Kusum Montular 10mg Tablet

Kusum Montular 10mg Tablet contains montelukast 10mg, a leukotriene receptor antagonist used for the long-term prevention and control of asthma in adults and adolescents, and for the relief of symptoms of allergic rhinitis. It works by blocking leukotrienes, chemical messengers involved in airway inflammation, swelling, and narrowing, thereby helping to reduce asthma symptoms such as wheezing, chest tightness, and shortness of breath, as well as nasal allergy symptoms such as sneezing, congestion, and a runny or itchy nose.

Kusum Montular 10mg Tablet is a prescription-only medicine in Malaysia and Singapore because it requires a doctor to confirm the diagnosis of asthma or allergic rhinitis, assess overall disease severity and control, and monitor for uncommon but important side effects, including changes in mood or behaviour that have been associated with montelukast. Customers must complete an online medical consultation through DoctorOnCall so that a doctor can review their suitability and issue a prescription before the order is dispensed by a registered pharmacist.

Montelukast selectively blocks the cysteinyl leukotriene receptor (CysLT1) found in airway tissue, preventing leukotrienes, which are released during allergic and asthmatic inflammation, from causing airway muscle constriction, increased mucus production, and swelling of the airway lining. By blocking this pathway, montelukast helps to keep airways more open and less reactive over time, complementing but not replacing fast-acting reliever inhalers used for immediate symptom relief during an asthma attack.

Kusum Montular 10mg Tablet must only be used following an online medical consultation and prescription through DoctorOnCall. It is usually taken once daily in the evening, with or without food, and swallowed whole with a glass of water. It should be taken regularly as prescribed, even when asthma or allergy symptoms are well controlled, and is not intended to relieve a sudden asthma attack, for which a fast-acting reliever inhaler should be used instead.

The usual dose prescribed for adults and adolescents aged 15 years and above is one 10mg tablet taken once daily in the evening. The dose and suitability for children below this age would require a different, age-appropriate formulation and strength as determined by a doctor, and treatment duration for either asthma control or allergic rhinitis is decided by the prescribing doctor based on ongoing response and review.

Kusum Montular 10mg Tablet typically has a shelf life of around 24 to 36 months from the date of manufacture when stored unopened under the recommended conditions. Always check the expiry date printed on the blister strip and outer carton before use, and do not use the tablets beyond this date.

Store Kusum Montular 10mg Tablet below 30°C in a cool, dry place away from direct sunlight and moisture. Keep the tablets in their original blister packaging until ready to use, and store out of the reach and sight of children.

• Known hypersensitivity to montelukast or any other ingredient in the tablet
• Not intended to treat an acute asthma attack or status asthmaticus; a fast-acting reliever inhaler must always be available for this purpose
• Caution in individuals with a history of significant mental health conditions, given the association of montelukast with mood and behavioural changes
• Caution in patients with phenylketonuria if the formulation contains aspartame; check the product information

• Phenobarbital and rifampicin, which induce liver enzymes, may reduce blood levels of montelukast and potentially its effectiveness
• Montelukast does not significantly interact with theophylline, warfarin, or oral contraceptives at standard doses, but all current medicines should still be reviewed by the prescribing doctor
• Should not be used as a substitute for, or to replace, inhaled or oral corticosteroids prescribed for asthma without a doctor’s guidance
• Inform your doctor if you are taking other asthma or allergy medicines so that your overall treatment plan can be coordinated

• Take Kusum Montular 10mg Tablet regularly every evening, even when you feel well, as it is a preventer rather than a fast-acting reliever
• Always carry your prescribed reliever inhaler for sudden asthma symptoms; this tablet will not stop an acute attack
• Report any new mood changes, unusual dreams, anxiety, or behavioural changes to your doctor as soon as possible
• Do not stop taking this medicine abruptly without consulting your doctor, even if symptoms have improved
• Keep scheduled follow-up appointments so your doctor can review asthma or allergy control and adjust treatment if needed

Because montelukast has been associated with neuropsychiatric side effects in some patients, doctors on DoctorOnCall will discuss these risks during the online consultation and ask about any personal or family history of mental health conditions before prescribing. Ongoing monitoring matters for Kusum Montular 10mg Tablet because asthma control can change over time, and a doctor needs to confirm the medicine is still providing adequate benefit and that no concerning side effects have developed. Patients or caregivers noticing new sleep problems, low mood, or behavioural changes should contact their doctor promptly rather than waiting for the next scheduled review.