Montesko Tablet 10mg (Montelukast Sodium)

Adult dose

Adults and adolescents aged 15 years and older should take 10 mg orally once daily as Montelukast. This medication should be taken once daily; asthma patients should take it in the evening, while allergic rhinitis patients should determine the dosing time according to their condition. The 10 mg orodisperse film should be placed on the tongue and allowed to dissolve without water, taken once daily at 10 mg.

Child dose

Children aged 6 to 14 years should chew 5 mg once daily or place it on the tongue to dissolve without water, and the 5 mg dry syrup should be administered orally once daily. Children aged 2 to 5 years should take 1

This medication contains the artificial sweetener aspartame, so its use should be restricted in patients with phenylketonuria, a hereditary disease. The intake of aspartame should be kept below the WHO recommended levels, and in adults, care should be taken not to exceed a maximum of 2.4g per day. Patients with hypersensitivity to this medication and its components should not use it, and since it contains lactose, it should not be administered to patients with lactose intolerance or related genetic disorders. The safety of this medication has been evaluated in clinical trials among patients with asthma and allergic rhinitis; however, some patients may experience adverse reactions such as lethargy, fatigue, headache, dyspepsia, rash, and other abnormal reactions. It is especially important for children, the elderly, pregnant women, and breastfeeding women to consult a physician before use. This medication is not intended for use during acute asthma attacks, so appropriate emergency medications should always be on hand. Patients with aspirin hypersensitivity should avoid taking aspirin or non-steroidal anti-inflammatory drugs while using this medication. Neuropsychiatric symptoms may occur during use, so if any unusual symptoms appear, consult a physician immediately. There is no specific antidote for overdose; general symptomatic treatment and clinical monitoring are necessary. This medication is sensitive to light, so it should be opened just before use and stored out of the reach of children. Additionally, this medication should be taken continuously even when asthma symptoms are absent, and the dosage of other asthma medications should not be reduced or stopped without a physician’s guidance.

Serious side effects

• Urticaria, Angioedema, Toxic Epidermal Necrolysis, Stevens-Johnson Syndrome → Severe allergic reactions
• Severe skin adverse reactions
• Vasculitis rash
• Worsening pulmonary symptoms, cardiac complications and/or neuropathy
• Thrombocytopenia → Severe swelling or urination abnormalities
• Symptoms of respiratory deterioration
• Cholestatic hepatitis, hepatocellular liver damage, mixed liver injury → Liver abnormalities (jaundice)

Mild side effects

• Lethargy/Fatigue
• Fever
• Abdominal Pain
• Dyspepsia
• Infectious Gastroenteritis
• Toothache
• Dizziness
• Headache
• Nasal Congestion
• Cough

This medication should be stored in a tightly sealed container to protect it from air and moisture, and it is recommended to keep it away from direct sunlight at a cool room temperature, ideally between 1 to 30 degrees Celsius.

Appearance

Beige film-coated tablet in a rounded square shape

Package unit

28 Tablets (4 Packs of 7 Tablets each in PTP packaging)