MONTELUKAST 4MG ORAL GRANULES
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Drug Information For:
SINGULAIR 4MG ORAL GRANULES
Ingredient Name:MONTELUKAST (mon-te-LOO-kast)
Drug Manufacturer:MERCK HUMAN HEALTH
Common Uses:This medicine is a leukotriene receptor antagonist used for the prevention and long-term treatment of asthma. It is used to prevent asthma attacks caused by exercise and to relieve allergy symptoms (eg, itchy, runny, or stuffy nose; sneezing) in certain patients. This medicine works by blocking substances in the body called leukotrienes. Blocking leukotrienes improves asthma and seasonal or perennial allergy symptoms. It may also be used to treat other conditions as determined by your doctor.
Before Using This Medicine:Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. TELL YOUR DOCTOR if you have been taking a corticosteroid (eg, prednisone) and will be stopping it or lowering its dose. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including liver problems or a history of mental or mood problems, suicidal thoughts or actions, allergies, pregnancy, or breast-feeding. Tell your doctor if you drink alcohol. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
How to Use This Medicine:Follow the directions for using this medicine provided by your doctor. This medicine may come with a patient leaflet. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. If taking this medicine for asthma, this medicine is usually taken once daily in the evening. If you are taking this medicine for hay fever, take it at about the same time each day (either morning or evening). If you are taking for both asthma and hay fever, take the medicine in the evening. This medicine may be taken on an empty stomach or with food. DO NOT open the packet until your are ready to use it. The granules may be placed directly in the mouth, dissolved in 1 teaspoonful (5 ml) of cold or room temperature baby formula or breast milk, or mixed with a spoonful of soft food at cold or room temperature before swallowing. Soft foods that may be used include applesauce, mashed carrots, rice, or ice cream. Be sure to swallow the entire spoonful right away (within 15 minutes). DO NOT put the granules in liquid other than baby formula or breast milk. However, you may drink liquids after swallowing the granules or granule mixture. STORE THIS MEDICINE at room temperature, between 59 and 86 degrees F (15 and 30 degrees C) in the original packet, away from heat, moisture, and light. Do not store in the bathroom. Never store granules mixed with food for later use. KEEP THIS MEDICINE out of the reach of children and away from pets. CONTINUE TO TAKE THIS MEDICINE even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.
Cautions:DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or if you are allergic to any ingredient in this product. THIS MEDICINE WILL NOT STOP AN ASTHMA ATTACK once one has started. IF YOU ARE ALSO USING A BRONCHODILATOR INHALER, be sure to always carry the inhaler with you to use during asthma attacks. Consult your doctor or pharmacist for specific advice on all drug therapy. CONTACT YOUR DOCTOR PROMPTLY IF YOUR SYMPTOMS DO NOT IMPROVE or if they become worse while you are using this medicine. CONTACT YOUR DOCTOR PROMPTLY if your short-acting inhaler use increases or if use exceeds the 24-hour maximum prescribed by the doctor. DO NOT STOP OR LOWER YOUR DOSE OF THIS MEDICINE or other asthma medicines without first checking with your doctor. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. Laboratory and/or medical tests, including lung function, will be performed periodically to monitor your progress or check for side effects. Consult your doctor for more information. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine. If your asthma is sensitive to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen), continue to avoid those medicines as directed by your doctor. This medicine may cause drowsiness or dizziness. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. SOME PATIENTS TAKING THIS MEDICINE HAVE DEVELOPED MENTAL OR MOOD CHANGES, including suicidal thoughts or actions. Contact the doctor immediately if you experience symptoms such as agitation, aggression, hostility, anxiety, depression, strange dreams, trouble sleeping, sleepwalking, tremor, hallucinations, restlessness, irritability, or any unusual change in mood or behavior. Contact the doctor immediately if any signs of suicidal thoughts or actions occur. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: IF YOU BECOME PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.
Possible Side Effects:SIDE EFFECTS that may occur while taking this medicine include cough; diarrhea; headache; indigestion; mild sore throat; mild stomach pain; nausea; runny or stuffy nose; stomach upset; or tiredness. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience chest pain; confusion; dark urine; ear pain; fever, chills, or persistent sore throat; flu-like symptoms; irregular heartbeat; mental or mood changes (eg, agitation, aggression, hostility, anxiety, depression, strange dreams, sleepwalking, hallucinations, restlessness, irritability); new or worsening breathing problems; numbness or tingling of hands or feet; red, swollen, blistered, or peeling skin; severe or persistent stomach pain, with or without nausea or vomiting; seizures; sinus pain; suicidal thoughts or actions; swelling of the hands, ankles, or feet; tremor; trouble sleeping; unusual bruising or bleeding; upper respiratory tract infection; or yellowing of the skin or eyes. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; or unusual hoarseness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Overdose:If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include hyperactivity, severe or persistent headache, stomach pain, unusual drowsiness or restlessness, unusual thirst, or vomiting.
Additional Information:If you are taking this medicine for asthma, carry an identification card at all times that says you have asthma. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain necessary refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.
Copyright 2014 Wolters Kluwer Health, Inc.