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What is Montelukast?

Montelukast and the brand name Singulair are medications used to prevent wheezing and shortness of breath caused by asthma as well as to decrease the number of asthma attacks. Singulair may also be used to prevent breathing problems during exercise and can decrease the frequency that you need to use your rescue inhaler. Montelukast can also be used to relieve the symptoms of allergic rhinitis or hay fever. Montelukast works by blocking natural substances which can cause or worsen asthma and allergies and makes breathing easier by reducing inflammation in the airways.

Always read the patient information and instructions carefully before using this medication. Follow your doctor’s directions.

• Singulair is usually taken once a day in the evening when used to prevent asthma or allergy symptoms. When treating exercise-induced bronchoconstriction, Singulair should be taken at least two hours before exercise and not taken again for 24 hours.
• Swallow montelukast whole with a glass of water.
• It may take several weeks before your symptoms improve. Continue taking this medication regularly.

Make sure to tell your doctor and pharmacist:

• If you have any drug or other allergies.
• Which other prescription and non-prescription medications you currently take.
• Your medical history especially of asthma or liver disease.
• If you are pregnant, planning on pregnancy or breast feeding.

Common Singulair side effects may include but are not limited to:

• Stomach pain or diarrhea.
• Headaches.
• Fever or flu symptoms.
• Bed wetting or loss of bladder control in children.
• Cold symptoms including cough, sore throat, stuffy nose or sinus pain.

Contact your doctor if you experience any of the following side effects of Montelukast:

• Mental or mood changes such as agitation, aggressiveness, anxiety, memory or attention problems, depression, hallucinations or thoughts of harming yourself or suicide.
• Trouble sleeping, sleep-walking or abnormal dreams.
• Muscle weakness.
• Stuttering.
• Numbness, shooting pain or tingling in your arms or legs.
• Sinus pain or swelling.
• Uncontrolled muscle movements.
• Signs of an allergic reaction such as hives, difficulty breathing or a swelling of your face, lips or throat.

What should I do if I miss a dose of montelukast?

If you miss a dose of this medication, take it as soon as you remember. If it is almost time for your next dose, then skip your missed dose.

How long does it take montelukast to work?

It may take several weeks before your symptoms improve. Continue taking this medication regularly.