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This medication, Montelukast (Singulair), carries important safety considerations that you should be aware of. Below are key warnings and precautions to keep in mind while using this medication. If you have any concerns, please discuss them with your healthcare provider.

• Mental Health Changes: Rarely, this medication can lead to significant mental or mood alterations, including agitation, anxiety, abnormal dreams, depression, memory or attention issues, hallucinations, difficulty sleeping, and behavioral changes such as aggression, hostility, restlessness, sleepwalking, or suicidal thoughts and attempts. These symptoms can arise even after you have stopped taking the medication. It is crucial to inform your physician immediately if you or someone close to you observes any of these symptoms.

• Not for Acute Asthma Attacks: Montelukast is not designed to treat sudden asthma attacks. Ensure that you have a fast-acting rescue inhaler available, particularly if you frequently experience shortness of breath during physical activities. Consult your healthcare provider if your asthma symptoms do not improve or if they worsen while taking Montelukast.

• Elevated White Blood Cell Counts: Some individuals with asthma may experience an increase in eosinophils, a type of white blood cell, while on this medication. Symptoms may include red patches, rashes, or changes in skin color on the lower legs, numbness or tingling, or a worsening of asthma symptoms. These signs need prompt assessment by your healthcare provider as they may indicate high eosinophil levels, potentially linked to a reduction in corticosteroid medication dosage.

• Avoid Chewable Tablets if You Have Phenylketonuria (PKU): The chewable form of Montelukast contains phenylalanine, a component of aspartame, an artificial sweetener. Individuals with PKU should not take these chewable tablets, as phenylalanine can accumulate in the body and lead to severe complications.

If you suspect an overdose or experience severe symptoms, seek emergency medical attention immediately. Always consult your healthcare provider for personalized advice and guidance regarding the use of Montelukast.

When taking this medication, it's important to be aware of potential side effects, which can range from mild to serious. Common side effects, generally mild and often not cause for concern, include headaches, fever, flu-like symptoms, sore throat, cough, runny nose, sinus inflammation, belly pain, heartburn, and diarrhea. These symptoms may resolve on their own, but if they persist, consulting a healthcare provider is advisable.

There are other side effects that some users report, such as nosebleeds, fatigue, dizziness, rash, and various infections like those affecting the ear, eye, stomach, or lungs. While these symptoms are usually manageable, it’s important to speak with a healthcare professional if they become bothersome or severe.

In rare cases, serious side effects can occur, necessitating immediate medical attention. These include numbness or tingling in the arms or legs, sinus pain or swelling, muscle weakness, uncontrolled muscle movements, and stuttering. Mental health disturbances such as distress, aggressive behavior, anxiety, depression, bad or vivid dreams, hallucinations, sleep disturbances, memory issues, obsessive-compulsive symptoms, restlessness, and suicidal thoughts or behaviors are also serious and require urgent care.

While a very serious allergic reaction is rare, symptoms such as rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing demand immediate medical assistance. Always stay vigilant for any effects not listed here and discuss them with your healthcare provider for proper advice and management.