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Asthma and breathing

Montelukast

Also sold as: Singulair, Montiget

Prescription neededAsthma and breathing
Comes as:TabletChewable tabletSachet

Usual adult dose

Usual adult dose: 10 mg once a day in the evening. Children: chewable tablets or granules by age (4 or 5 mg) — ask your doctor. It does not relieve a sudden attack.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • headache
  • stomach pain
  • diarrhoea
  • tiredness

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • mood or behaviour changes (bad dreams
  • agitation
  • depression
  • thoughts of self-harm)
  • severe allergic reaction
  • numbness with rash and fever

Do not take it, or take care, if

  • History of depression or mental health problems (use with caution and watch for mood changes)
  • Not for the relief of a sudden asthma attack
  • Phenylketonuria (some chewable tablets contain aspartame)

Interactions

Medicines that can react with this one.

Minor1 medicineUsually not a problem, but tell your doctor.
  • Phenobarbital

    Phenobarbital can lower montelukast levels and reduce its effect.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Budesonide
  • Beclometasone
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.