Montelukast pour l'asthme
Singulair
Peer reviewed by Sid DajaniLast updated by Michael Stewart, MRPharmSLast updated 3 Sept 2024
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Take montelukast regularly every evening.
Your doctor will prescribe a reliever inhaler for you to use in case you have an asthma attack. Make sure that you keep it with you all the time.
The most common side-effects of montelukast are respiratory infections, tummy (abdominal) pain and headache.
In some cases taking montelukast has led to changes in mood and behaviour in children, teenagers and adults. If you notice any worrying signs or changes in behaviour in yourself or a child taking montelukast discuss it with your doctor as soon as possible.
Dans cet article :
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About montelukast
Type de médicament | A leukotriene receptor antagonist |
Utilisé pour | Asthme |
Également appelé | Singulair® |
Disponible en | Tablets, chewable tablets (for children), and sachets of granules (for children) |
Asthma is a common condition caused by inflammation in the smaller airways of the lungs. The inflammation irritates the muscles around the airways and causes them to constrict. This causes your airways to narrow. It is then more difficult for air to get in and out of your lungs. This causes the typical symptoms of wheeze, chest tightness and shortness of breath. The inflammation also causes the lining of your airways to make extra mucus which causes coughing.
Asthma symptoms can flare up from time to time and there may be no apparent reason why. However, some people find that symptoms are made worse by triggers such as exercise and pollen. These things cause your body to produce chemical substances called leukotrienes, which cause the inflammation. Montelukast helps control the symptoms of asthma by blocking the effects of these leukotrienes. It is especially helpful for people whose asthma symptoms are brought on by exercise or seasonal allergies such as hay fever.
Before taking montelukast
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking montelukast it is important that your doctor knows:
Si vous êtes enceinte, si vous essayez d'avoir un enfant ou si vous allaitez.
Si vous prenez ou utilisez d'autres médicaments. Cela comprend tous les médicaments que vous prenez et qui sont disponibles sans ordonnance, ainsi que les médicaments à base de plantes et les médicaments complémentaires.
Si vous avez déjà eu une réaction allergique à un médicament.
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How to take montelukast
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about montelukast and will provide you with a full list of the side-effects which you could experience from taking it.
Take montelukast once every day, in the evening. The dose for adults is one 10 mg tablet. If montelukast has been prescribed for your child, the dose will depend on their age: it is 4 mg for children aged from 6 months to 5 years, and 5 mg for children aged from 6 years to 14 years.
The 10 mg (adult) tablet can be swallowed with a drink of water and can be taken either before or after food.
If your child has been prescribed tablets to take, they are cherry-flavoured chewable tablets. The tablets should preferably be taken 'on an empty stomach', which means your child should take them about an hour before a meal, or wait until two hours afterwards. They should be chewed before being swallowed.
If your child has been prescribed granules (in sachets), these can simply be poured into the mouth and swallowed. Alternatively if your child prefers, you can mix the granules into a small amount of cold, soft food (such as yoghurt, ice cream or mashed fruit or vegetables). It doesn't matter if montelukast granules are taken before or after meals but they should not be mixed into drinks or hot food.
Remember to take montelukast regularly every day, even if your asthma is well controlled. Try not to miss any of your doses but if you do forget, just take your next dose when it is due. Do not take two doses together to make up for a forgotten dose.
Tirer le meilleur parti de votre traitement
Try to keep your regular appointments with your doctor. This is so your doctor can check on your (or your child's) progress.
Montelukast will not give you immediate relief if you are having an asthma attack. Your doctor will prescribe a reliever inhaler for you to use if this happens. Make sure that you keep it with you all the time in case you need to use it.
If you find that your asthma symptoms are getting worse, or that you need to use the reliever inhaler more regularly than usual, please contact your doctor or nurse for advice straightaway.
Do not smoke. Smoking causes severe irritation and damage to the lungs. It will make your condition worse and will reduce the beneficial effects of your medication.
If you buy any medicines, check with a pharmacist that they are suitable for you to take. Some anti-inflammatory painkillers and aspirin can make asthma symptoms worse in some people.
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Can montelukast cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains the most common ones associated with montelukast. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common montelukast side-effects (these affect fewer than 1 in 10 people) | Que puis-je faire si je suis confronté à cette situation ? |
Tummy (abdominal) pain, feeling sick (nausea), diarrhoea | Speak with your doctor if this continues |
Maux de tête | Buvez beaucoup d'eau et demandez à votre pharmacien de vous recommander un analgésique adapté. Si les maux de tête persistent, prévenez votre médecin |
Throat and chest infections, high temperature (fever), skin rash | En cas de troubles, parlez-en à votre médecin |
Important: if you get any of the following symptoms, please let your doctor know straightaway. These can be a sign of a very rare but serious disorder called Churg-Strauss syndrome: flu-like symptoms, tingling feelings or numbness in your arms or legs, difficulties with breathing, and skin rash.
Important: In some cases taking montelukast has led to changes in mood and behaviour in children, teenagers and adults. These changes have included anxiety, irritability, restlessness, agitation, aggressive behaviour and depression. In very rare cases hallucinations, obsessive-compulsive behaviours and suicidal thinking and behaviour have occurred. If you notice any worrying signs or changes in behaviour in yourself, or a child, taking montelukast, discuss it with your doctor as soon as possible.
Si vous ressentez d'autres symptômes que vous pensez être dus au médicament, veuillez consulter votre médecin ou votre pharmacien pour obtenir des conseils supplémentaires.
How to store montelukast
Conservez tous les médicaments hors de la portée et de la vue des enfants.
Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.
Informations importantes sur tous les médicaments
Informations importantes sur tous les médicaments
Never take more than the prescribed dose. If you suspect that you or someone else might have had an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
Si vous devez subir une opération ou un traitement dentaire, indiquez à la personne chargée du traitement les médicaments que vous prenez.
Ce médicament est pour vous. Ne le donnez jamais à d'autres personnes, même si leur état semble être le même que le vôtre.
Ne gardez pas les médicaments périmés ou dont vous ne voulez plus. Apportez-les à votre pharmacie locale qui les éliminera pour vous.
Si vous avez des questions sur ce médicament, demandez à votre pharmacien.
Signaler les effets secondaires d'un médicament ou d'un vaccin
Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne sur le site web de la carte jaune.
Autres lectures et références
- Manufacturer's PIL, Singulair® 10 mg tablets; Organon Pharma (UK) Limited, The electronic Medicines Compendium. December 2022.
- Manufacturer's PIL, Singulair® Paediatric 4 mg tablets; Organon Pharma (UK) Limited, The electronic Medicines Compendium. Dated September 2022.
- Manufacturer's PIL, Singulair® Paediatric 4 mg granulesMerck Sharp & Dohme Limited, The electronic Medicines Compendium. Daté de septembre 2022.
- Médicaments Complet BNF 89ème éditionBritish Medical Association et Royal Pharmaceutical Society of Great Britain, Londres.
Historique de l'article
Les informations contenues dans cette page sont rédigées et évaluées par des cliniciens qualifiés.
Prochaine révision prévue : 3 septembre 2027
3 Sept 2024 | Dernière version

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