Sandoz Montelukast 4mg Tablet

Sandoz Montelukast 4mg Tablet contains Montelukast 4mg, a leukotriene receptor antagonist used mainly in the prevention and long-term control of asthma symptoms in young children, and sometimes for allergic rhinitis. Montelukast works by blocking leukotrienes, substances in the body that cause airway inflammation, tightening, and mucus production, thereby helping to reduce the frequency and severity of asthma symptoms and allergy-related nasal symptoms. This 4mg strength is typically formulated as a chewable or granule-friendly tablet suited for younger children, usually those between 2 and 5 years of age, though the exact age indication should be confirmed with the prescribing doctor.

Montelukast is a prescription-only medicine in Malaysia. It is not intended to relieve a sudden asthma attack and should not be used as a rescue inhaler substitute. Through DoctorOnCall, customers can undergo an online consultation with a licensed doctor who will assess suitability, confirm the correct dose for the child’s age, and issue a prescription before the medicine is dispensed by a registered pharmacist.

Montelukast selectively blocks cysteinyl leukotriene receptors in the airways. Leukotrienes are inflammatory chemicals released during allergic and asthmatic responses that cause the muscles around the airways to constrict, the airway lining to swell, and excess mucus to be produced. By blocking these receptors, Montelukast helps keep the airways more open and less reactive, reducing asthma symptoms such as wheezing, coughing, and breathlessness, and also helping with nasal symptoms of allergic rhinitis such as sneezing and congestion.

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.

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.

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.

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.

• 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

• 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

• 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

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.