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Broncast Paediatric is a leukotriene receptor antagonist that blocks substances called leukotrienes. How Broncast Paediatric 4mg works Leukotrienes cause narrowing and swelling of airways in the lungs. By blocking leukotrienes, Broncast Paediatric 4mg improves asthma symptoms and helps control asthma. When Broncast Paediatric 4mg should be used Your doctor has prescribed Broncast Paediatric 4mg to treat your child’s asthma, preventing asthma symptoms during the day and night. Broncast Paediatric 4mg is used for the treatment of 2 to 5 years old patients who are not adequately controlled on their medication and need additional therapy. Broncast Paediatric 4mg may also be used as an alternative treatment to inhaled corticosteroids for 2 to 5 years old patients who have not recently taken oral corticosteroids for their asthma and have shown that they are unable to use inhaled corticosteroids. Broncast Paediatric 4mg also helps prevent the narrowing of airways triggered by exercise for patients 2 years of age and older. Your doctor will determine how Broncast Paediatric 4mg should be used depending on the symptoms and severity of your child's asthma. How to use This medicine is to be given to a child under adult supervision. Your child should take only one chewable tablet of Broncast Paediatric 4mg once a day as prescribed by your doctor. It should be taken even when your child has no symptoms or if he/she has an acute asthma attack. For children 2 to 5 years of age: The recommended dose is one 4 mg chewable tablet daily to be taken in the evening. If your child is taking Broncast Paediatric 4mg, be sure that he/she does not take any other medicines that contain the same active ingredient, montelukast. This medicine is for oral use. The tablets are to be chewed before swallowing. Broncast Paediatric 4 mg chewable tablets should not be taken immediately with food; it should be taken at least 1 hour before or 2 hours after food. Warnings and precautions Tell your doctor about any medical problems or allergies your child has now or has had. Do not give Broncast Paediatric 4mg to your child If he/she is allergic to montelukast or any of the other ingredients of this medicine. Warnings and precautions Talk to your doctor or pharmacist before you give Broncast Paediatric 4mg to your child. If your child’s asthma or breathing gets worse, tell your doctor immediately. Oral Broncast Paediatric 4mg is not meant to treat acute asthma attacks. If an attack occurs, follow the instructions your doctor has given you for your child. Always have your child’s inhaled rescue medicine for asthma attacks with you. It is important that your child take all asthma medications prescribed by your doctor. Broncast Paediatric 4mg should not be used instead of other asthma medications your doctor has prescribed for your child. If your child is on anti-asthma medicines, be aware that if he/she develops a combination of symptoms such as flu-like illness, pins and needles or numbness of arms or legs, worsening of pulmonary symptoms, and/or rash, you should consult your doctor. Your child should not take acetyl-salicylic acid (aspirin) or anti-inflammatory medicines (also known as non-steroidal anti-inflammatory drugs or NSAIDs) if they make his/her asthma worse. Patients should be aware that various neuropsychiatric events (for example behaviour and moodrelated changes) have been reported in adults, adolescents and children with Broncast. If your child develops such symptoms while taking Broncast, you should consult your child’s doctor. Side Effects Serious side effects Talk with your doctor immediately if you notice any of the following side effects, which may be serious, and for which you may need urgent medical treatment. Uncommon: the following may affect up to 1 in 100 people Allergic reactions including swelling of the face, lips, tongue, and/or throat which may cause difficulty in breathing or swallowing Behaviour and mood related changes: agitation including aggressive behaviour or hostility, depression Seizure Rare: the following may affect up to 1 in 1,000 people Increased bleeding tendency Tremor Palpitations Other side effects while the medicine has been on the market Very common: the following may affect more than 1 in 10 people Upper respiratory infection Common: the following may affect up to 1 in 10 people Diarrhoea, nausea, vomiting Rash Fever Elevated liver enzymes Storage Information Store below 30°C. Drug Interactions Tell your doctor or pharmacist if your child is taking or has recently been given or might be given any other medicines including those obtained without a prescription. Some medicines may affect how Broncast Paediatric 4mg works, or Broncast Paediatric 4mg may affect how your child’s other medicines work. Tell your doctor if your child is taking the following medicines before starting Broncast Paediatric 4mg: Phenobarbital (used for treatment of epilepsy) Phenytoin (used for treatment of epilepsy) Rifampicin (used to treat tuberculosis and some other infections) Ingredients The active substance is montelukast.
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