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Montelucast: Common use
People use Montelucast to prevent and start a long-term treatment of bronchial asthma in adult patients and children at age 6 years and older.
You can be prescribed to use Montelucast if you suffer from the following conditions:
– warning of daytime and nighttime symptoms;
– prevention of bronchospasms caused by the physical stress;
– treatment of bronchial asthma in patients with a heightened sensitivity to acetylsalicylic acid;
This preparation gives relief in night and day symptoms of seasonal allergic rhinitis (adults and children at age 6 and older) and persistent allergic rhinitis (adult patients and six- year-old children and those who are older).
To make the best of Montelucast you ought to follow all the recommendations about the right dosage.
The drug is recommended to take orally one time/day regardless of the meal. For bronchial asthma treatment Montelucast ought to be used in the evening. In the treatment of allergic rhinitis drug can be taken at any time.
Adults and teenagers aged fifteen years and older are prescribed to take the dose of 10 mg (1 tab.) per day.
Children aged from 6 to 14 years are prescribed in doses of 5 mg (1 tab. for chewing) per day. It is not required to select dose for this age group.
The therapeutic effect of Montelucast develops within the first day. The patient should continue to take Montelucast in the period of achieving control the symptoms of asthma, and in the period of exacerbation.
Montelucast: Side effect
Many people get recovery before they use Montelucast. It has a great importance to learn about all the side effects the drug has.
Allergic reactions: angioedema, anaphylaxis, itching, rash, urticaria; rarely – eosinophilic infiltration of the liver.
Nervous system: hallucinations, fancy vivid dreams, drowsiness, irritability, agitation, including aggressive behaviour, fatigue, insomnia, parestesia/gipestesia, headache; very rarely – convulsive seizures.
Digestive system: vomiting, neuralgia, nausea, diarrhoea, pain in the abdomen.
Musculoskeletal system: myalgia including muscle cramps, arthralgia.
Other side effects: education subcutaneous hemorrhage, bleeding, palpitation, swelling.
In general, the preparation is well tolerated for patients. Side effects are usually mild. They generally do not require discontinuation of treatment.
Contraindications forbidding to use Montelucast include hypersensitivity to the drug component.
Montelucast: Pregnancy and lactation
You can use Montelukast only after the consultation with the specialist. Montelucast should be used during pregnancy and lactation only in cases where the expected benefit to the mother outweighs the potential risk to the fetus or child.
Learn all the precautions before you start the treatment with Montelucast.
Montelucast is not recommended for the treatment of acute attacks of asthma. In acute course of bronchial asthma patients should be prescribed medications for the therapy, acute and warning the attacks of the disease.
The drug has an impact on the ability of driving vehicles and working with machinery
Symptoms of Montelucast overdose in patients with chronic asthma, who took the dose exceeding 200 mg/day for 22 weeks and the dose of 900 mg/day for 1 week were not identified.
There are reports of acute overdose montelucast in children (in the dose of 150 mg/day). The most frequent adverse symptoms are thirst, drowsiness, midriaz, and abdominal pain.
Treatment: symptomatic therapy.
Montelucast: Drug Interaction
Montelucast may be combined with other medicines, traditionally used for prevention and long-term treatment of bronchial asthma. Montelukast (the recommended clinical dose) has no clinically significant effect on the pharmacokinetics of the drugs: warfarin, theophylline, oral contraceptives, terfenadine, prednisolone, prednisone, and digoxin.
If patients are simultaneously taking phenobarbital, thier AUC montelucast is decreased by about 40%. Selection of Montelucast doses for this category of patients is not required.
in the case of ineffectiveness of bronchodilators, as monotherapy bronchial asthma treatment you can add Montelucast. After a therapeutic effect (usually after the first dose) during Montelucast therapy is achieved, dose of bronchodilators can be reduced gradually.
Montelucast treatment provides additional therapeutic effect in patients taking inhaled SCS. When reaching an effect the patient may decrease the dose of the SCS. Dose SSC should be reduced gradually under the physician’s control.
Can you get Montelucast over the counter? Today many online pharmacies sell Montelucast and offer Montelucast discount card to patients. On the sites it is also possible to get all recommendations and testimonials online. In any case the treatment should be started only after the specialist has diagnosed you and prescribed this preparation.