III. Medications: Montelukast

  1. Tablets 10 mg
  2. Oral granules 4 mg
    1. May be mixed with other foods (not with liquids) and taken within 15 minutes
  3. Chewable tablets 4 mg, 5 mg
    1. Containdicated in Phenylketonuria (contain Phenylalanine)

IV. Dosing

  1. Asthma or Allergic Rhinitis
    1. Adults: 10 mg orally at bedtime
    2. Child age 6 to 14 years: 5 mg orally at bedtime
    3. Child age 2-5 years: 4 mg orally at bedtime
  2. Exercise-Induced Bronchospasm (EIB)
    1. Children age >=6 years or adults: 10 mg orally taken 2 hours before Exercise
    2. Limit to one dose (10 mg) daily
      1. Do NOT take a dose for Asthma/allergy AND a dose for EIB

V. Mechanism

  1. Attenuates bronchoconstriction and inflammation
  2. Leukotriene Receptor Antagonist (competitive inhibitor at D4 and E4 receptors)
    1. Similar to Zafirlukast (Accolate)
    2. Contrast with Leukotriene Synthesis Inhibitor (Zileuton or Zyflo)

VII. Efficacy

VIII. Safety

  1. Pregnancy Category B
  2. Unknown safety in Lactation

IX. Drug Interactions

  1. Montelukast levels decreased by other drugs
    1. Phenobarbital
    2. Rifampin

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Related Studies

Cost: Medications

montelukast (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
MONTELUKAST SOD 10 MG TABLET Generic $0.06 each
MONTELUKAST SOD 4 MG GRANULES Generic $0.95 each
MONTELUKAST SOD 4 MG TAB CHEW Generic $0.09 each
MONTELUKAST SOD 5 MG TAB CHEW Generic $0.08 each
singulair (on 1/14/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
SINGULAIR 10 MG TABLET Generic $0.06 each

Ontology: montelukast (C0298130)

Definition (NCI_NCI-GLOSS) The active ingredient in a drug used to treat symptoms of asthma, such as trouble breathing, tight chest, wheezing, coughing, and runny nose. Montelukast blocks the action of a substance that causes airways in the lungs to narrow and causes other symptoms of asthma. It is a type of leukotriene receptor antagonist and a type of antiasthmatic agent.
Concepts Pharmacologic Substance (T121) , Organic Chemical (T109)
MSH C093875
SnomedCT 320883008, 108619008, 373734003, 373728005
LNC LP171622-6
English montelukast (medication), montelukast, montelukast [Chemical/Ingredient], Montelukast agent, Montelukast (product), Montelukast agent (substance), MONTELUKAST, Montelukast product, Montelukast, Montelukast (substance), Montelukast product (product), Montelukast product (substance)
Spanish montelucast, producto (producto), montelukast (producto), montelucast, producto, agente con montelukast (sustancia), agente con montelukast, montelucast, producto (sustancia), montelukast (sustancia), montelukast

Ontology: Singulair (C0595724)

Concepts Pharmacologic Substance (T121) , Organic Chemical (T109)
MSH C093875
English Singulair, singulair, Cahill May Roberts brand of montelukast sodium, Merck Frosst brand of montelukast sodium, Merck Sharp & Dohme brand of montelukast sodium, Merck brand of montelukast sodium