Wednesday, September 14, 2016

Montelukast Granules



Pronunciation: mon-te-LOO-kast
Generic Name: Montelukast
Brand Name: Singulair


Montelukast Granules are used for:

Prevention and long-term treatment of asthma. It is also used in certain patients to relieve runny nose caused by allergies and to prevent asthma attacks caused by exercise. It may also be used for other conditions as determined by your doctor.


Montelukast Granules are a leukotriene receptor antagonist. It works by blocking a substance called leukotriene, which helps to decrease certain asthma and allergy symptoms.


Do NOT use Montelukast Granules if:


  • you are allergic to any ingredient in Montelukast Granules

Contact your doctor or health care provider right away if any of these apply to you.



Before using Montelukast Granules:


Some medical conditions may interact with Montelukast Granules. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you are having an asthma attack

  • if you have liver problems

  • if you have a history of mental or mood problems, or suicidal thoughts or actions

Some MEDICINES MAY INTERACT with Montelukast Granules. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Certain anticonvulsants (eg, phenobarbital) or rifampin because they may decrease Montelukast Granules's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Montelukast Granules may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Montelukast Granules:


Use Montelukast Granules as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • An extra patient leaflet is available with Montelukast Granules. Talk to your pharmacist if you have questions about this information.

  • Take Montelukast Granules by mouth with or without food.

  • Do not open the packet until you are ready to use it.

  • Montelukast Granules may be placed directly in the mouth, dissolved in 1 teaspoonful (5 mL) of cold or room temperature baby formula or breast milk, or mixed with a spoonful of soft food at cold or room temperature before swallowing. Soft foods that may be used include applesauce, mashed carrots, rice, or ice cream. Be sure to swallow the entire spoonful right away (within 15 minutes). Do not store mixed medicine for future use.

  • Do not put the granules in liquid other than baby formula or breast milk. However, you may drink liquids after swallowing the granules or granule mixture.

  • Continue to use Montelukast Granules even if you feel well. Do not miss any doses.

  • If you miss a dose of Montelukast Granules, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Montelukast Granules.



Important safety information:


  • Montelukast Granules may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Montelukast Granules with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Montelukast Granules will not stop an asthma attack once one has started. Be sure you always carry appropriate medicine (eg, bronchodilator inhalers) with you in case of an asthma attack.

  • Contact your doctor right away if your short-acting inhaler use increases or if use exceeds the 24-hour maximum prescribed by your doctor. Contact your doctor if your asthma worsens.

  • Do not decrease your dose or stop using Montelukast Granules or other asthma medicines without first checking with your doctor.

  • If your asthma is sensitive to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), continue to avoid those medicines as directed by your doctor.

  • Montelukast Granules should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.

  • Some patients taking Montelukast Granules have developed mental or mood changes, including suicidal thoughts or actions. Contact your doctor immediately if you experience symptoms such as agitation, aggression, hostility, anxiety, depression, strange dreams, trouble sleeping, sleepwalking, tremor, hallucinations, restlessness, irritability, or any unusual change in mood or behavior. Contact your doctor immediately if any signs of suicidal thoughts or actions occur.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor right away. You will need to discuss the benefits and risks of using Montelukast Granules while you are pregnant. It is not known if Montelukast Granules are found in breast milk. If you are or will be breast-feeding while you use Montelukast Granules, check with your doctor. Discuss any possible risks to your baby.


Possible side effects of Montelukast Granules:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Cough; dizziness; headache; indigestion; nausea; stomach upset or pain; stuffy nose; tiredness; trouble sleeping; weakness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); aggressive behavior; agitation; chest pain; dark urine; disorientation; fever; flu-like symptoms; hallucinations; irregular heartbeat; mental or mood changes; new or worsening wheezing or other breathing problems; numbness or tingling of the hands or feet; seizures; severe or persistent stomach pain; severe sinus inflammation; suicidal thoughts or actions; swelling; tremor; unusual bruising or bleeding; upper respiratory tract infection; yellowing of the skin or eyes.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Montelukast side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include hyperactivity; severe or persistent headache; stomach pain; unusual drowsiness or restlessness; unusual thirst; vomiting.


Proper storage of Montelukast Granules:

Store Montelukast Granules at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Montelukast Granules out of the reach of children and away from pets.


General information:


  • If you have any questions about Montelukast Granules, please talk with your doctor, pharmacist, or other health care provider.

  • Montelukast Granules are to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Montelukast Granules. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Montelukast resources


  • Montelukast Side Effects (in more detail)
  • Montelukast Use in Pregnancy & Breastfeeding
  • Montelukast Drug Interactions
  • Montelukast Support Group
  • 53 Reviews for Montelukast - Add your own review/rating


Compare Montelukast with other medications


  • Asthma
  • Asthma, Maintenance
  • Bronchospasm Prophylaxis
  • COPD
  • Hay Fever

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