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Singulair 

Singulair is generically known as Montelukast. It is a potent medicine that blocks some inimical chemical substances (Leukotrienes) produced when you inhale substances that cause allergic reactions (allergens) in the body. These are then responsible for the inflammation of the lungs and compacting of the muscles of the trachea. This eventually may lead to signs of asthma. Singulair helps in protecting adults and children at least a year old from an asthma attack. It also works for the prevention of difficulty in breathing caused by the contraction of smooth muscle in the walls of the bronchi and bronchioles (from exercise) in children not less than 6 years old and adults. Singulair works for the therapy of seasonal and perennial allergies in adults and kids (not less 6 months old and 24 months old respectively). This medicine can be taken as a curative agent for bronchoconstriction (from exercise) in adults and children (15 years old and above). 

Composition 

Montelukast tablets are in different forms, strengths, and composites. 

Singulair tablet in 10 mg of Montelukast contains: 

  • Microcrystalline cellulose; 
  •  Hydroxypropyl cellulose; 
  •  Croscarmellose sodium; 
  • Lactose monohydrate; 
  • Magnesium stearate. 

Montelukast in its film coating forms contains: 

  • Hydroxypropyl methylcellulose; 
  • Yellow ferric oxide; 
  •  Hydroxypropyl cellulose;  
  • Red ferric oxide; 
  •  Titanium dioxide; 
  • Carnauba wax. 

Singulair tablet in 4 mg and 5 mg (chewable tablet) contains: 

  • Mannitol; 
  •  Aspartame; 
  • Microcrystalline cellulose; 
  •  Croscarmellose sodium; 
  • Hydroxypropyl cellulose; 
  • Red ferric oxide; 
  • Cherry flavor; 
  • Magnesium stearate. 

Singulair tablet in 4 mg (oral granules): 

  • Mannitol; 
  •  Hydroxypropyl cellulose; 
  • Magnesium stearate. 

Indication 

Singulair as a potent medicine is frequently used for the prevention of difficulty in breathing and lowers the risk to asthma attacks. Montelukast is taken before physical training for the prevention of bronchospasm and for the therapy of bronchoconstriction.  It reduces the symptoms of allergic rhinitis and hay fever. Singulair tablet should be avoided for the treatment of sudden attacks of asthma and other difficulties in breathing conditions. Montelukast inhibits Leukotrienes which may exacerbate allergies and asthma. It helps to minimize swollen windpipes and promotes easy breathing. 

Mode of Indication, Dosage, and Duration of Treatment 

You are advised to adhere to all given instructions by your doctor or those found on the prescription label. You are not expected to take Singulair tablet more, less or longer than it is required. Take the prescribed dose once in the evening per day. If it is used for bronchoconstriction, ensure you take one dose not less than 2 hours to the time for exercise. Ensure you avoid the use of Singulair tablet as a replacement for inhaler in the sudden asthma attack.  Montelukast medicine is meant to be swallowed and supported by the intake of enough water. For its chewable form, ensure that before you swallow, you chew completely. Swallow the regular tablet whole, with a glass of water. For oral granules, you can take it with ice cream, rice, mashed carrots, a spoonful of applesauce, etc. Seek further guidance from your doctor and ensure you notify your doctor if there is no improvement on symptoms after many weeks of use.  

Precautions 

Ensure you adhere strictly to the following precautionary measures before or when using Singulair: 

  • Patients who are allergic to Singulair should keep away from its use. 
  • Ensure you notify the doctor if you experience any of the following: 
  • Asthma; 
  • Severe allergic reaction aspirin; 
  • Phenylketonuria. 
  • Gravid women or those that may become gravid should seek the recommendations of their doctors before the use of Montelukast. 
  • Lactating mothers should ask the tips of their doctors before the use of Singulair. 

Side Effects 

You are advised to call immediately for medical attention if you begin to experience an allergic reaction such as difficulty breathing; swollen lips, face tongue or throat; and hives. The following are some of the common side effects of Montelukast: 

  • Headache; 
  • Stomach pain; 
  • Diarrhea; 
  • Fever;  
  • Common cold symptoms; 
  • The uncontrollable bladder in children. 

Interaction with other drugs 

It is advisable to tell the doc before the use of any medication with Singulair as it may result in an unpleasant effect. The following may interact with Montelukast: 

  • Herbal products; 
  • Prescription and over-the-counter medicines; 
  • Vitamins.