Sandoz Montelukast 4mg Tablet

Brand Sandoz
Manufacturer Sandoz
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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. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Sandoz Montelukast 4mg Tablet is supplied as a tablet, with Montelukast (as montelukast sodium) 4mg. It is supplied in pack sizes of 10s and 30s.

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

Montelukast 4mg Tablet should only be given to a child as prescribed by a doctor, following the dose, frequency, and duration instructed. It is usually taken once daily in the evening, with or without food, and can be chewed or dissolved as directed depending on the exact formulation dispensed. Do not stop giving the medicine or change the dose without consulting the prescribing doctor, even if the child’s symptoms appear to improve, as Montelukast is intended for regular, ongoing use rather than as-needed relief.

Dosage

The standard dose of Montelukast for children aged 2 to 5 years is generally 4mg once daily, taken in the evening, but the exact dose and duration must be confirmed by the prescribing doctor based on the child’s age, weight, and medical history. Do not adjust the dose or give a double dose to make up for a missed one — if a dose is missed, continue with the next scheduled dose as normal, or ask the doctor or pharmacist for guidance.

Shelf Life

Sandoz Montelukast 4mg Tablet is generally stable for up to 2 to 3 years from the date of manufacture when stored correctly and unopened. Always check the expiry date printed on the packaging before use, and do not use the medicine beyond its stated expiry date.

Storage Instructions

Store Sandoz Montelukast 4mg Tablet below 30°C in a cool, dry place away from direct sunlight and moisture. Keep the tablets in their original packaging until ready for use. Keep out of reach and sight of children, even though this medicine is intended for children, to prevent accidental double-dosing.

Side Effects

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

Contraindications

  • Known hypersensitivity or allergy to Montelukast or any other ingredient in the tablet
  • Not to be used to treat an acute asthma attack or as a rescue medicine
  • Caution in children with a history of mental health or behavioural changes, as Montelukast has been associated with neuropsychiatric symptoms in some patients
  • Should not be used in place of doctor-prescribed inhaled corticosteroids without medical advice

Drug / Food Interactions

  • Phenobarbital and rifampicin may reduce the effectiveness of Montelukast by increasing its breakdown in the body
  • Inform the doctor about all other prescription and over-the-counter medicines, including other asthma or allergy treatments, being taken by the child
  • No significant food restrictions are generally required, and the tablet can be taken with or without food
  • Inform the doctor if the child is taking any herbal or traditional supplements, as interactions are not always well studied

Quick Tips

  • Give the tablet at the same time each evening to help maintain consistent symptom control
  • Do not use this medicine to treat a sudden asthma attack — always keep a rescue inhaler available as advised by the doctor
  • Report any unusual mood, behaviour, or sleep changes in the child to the prescribing doctor promptly
  • Continue giving the medicine as prescribed even if symptoms improve, unless the doctor advises stopping
  • Bring the child for scheduled follow-up reviews so the doctor can monitor progress and adjust treatment if needed

Ingredients / Active Ingredients

  • Montelukast (as montelukast sodium) 4mg

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

Sandoz Montelukast 4mg Tablet is prescribed as part of an ongoing asthma or allergic rhinitis management plan and is not a substitute for emergency asthma treatment. Parents and caregivers should watch for any behavioural or mood changes in the child and report these to the doctor, as this has been an area of specific monitoring attention for Montelukast use in children. Regular follow-up with the prescribing doctor through DoctorOnCall helps ensure the treatment remains appropriate as the child grows.

Frequently Asked Questions

Product Specifications

BrandSandoz
ManufacturerSandoz
ClassificationNon-prescription
Ingredients / Active IngredientsMontelukast
Pack Size10s, 30s

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Important Medical Information

💊 Recommended Dosage:

The standard dose of Montelukast for children aged 2 to 5 years is generally 4mg once daily, taken in the evening, but the exact dose and duration must be confirmed by the prescribing doctor based on the child’s age, weight, and medical history. Do not adjust the dose or give a double dose to make up for a missed one — if a dose is missed, continue with the next scheduled dose as normal, or ask the doctor or pharmacist for guidance.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity or allergy to Montelukast or any other ingredient in the tablet
  • Not to be used to treat an acute asthma attack or as a rescue medicine
  • Caution in children with a history of mental health or behavioural changes, as Montelukast has been associated with neuropsychiatric symptoms in some patients
  • Should not be used in place of doctor-prescribed inhaled corticosteroids without medical advice
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.