effect youve had with montelukast oral tablets, you can do so through MedWatch. inhalers that combine corticosteroids with long-acting beta agonists, such as. In clinical studies, montelukast oral tablets werent reported to cause weight gain or increased blood pressure. Its important to note that montelukast oral tablets shouldnt be your only plan to manage asthma. There is a problem with If it is safe to put in the trash, empty the medication out of the container. If so, talk with your doctor about your birth control needs while youre taking montelukast oral tablets. Take your medication even when you do not have symptoms. Mild side effects* of montelukast oral tablets can include: Most of these side effects may go away within a few days or a couple of weeks. If you (or those around you) notice mood or behavior changes while youre taking montelukast oral tablets, call your doctor right away. Montelukast oral tablets are meant to be swallowed whole. For more details, see the Montelukast use with other drugs section above. For more information about taking montelukast oral tablets during pregnancy, see the Montelukast and pregnancy section above. There are no known interactions between montelukast oral tablets and alcohol. To treat allergic rhinitis (allergy symptoms such as a stuffy or runny nose and sneezing), youll take one 10-mg montelukast oral tablet once per day. Montelukast: a medicine to prevent asthma symptoms - NHS MONTELUKAST (mon te LOO kast) prevents and treats the symptoms of asthma and allergies. It inhibits bronchoconstriction, which is the narrowing of the airways resulting in breathing difficulties. Take exactly as prescribed when given for asthma, even if you are asymptomatic. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. These were mostly reported during montelukast treatment, but some were reported after the drug was stopped. You and your doctor will develop a personalized asthma care plan. The tablets come in one strength of 10 milligrams (mg). Ask your healthcare professional how you should dispose of any medicine you do not use. Some mixtures of medications can lead to serious and even fatal consequences. Infection in the upper airways, fever, headache, sore throat, cough, abdominal pain, diarrhea, otitis media, influenza, and a runny nose are the most common side effects. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. But montelukast isnt a steroid. Any worsening of mood or thoughts of suicide or dying should be reported to your health care provider right away. * These other forms come in lower strengths that are approved for use in younger children. If you and your doctor determine that montelukast oral tablets are safe and effective for you, youll likely take the drug long term. Therapeutic Classes: Anti-Inflammatory Forms: Packet, Tablet, Chewable Tablet How it's taken: By mouth Save big on your prescriptions. Avoid combinations; the risk of the interaction outweighs the benefit. Hypersensitivity. Most people who reported serious liver issues had underlying conditions that increased their risk for liver disease. Montelukast belongs to the class of medicines known as leukotriene receptor antagonists (LTRAs). A study found that montelukast-fexofenadine showed significantly better control of AR symptoms as compared to groups using antihistaminic alone or with placebo. The following information includes only the average doses of this medicine. NOTE: This medicine is only for you. This can include setting an alarm or timer on your phone or downloading a reminder app. (Hives, also called urticaria, are raised, itchy skin welts. 1. They may appear lighter, darker, or redder than your usual skin tone.). Children 6 to 14 years of age5 milligrams (mg) once a day, taken in the morning or evening. This can lead to severe shortness of breath, wheezing, coughing, and chest tightness in people with asthma. To work properly, montelukast must be taken at the same time each day, even if your asthma seems better. You may want to consider these risks if youre sexually active and you or your partner can become pregnant. Heres some detail on certain side effects this drug may cause. The oral granules should not be chewed. For adults and children at least 2 years old with symptoms of seasonal or year-round (perennial) allergies, montelukast may be considered when other treatments have not worked. Montelukast oral tablets should be stored at a room temperature of 68F to 77F (20C to 25C) in a tightly sealed container away from light. Children younger than 2 years of ageUse and dose must be determined by your doctor. Sodium is an inactive ingredient that helps the drug dissolve and be absorbed into your body. This list may not describe all possible interactions. Montelukast: 7 things you should know - Drugs.com Montelukast oral tablet is the generic version of the brand-name drug Singulair. They also offer tools to help you find low-cost healthcare, as well as educational resources. Montelukast oral tablets arent known to interact with other medications, herbs, supplements, or foods. Conclusion: The combination of roflumilast with montelukast compared with montelukast alone improved lung function and asthma control in patients with moderate-to-severe asthma and deserves further study for this indication. Serious behavior or mood changes didnt occur in clinical studies of montelukast oral tablets. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Call 911 or your local emergency number if your symptoms feel life threatening or if you think youre having a medical emergency. Of the total drug interactions, 100 are moderate. Can help relieve symptoms of seasonal allergic rhinitis in adults and children over the age of two and perennial allergic rhinitis in those over the age of 6 months. Prevention strategies. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor. But drinking a lot of alcohol while taking montelukast oral tablets may increase your risk for liver issues. Data sources include IBM Watson Micromedex (updated 14 May 2023), Cerner Multum (updated 28 May 2023), ASHP (updated 10 Apr 2023) and others. If youre interested in finding an alternative to montelukast oral tablets, talk with your doctor. Montelukast oral tablets start working within 2 hours from the time you take your dose. Oral Prophylaxis of exercise-induced asthma Adult: As conventional tab: 10 mg given at least 2 hours before exercise; limit to 1 dose every 24 hours. Montelukast also comes in other forms, specifically chewable tablets and oral granules. Acetylcysteine belongs to a group of medicines called mucolytics which work by thinning the mucus (phlegm) so that it can be coughed up more easily. But be sure to take the dosage your doctor prescribes for you. Note: Montelukast also comes in other forms that are taken orally (by mouth), specifically chewable tablets and oral granules. Montelukast (Oral Route) Your gift holds great power - donate today! Mild and serious liver problems are possible side effects of montelukast oral tablets. Granules may be dissolved in baby formula or breast milk for administration to children older than 12 months. The side effects in adolescents are expected to be the same as the side effects in adults. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Avoid driving or operating machinery if montelukast makes you drowsy or dizzy. Montelukast is also used to prevent exercise-induced bronchoconstriction (a narrowing of the air passages in the lungs due to exercise that is also known as exercise-induced asthma) in adults and children who are at least 6 years old. May not be suitable for some people including those with severe liver disease or with a history of mental health disease. If you have questions about COPD treatments, talk with your doctor. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. They may recommend a different form of montelukast for you, such as chewable tablets or oral granules. Note: Montelukast also comes in other forms, including chewable tablets and oral granules. Montelukast oral tablets arent known to cause harmful effects during pregnancy. Childn <2 yr. Effervescent tab/Granules for oral soln Phenylketonurics. They can give you tips on how to manage any side effects that may be concerning or bothersome. Symptoms of serious liver problems, including cholestatic hepatitis, may include: If you develop these symptoms during montelukast treatment, talk with your doctor. Learn more here. Azithromycin is an antibiotic drug. This can also worsen EIB symptoms. If you have unused medication that has gone past the expiration date, talk with your pharmacist about whether you might still be able to use it. Take the medication to a medication take-back program. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider. Many of them can also be used with montelukast oral tablets.