Montelukast Chewable Tablets 4 mg (Sodium Montelukast)

Adult dose

Adults and adolescents aged 15 years and older should take 10 mg of montelukast once daily. This medicine should be taken 1 hour before meals or 2 hours after meals.

Child dose

Children aged 6 to 14 years should chew 5 mg of montelukast once daily or place it on the tongue and swallow without water. Children aged 4 to 5 years should chew 4 mg of montelukast once daily.

This medicine contains the artificial sweetener aspartame, and should not be used by patients with phenylketonuria, a hereditary condition that requires limiting phenylalanine intake. The daily allowable dose of aspartame is limited to 40 mg per kg of body weight; for a 60 kg adult, the maximum daily dose is up to 2.4 g. Patients with hypersensitivity to this medicine, lactose intolerance, lactase deficiency, or glucose-galactose absorption disorders should not take it. In patients with asthma or allergic rhinitis, various adverse reactions such as fatigue, headaches, cough, and rash may occur, and if symptoms arise, they should consult a doctor immediately. In particular, this medicine is not intended for use during acute asthma attacks; therefore, a short-acting inhaled bronchodilator must be carried and used in emergencies. Patients with hypersensitivity to aspirin are advised not to take aspirin or non-steroidal anti-inflammatory drugs during the use of this medicine. During treatment with this medicine, it is important not to suddenly stop or switch inhaled corticosteroids, and adjustments should be made gradually according to a doctor's instructions. Children, pregnant women, and breastfeeding mothers require special caution when using this medicine, and pregnant women should take it only under a doctor's supervision when necessary. In case of an overdose, there is no specific antidote; general treatment should be provided according to symptoms under the guidance of a doctor. This medicine is sensitive to light, so it should be taken immediately after opening during preparation, and kept in a safe place out of reach of children. If any neuropsychiatric symptoms or other unusual symptoms occur during treatment, they should be reported to and discussed with a doctor immediately.

Serious side effects

Hives, swelling, angioedema, chest tightness, difficulty breathing, anaphylaxis, toxic epidermal necrolysis, Stevens-Johnson syndrome, severe rash with fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes, nosebleeds, thrombocytopenia, vasculitis rash, exacerbation of pulmonary symptoms, cardiac complications, neuropathy, seizure disorders, liver abnormalities (increased ALT and AST, cholestatic hepatitis, hepatocellular damage and mixed hepatic injury).

Mild side effects

• Weakness/fatigue
• fever
• abdominal pain
• dyspepsia
• infectious gastroenteritis
• toothache
• dizziness
• headache
• nasal congestion
• cough

This medicine is sensitive to air and moisture, so it must be stored in a tightly sealed container. It should also be kept out of direct sunlight and stored at room temperature between 1 and 30 degrees Celsius.

Appearance

Pink, chewable tablets shaped like convex, oval pills

Package unit

28 tablets (7 tablets/blister x 4)