Montelukast

Montelukast blocks leukotrienes, which are chemicals the body releases when you breathe in an allergen, causing swelling in your lungs.

Dosage by Body Weight

Dosed by age/weight. Granules can be mixed with soft foods (applesauce, rice) but not dissolved in liquid.

  1. Body Weight
    Under 15 kg (Age 6m-5y)
    Dose
    4 mg
    Frequency
    Once daily (evening)
    Tracking Notes
    Use granules for very young children; chewable tablets for ages 2+.
  2. Body Weight
    Over 15 kg (Age 6-14y)
    Dose
    5 mg
    Frequency
    Once daily (evening)
    Tracking Notes
    Chewable tablet formulation.

Formulation

Chewable TabletGranulesTablet

Purpose

Leukotriene receptor antagonist used for the long-term treatment of asthma and relief of seasonal allergies.

Generic Name

Montelukast Sodium

Branded Drug Names

Montelukast is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Safety Advice

Alcohol

CAUTION

Alcohol has no major direct interaction with montelukast, but avoid alcohol if it worsens sleep, mood, or asthma control.

Pregnancy

SAFE IF PRESCRIBED

Montelukast may be continued during pregnancy when prescribed for asthma or allergies. Do not stop asthma control medicine without medical advice.

Breast Feeding

SAFE IF PRESCRIBED

Montelukast passes into breast milk in low amounts and is generally considered acceptable when prescribed. Consult your healthcare provider.

Driving

SAFE

Montelukast usually does not impair driving, but sleepiness, dizziness, or mood changes can occur. Avoid driving if affected.

Liver

CAUTION

Montelukast is processed by the liver. People with liver disease should use it with medical advice and report unusual symptoms.

Kidney

SAFE IF PRESCRIBED

Montelukast generally does not require kidney dose adjustment, but use under medical guidance for chronic conditions.

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.