Pharma Aspira 4mg Oral Granules

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

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Overview

Pharma Aspira 4mg Oral Granules is supplied as granules, with Montelukast sodium, equivalent to 4mg montelukast per sachet. It is supplied in a pack size of 28s.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

Open the sachet and give the full dose of granules directly into the mouth, or mixed with a spoonful of cold or room-temperature soft food such as mashed potatoes, ice cream, or carrots, exactly as prescribed by your doctor. The granules should not be dissolved in liquid to drink, and any prepared dose should be given immediately and not stored for later use. This medicine is usually given once daily in the evening, whether or not your child has symptoms that day, since it works to prevent symptoms rather than treat them immediately.

Dosage

The dose of Pharma Aspira 4mg Oral Granules will be determined by your child’s doctor based on their age, weight, and the condition being treated, and must never be adjusted without medical advice. This medicine should be given regularly, usually once daily in the evening, even when your child is well, as part of ongoing prevention rather than only during flare-ups. It is not intended to relieve a sudden asthma attack — a fast-acting reliever inhaler, if prescribed, should be used for that purpose instead. If a dose is missed, give it as soon as remembered unless it is close to the next dose; do not give a double dose.

Storage Instructions

Store Pharma Aspira 4mg Oral Granules below 30°C in a dry place, away from direct sunlight and moisture, and keep sachets in their original packaging until ready for use. Keep out of the reach and sight of children.

Side Effects

  • Headache
  • Stomach discomfort or pain
  • Cough
  • Dizziness
  • Fatigue
  • Sore throat
  • Diarrhoea

Contraindications

  • Known hypersensitivity to montelukast or any ingredient in the granules.
  • Use as a stand-alone treatment for an acute asthma attack — it is not a rescue medicine.
  • Use in place of a prescribed reliever inhaler without a doctor’s specific instruction.

Drug / Food Interactions

  • Certain medicines that induce liver enzymes, such as phenobarbital and rifampicin, may reduce montelukast levels in the body.
  • Montelukast can be given with or without food, but should be given at the same time each day, usually in the evening.
  • Tell your doctor about all other medicines your child is taking, including other asthma or allergy treatments, to check for suitability.

Quick Tips

  • Give this medicine every evening as prescribed, even when your child has no symptoms.
  • Never use it to treat a sudden asthma attack — use the prescribed reliever inhaler instead.
  • Mix the full dose into a spoonful of soft food and give it right away, not stored for later.
  • Watch for and report any mood, sleep, or behaviour changes to your doctor.
  • Keep other asthma or allergy medicines on hand as advised by your doctor.
  • Bring the medicine to follow-up visits so your doctor can review your child’s response.

Ingredients / Active Ingredients

  • Active ingredient: Montelukast sodium, equivalent to 4mg montelukast per sachet.
  • Formulated as oral granules for children who cannot swallow tablets.
  • Leukotriene receptor antagonist class of asthma/allergy preventer medicine.
  • Full list of inactive ingredients is available on the product package insert.

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Precautions: Montelukast is not a substitute for a prescribed reliever inhaler and should not be stopped suddenly without a doctor’s advice, even if asthma or allergy symptoms seem well controlled. Parents and caregivers should watch for any changes in mood, sleep, or behaviour after starting this medicine, as these have been reported with montelukast use.

When to See a Doctor or Pharmacist: Seek prompt medical advice if your child develops worsening asthma symptoms, needs to use a reliever inhaler more often than usual, or shows new mood, sleep, or behavioural changes. Contact DoctorOnCall’s pharmacist team if you have questions about how to give this medicine or about missed doses.

Frequently Asked Questions

Product Specifications

BrandPharmaniaga
ClassificationNon-prescription
Ingredients / Active IngredientsMontelukast
Pack Size28s
Shelf LifePlease refer to the expiry date printed on the sachet or carton, and do not use this product beyond that date.

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Important Medical Information

💊 Recommended Dosage:

The dose of Pharma Aspira 4mg Oral Granules will be determined by your child’s doctor based on their age, weight, and the condition being treated, and must never be adjusted without medical advice. This medicine should be given regularly, usually once daily in the evening, even when your child is well, as part of ongoing prevention rather than only during flare-ups. It is not intended to relieve a sudden asthma attack — a fast-acting reliever inhaler, if prescribed, should be used for that purpose instead. If a dose is missed, give it as soon as remembered unless it is close to the next dose; do not give a double dose.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to montelukast or any ingredient in the granules.
  • Use as a stand-alone treatment for an acute asthma attack — it is not a rescue medicine.
  • Use in place of a prescribed reliever inhaler without a doctor’s specific instruction.
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Headache
  • Stomach discomfort or pain
  • Cough
  • Dizziness
  • Fatigue
  • Sore throat
  • Diarrhoea
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.