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مونتيلوكاست للربو

Singulair

Take montelukast regularly every evening.

Your doctor will prescribe a reliever inhaler for you to use in case you have an asthma attack. Make sure that you keep it with you all the time.

The most common side-effects of montelukast are respiratory infections, tummy (abdominal) pain and headache.

In some cases taking montelukast has led to changes in mood and behaviour in children, teenagers and adults. If you notice any worrying signs or changes in behaviour in yourself or a child taking montelukast discuss it with your doctor as soon as possible.

نظرة سريعة

  • Montelukast is a medicine used to treat asthma, taken once a day in the evening.

  • It works by blocking substances in the body that cause inflammation in the lungs.

  • Montelukast will not give immediate relief during an asthma attack.

  • Tell your doctor if you are pregnant, trying for a baby, or breastfeeding.

  • Common side-effects include tummy pain, feeling sick, headache, and infections.

  • Seek medical advice for worsening asthma symptoms or mood and behaviour changes.

About montelukast

نوع الدواء

A leukotriene receptor antagonist

يستخدم لـ

الربو

يُعرف أيضًا باسم

Singulair®

متوفر كـ

Tablets, chewable tablets (for children), and sachets of granules (for children)

الربو is a common condition caused by inflammation in the smaller airways of the lungs. The inflammation irritates the muscles around the airways and causes them to constrict. This causes your airways to narrow. It is then more difficult for air to get in and out of your lungs. This causes the typical symptoms of wheeze, chest tightness and shortness of breath. The inflammation also causes the lining of your airways to make extra mucus which causes coughing.

Asthma symptoms can flare up from time to time and there may be no apparent reason why. However, some people find that symptoms are made worse by triggers such as exercise and pollen. These things cause your body to produce chemical substances called leukotrienes, which cause the inflammation. Montelukast helps control the symptoms of asthma by blocking the effects of these leukotrienes. It is especially helpful for people whose asthma symptoms are brought on by exercise or seasonal allergies such as hay fever.

Before taking montelukast

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking montelukast it is important that your doctor knows:

  • إذا كنتِ حاملاً، تحاولين الإنجاب أو تقومين بالرضاعة الطبيعية.

  • إذا كنت تتناول أو تستخدم أي أدوية أخرى. يشمل ذلك أي أدوية تتناولها والتي يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.

  • إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.

How to take montelukast

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about montelukast and will provide you with a full list of the side-effects which you could experience from taking it.

  • Take montelukast once every day, in the evening. The dose for adults is one 10 mg tablet. If montelukast has been prescribed for your child, the dose will depend on their age: it is 4 mg for children aged from 6 months to 5 years, and 5 mg for children aged from 6 years to 14 years.

  • The 10 mg (adult) tablet can be swallowed with a drink of water and can be taken either before or after food.

  • If your child has been prescribed tablets to take, they are cherry-flavoured chewable tablets. The tablets should preferably be taken 'on an empty stomach', which means your child should take them about an hour before a meal, or wait until two hours afterwards. They should be chewed before being swallowed.

  • If your child has been prescribed granules (in sachets), these can simply be poured into the mouth and swallowed. Alternatively if your child prefers, you can mix the granules into a small amount of cold, soft food (such as yoghurt, ice cream or mashed fruit or vegetables). It doesn't matter if montelukast granules are taken before or after meals but they should not be mixed into drinks or hot food.

  • Remember to take montelukast regularly every day, even if your asthma is well controlled. Try not to miss any of your doses but if you do forget, just take your next dose when it is due. Do not take two doses together to make up for a forgotten dose.

تحقيق أقصى استفادة من علاجك

  • Try to keep your regular appointments with your doctor. This is so your doctor can check on your (or your child's) progress.

  • Montelukast will not give you immediate relief if you are having an asthma attack. Your doctor will prescribe a reliever inhaler for you to use if this happens. Make sure that you keep it with you all the time in case you need to use it.

  • If you find that your asthma symptoms are getting worse, or that you need to use the reliever inhaler more regularly than usual, please contact your doctor or nurse for advice straightaway.

  • Do not smoke. Smoking causes severe irritation and damage to the lungs. It will make your condition worse and will reduce the beneficial effects of your medication.

  • If you buy any medicines, check with a pharmacist that they are suitable for you to take. Some anti-inflammatory painkillers and aspirin can make asthma symptoms worse in some people.

Can montelukast cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains the most common ones associated with montelukast. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common montelukast side-effects (these affect fewer than 1 in 10 people)

ماذا يمكنني أن أفعل إذا واجهت هذا؟

ألم في البطن (المعدة)، الشعور بالغثيان، الإسهال

Speak with your doctor if this continues

صداع

اشرب الكثير من الماء واطلب من الصيدلي أن يوصي بمسكن مناسب للألم. إذا استمرت الصداع، أخبر طبيبك

Throat and chest infections, high temperature (fever), skin rash

إذا كان الأمر مزعجًا، تحدث مع طبيبك

مهم: if you get any of the following symptoms, please let your doctor know straightaway. These can be a sign of a very rare but serious disorder called Churg-Strauss syndrome: flu-like symptoms, tingling feelings or numbness in your arms or legs, difficulties with breathing, and skin rash.

مهم: In some cases taking montelukast has led to changes in mood and behaviour in children, teenagers and adults. These changes have included anxiety, irritability, restlessness, agitation, aggressive behaviour and depression. In very rare cases hallucinations, obsessive-compulsive behaviours and suicidal thinking and behaviour have occurred. If you notice any worrying signs or changes in behaviour in yourself, or a child, taking montelukast, discuss it with your doctor as soon as possible.

إذا شعرت بأي أعراض أخرى تعتقد أنها قد تكون بسبب الدواء، يرجى التحدث مع طبيبك أو الصيدلي للحصول على مزيد من النصائح.

How to store montelukast

  • احفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.

  • احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.

معلومات هامة عن جميع الأدوية

معلومات هامة عن جميع الأدوية

لا تأخذ أبدًا أكثر من الجرعة الموصوفة. إذا كنت تشك في أنك أو شخص آخر قد تناول جرعة زائدة من هذا الدواء، اذهب إلى قسم الحوادث والطوارئ في مستشفى منطقتك. خذ العبوة معك، حتى لو كانت فارغة.

إذا كنت ستخضع لعملية جراحية أو أي علاج للأسنان، أخبر الشخص الذي يقوم بالعلاج بالأدوية التي تتناولها.

هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.

لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.

إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.

الإبلاغ عن الآثار الجانبية لدواء أو لقاح

إذا واجهت آثارًا جانبية، يمكنك الإبلاغ عنها عبر الإنترنت من خلال موقع بطاقة صفراء.

مدقق الأعراض

غير متأكد من خلط الأدوية؟

تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.

الأسئلة الشائعة

Can montelukast cause cough?

The article mentions that inflammation in the airways causes extra mucus, leading to coughing in asthma. However, it does not state that montelukast itself causes a cough as a side effect. Common side effects listed for montelukast include tummy pain, nausea, diarrhoea, headache, and throat/chest infections, but not cough directly.

Can montelukast make asthma worse?

Montelukast helps control asthma symptoms by blocking the effects of leukotrienes, which cause inflammation. The article advises contacting a doctor if asthma symptoms worsen or if a reliever inhaler is needed more regularly, as this indicates a need for medical advice, not necessarily that montelukast made it worse.

Does montelukast cause drowsiness?

The article does not list drowsiness as a common or rare side effect of montelukast. The reported side effects mainly include gastrointestinal issues, headaches, and infections. More serious but rare side effects involve mood and behavioural changes, but not drowsiness.

How quickly does montelukast provide relief for asthma symptoms?

Montelukast will not give you immediate relief if you are experiencing an asthma attack. For immediate relief during an asthma attack, your doctor will prescribe a reliever inhaler that you should keep with you.

What should I do if I forget to take my montelukast dose?

If you forget to take a dose, you should just take your next dose when it is due. Do not take two doses together to make up for a forgotten dose.

Is it safe to get dental treatment or an operation while taking montelukast?

Yes, but it is important to inform the person carrying out the dental treatment or operation about all the medicines you are taking, including montelukast.

Are there any specific foods or drinks I should avoid while taking montelukast?

For adult tablets, montelukast can be taken before or after food. For children's chewable tablets, they are preferably taken 'on an empty stomach', meaning about an hour before a meal or two hours after. For granules, they can be mixed with cold, soft food but should not be mixed into drinks or hot food. The article does not mention avoiding any specific food types.

قراءة إضافية ومراجع

عن المؤلفعرض السيرة الذاتية الكاملة

صورة المؤلف

مايكل ستيوارت، MRPharmS

مدير مراجعة النشرات الطبية – متعاقد، صيدلي

بكالوريوس الصيدلة (مع مرتبة الشرف)، عضو الجمعية الملكية للصيادلة

مايكل هو صيدلي مجتمعي يمارس عمله في منطقة ميدلاندز وجنوب يوركشاير ولديه أكثر من 20 عامًا من الخبرة في تقديم المشورة بشأن الأدوية والحالات الطبية. لديه خلفية قوية في تدريب الرعاية الصحية، حيث قام بإنتاج وتقديم دورات تدريبية لفرق الصيدلة وموظفي دور الرعاية السكنية، بما في ذلك الممرضات. كما ساهم في مجالس استشارية للصيدلة لإدارة الحالات ذات الحدة المنخفضة في المجتمع.

حول المراجع

صورة المؤلف

سيد داجاني

تخرج سلطان دجاني من كلية الصيدلة في لندن عام 1994 وأصبح أصغر عضو منتخب في مجلس الجمعية الملكية للصيدلة منذ تأسيسها في عام 1842.

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