Montair 4mg Tablet 1 Strip

✔️ Dosage & Administration

Adults and Adolescents (≥15 years):

• 10 mg once daily for asthma or seasonal allergic rhinitis.

Pediatric Dosage:

• 6 to 14 years: 5 mg once daily
• 2 to 5 years: 4 mg once daily
• 6 months to 5 years (oral granules): 4 mg once daily

Can be given directly, or mixed with cold soft food or water.

Special Populations:

• Hepatic Impairment: No dose adjustment required in mild to moderate cases
• Renal Impairment: Dose adjustment is not necessary
• Elderly: Similar pharmacokinetics to younger adults; no dose change needed

✔️ Side Effects

Common: Headache, nausea, vomiting, diarrhea, fever, GI discomfort, upper respiratory tract infection, skin rash.
Uncommon: Anxiety, dizziness, sleep disturbances, dry mouth, joint pain, mood changes, muscle aches.
Rare: Suicidal thoughts, memory issues, liver problems, hallucinations, angioedema, eosinophilic granulomatosis, tremors.

✔️ Drug Interactions

Montair has shown no significant interactions with commonly used asthma medications or agents like theophylline, prednisone, oral contraceptives, terfenadine, digoxin, and warfarin.
Montair can be co-administered safely with thyroid hormones, NSAIDs, sedatives, benzodiazepines, and decongestants.
However, Phenobarbital may reduce Montair’s plasma levels by about 40%. Clinical monitoring is advised when co-administered with enzyme inducers such as rifampin or phenobarbital.

✔️ Contraindications

Hypersensitivity to Montelukast or any of its components.

✔️ Pregnancy & Lactation

Pregnancy: Although animal studies show placental transfer, human data is lacking. Use only when necessary.

Breastfeeding: Caution is advised as Montelukast may be excreted in breast milk.

✔️ Precautions & Warnings

• Not suitable for treating acute asthma attacks. Rescue inhalers should be readily available.
• Do not abruptly replace inhaled or oral corticosteroids with Montair.
• Not intended for monotherapy in exercise-induced bronchospasm.
• Aspirin-sensitive patients should continue avoiding NSAIDs and aspirin even while on Montair.

✔️ Storage Instructions

• Store below 30°C, in a cool, dry place, away from light and moisture.
• Keep out of reach of children.