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Montelukast is a leukotriene receptor antagonist that blocks a group of substances called leukotrienes. How does Montelukast work? Leukotrienes cause narrowing and swelling of the airways in the lungs. By blocking leukotriene, montelukast improves asthma symptoms and helps control asthma. Your doctor has prescribed montelukast to treat your child's asthma and prevent daytime and nighttime asthma symptoms. Montelukast is used to treat asthma in patients 2 to 5 years of age who are not adequately controlled by their medications and need additional treatment. Montelukast may also be a therapeutic alternative to inhaled steroids for patients aged 2 to 5 years who have not recently taken corticosteroid tablets for asthma and who cannot use inhaled steroids. Montelukast also prevents exercise-induced airway narrowing in patients 2 years of age and older. Your doctor will decide how to use montelukast depending on the symptoms and severity of your child's asthma. How to use Make sure your child always uses this medicine exactly as the doctor tells you. Contact your child's doctor or pharmacist if you are not sure. This medicine should be given to children under adult supervision. For children who have difficulty taking chewable tablets, granules that are taken orally are available. Your child should take only one chewable Montelukast tablet daily as directed by your doctor. It should be taken even if your child has no symptoms or if he or she is having a severe asthma attack. For children from 2 to 5 years: The recommended dose is one 4 mg chewable tablet daily, taken in the evening. If your child is taking montelukast, you should make sure that he/she does not take other medicines containing the same active ingredient as montelukast. This medicine should be taken by mouth. The tablets should be chewed before swallowing. Montelukast 4 mg tablets should not be taken with food. They should be taken at least one hour before or two hours after meals. Warnings and precautions Talk to your doctor or pharmacist before your child uses montelukast. If your child's asthma or breathing gets worse, call a doctor right away. Montelukast tablets are not intended for the treatment of acute asthma attacks. If a seizure occurs, follow the instructions your doctor has given your child. Always have emergency medications available for your child. It is important that your child takes asthma medication as prescribed by the doctor. Montelukast should not be used in place of other asthma medications that your doctor has prescribed for your child. If your child is taking asthma medication, be aware that if they develop a combination of symptoms including a flu-like feeling, tingling or numbness in the arms and legs, worsening lung symptoms, and/or a rash, contact a doctor. Side Effects Patients should be aware that several neuropsychiatric side effects (such as behavioral and mood changes) have been reported in adults, adolescents, and children receiving montelukast. Drug Interactions Your child should not take acetylsalicylic acid or anti-inflammatory medications (also known as nonsteroidal anti-inflammatory drugs or NSAIDs) if they make their asthma worse. Ingredients The active ingredient is montelukast
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