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    Montelukast Sodium

    Montelukast sodium Prescription
    Generic Name: Montelukast Tablets (mon te LOO kast)
    Brand Name: Singulair
    Easy-to-read patient leaflet for Montelukast Tablets. Includes indications, proper use, special instructions, precautions, and possible side effects.

    Average Savings for montelukast sodium (generic): 68.36%
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    Montelukast Sodium Drug Information:

    For breathing problems: This medicine may interact with other drugs or health problems. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine (montelukast tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. For all uses of this medicine (montelukast tablets): Learn more

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    Montelukast sodium Medicare Coverage

    Montelukast sodium Medicare Overview

    Does Medicare cover Montelukast sodium?

    Yes

    100% of Medicare Part D and Medicare Advantage plans cover this drug.
    How much is my Montelukast sodium co-pay with Medicare?

    It depends. Which coverage stage are you in? Click on a tab below…

    CO-PAY RANGE

    FREE – $17

    In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.

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    Here are some ways that may lower the cost of your montelukast sodium prescription.

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    Montelukast Tablets

    Generic Name: Montelukast Tablets (mon te LOO kast)
    Brand Name: Singulair
    Uses of Montelukast Tablets:
    • It is used to ease allergy signs.
    • It is used to prevent exercise-induced breathing problems.
    • It is used to treat or prevent asthma.
    • It may be given to you for other reasons. Talk with the doctor.

    For breathing problems:

    • This medicine is not to be used to treat intense flare-ups of shortness of breath. Use a rescue inhaler. Talk with the doctor.

    What do I need to tell my doctor BEFORE I take Montelukast Tablets?

    • If you have an allergy to montelukast or any other part of this medicine (montelukast tablets).
    • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

    This medicine may interact with other drugs or health problems.

    Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine (montelukast tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

    What are some things I need to know or do while I take Montelukast Tablets?

    For all uses of this medicine (montelukast tablets):

    • Tell all of your health care providers that you take this medicine (montelukast tablets). This includes your doctors, nurses, pharmacists, and dentists.
    • Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.

    For breathing problems:

    • Call your doctor right away if your breathing problems get worse, if your rescue inhaler does not work as well, or if you need to use your rescue inhaler more often.
    • If you take this medicine (montelukast tablets) for asthma or allergy, do not take another dose to prevent exercise-induced breathing problems.
    • If you have asthma and taking aspirin makes it worse, keep avoiding aspirin and NSAIDs while you take this medicine (montelukast tablets).
    • If you are switching to this medicine (montelukast tablets) from a steroid, do not stop taking the steroid all of a sudden. The dose of the steroid may need to be slowly lowered to avoid side effects. Talk with the doctor.

    How is this medicine (Montelukast Tablets) best taken?

    Use this medicine (montelukast tablets) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

    • Take with or without food.
    • Keep taking this medicine (montelukast tablets) even when you are not having symptoms.
    • If working out or playing sports causes signs, use at least 2 hours before doing it.
    • If this medicine (montelukast tablets) is for asthma, take in the evening.

    What do I do if I miss a dose?

    • Skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.

    What are some side effects that I need to call my doctor about right away?

    WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

    For all patients taking this medicine (montelukast tablets):

    • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
    • Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
    • Signs of a pancreas problem (pancreatitis) like very bad stomach pain, very bad back pain, or very bad upset stomach or throwing up.
    • Signs or symptoms of depression, suicidal thoughts, emotional ups and downs, abnormal thinking, anxiety, or lack of interest in life.
    • Signs of a very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in the mouth, throat, nose, or eyes.
    • Hallucinations (seeing or hearing things that are not there).
    • Memory problems or loss.
    • Feeling confused, not able to focus, or change in behavior.
    • Strange or odd dreams.
    • Trouble sleeping.
    • Trouble speaking.
    • Restlessness.
    • Sleepwalking.
    • Shakiness.
    • Trouble controlling body movements.
    • Seizures.
    • Trouble breathing that is new or worse.
    • Fever.
    • Flu-like signs.
    • Sinus pain.
    • Chest pain.
    • A heartbeat that does not feel normal.
    • Any unexplained bruising or bleeding.
    • A burning, numbness, or tingling feeling that is not normal.
    • Ear pain.
    • Muscle or joint pain.
    • Swelling.

    Children:

    • Bedwetting.

    What are some other side effects of Montelukast Tablets?

    All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

    • Headache.
    • Stomach pain or diarrhea.
    • Signs of a common cold.
    • Cough.

    These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

    You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

    If OVERDOSE is suspected:

    If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

    How do I store and/or throw out Montelukast Tablets?

    • Store in the original container at room temperature.
    • Protect from light.
    • Store in a dry place. Do not store in a bathroom.
    • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
    • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

    Consumer information use

    • If your symptoms or health problems do not get better or if they become worse, call your doctor.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
    • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this medicine (montelukast tablets), please talk with your doctor, nurse, pharmacist, or other health care provider.
    • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
    Further information

    Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

    Medical Disclaimer

    More about montelukast

    • Side Effects
    • During Pregnancy or Breastfeeding
    • Dosage Information
    • Patient Tips
    • Drug Images
    • Drug Interactions
    • Support Group
    • Pricing & Coupons
    • En Español
    • 376 Reviews
    • Drug class: leukotriene modifiers
    • FDA Alerts (2)

    Consumer resources

    • Montelukast
    • Montelukast Chewable Tablets
    • Montelukast Oral Granules

    Other brands: Singulair

    Professional resources

    • ... +4 more

    Related treatment guides

    • Allergic Rhinitis
    • Bronchospasm Prophylaxis
    • COPD
    • Asthma
    • Asthma, Maintenance
    Editorial References and Review

    Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

    Source: Drugs.com Montelukast Sodium (www.drugs.com/montelukast.html).

    Montelukast Sodium Side Effects

    For the Consumer

    Applies to montelukast: oral packet, oral tablet, oral tablet chewable

    Along with its needed effects, montelukast may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

    Check with your doctor immediately if any of the following side effects occur while taking montelukast:

    Less common

    • Abdominal or stomach pain
    • bloody nose
    • flu-like symptoms
    • general feeling of discomfort or illness
    • headache
    • joint pain
    • pain or tenderness around the eyes and cheekbones
    • shortness of breath or troubled breathing
    • sweating
    • tightness of the chest
    • trouble with swallowing
    • unusual tiredness or weakness

    Rare

    • Pus in the urine

    Incidence not known

    • Agitation
    • anxiety
    • attempts at killing oneself
    • breathing problems
    • confusion about identity, place, and time
    • constipation
    • fast, irregular, pounding, or racing heartbeat or pulse
    • feeling sad or empty
    • hives or welts
    • indigestion
    • itching, puffiness, or swelling of the eyelids or around the eyes, face, lips, or tongue
    • lack of appetite
    • pains in the stomach, side, or abdomen, possibly moving to the back
    • redness of the skin
    • shaking or trembling of the hands or feet
    • trouble with concentrating
    • unable to sleep
    • unpleasant breath odor
    • upper right abdominal or stomach pain
    • vomiting of blood
    • yellow eyes or skin

    Some side effects of montelukast may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

    Less common

    • Acid or sour stomach
    • belching
    • blurred vision
    • change in near or distance vision
    • dental pain
    • earache
    • heartburn
    • lack or loss of strength
    • pain
    • skin rash, encrusted, scaly and oozing
    • stomach discomfort, upset, or pain

    Incidence not known

    • Burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
    • dreams that are unusual
    • increased tendency to bleed
    • large, flat, blue or purplish patches on the skin
    • muscle aching or cramping
    • sleepiness
    • swollen joints

    For Healthcare Professionals

    Applies to montelukast: oral granule, oral tablet, oral tablet chewable

    General

    The most common adverse reactions (incidence more than 5% and greater than placebo) were: Upper respiratory infection, fever, headache, pharyngitis, cough, abdominal pain, diarrhea, otitis media, influenza, rhinorrhea, sinusitis, otitis.

    Immunologic

    Very rare (less than 0.01%): Churg-Strauss Syndrome

    Churg-Strauss syndrome is a rare granulomatous eosinophilic condition that involves the upper and lower airways and manifests as rhinitis, sinusitis and asthma. If untreated the syndrome may progress to systemic vasculitis, peripheral neuropathy and potentially fatal cardiac complications. In most cases, the condition emerged during withdrawal of oral corticosteroid therapy. A causative role for leukotriene receptor antagonists has not been ruled out.

    Nervous system

    Very common (10% or more): Headache (18.4%)

    Common (1% to 10%): Dizziness (1.9%)

    Postmarketing reports: Disturbance in attention, irritability, memory impairment, tremor, drowsiness, paraesthesia/hypoesthesia, seizures

    Dermatologic

    Common (1% to 10%): Rash (1.6%), atopic dermatitis, skin infection, eczema, urticaria

    Postmarketing reports: Angioedema, bruising, erythema multiforme, erythema nodosum, pruritus, Stevens-Johnson syndrome/toxic epidermal necrolysis

    Gastrointestinal

    Common (1% to 10%): Abdominal pain (2.9%), dyspepsia (2.1%), dental pain (1.7%), gastroenteritis (1.5%), nausea, diarrhea, dyspepsia, gastroenteritis, tooth infection

    Hepatic

    Common (1% to 10%): ALT increase (2.1%), AST increased (1.6%)

    Postmarketing reports: Hepatic eosinophilic infiltration; cases of cholestatic hepatitis, hepatocellular liver-injury, and mixed-pattern liver injury. Most of these occurred in combination with other confounding factors, such as use of other medications, or when administered to patients who had underlying potential for liver disease such as alcohol use or other forms of hepatitis.

    Ocular

    Common (1% to 10%): Myopia, conjunctivitis

    Other

    Common (1% to 10%): Asthenia, fatigue (1.8%), fever (1.5%), trauma (1%), influenza, fever, otitis, viral infection, varicella, ear pain, otitis media

    Uncommon (0.1% to 1%): Malaise

    Postmarketing reports: Edema

    Respiratory

    Common (1% to 10%): Influenza (4.2%), cough (2.7%), nasal congestion (1.6%), pharyngitis, sinusitis, laryngitis, infective rhinitis, acute bronchitis, rhinorrhea, pneumonia, upper respiratory infection, wheezing, tonsillitis

    Postmarketing reports: Epistaxis, pulmonary eosinophilia

    Cardiovascular

    Postmarketing reports: Palpitations

    Genitourinary

    Postmarketing reports: Enuresis in children

    Hematologic

    Postmarketing reports: Increased bleeding tendency, thrombocytopenia

    Hypersensitivity

    Postmarketing reports: Anaphylaxis

    Musculoskeletal

    Postmarketing reports: Arthralgia, myalgia including muscle cramps

    Psychiatric

    Postmarketing reports: Agitation including aggressive behavior or hostility, anxiousness, depression, disorientation, dream abnormalities, hallucinations, insomnia, restlessness, somnambulism, suicidal thinking and behavior (including suicide)

    Editorial References and Review

    Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

    Source: Drugs.com Montelukast Sodium (www.drugs.com/montelukast.html).

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