

| Dosage | Package | Price per Dose | Price | |
|---|---|---|---|---|
| 4mg | 360 pills | C$2.15 | C$966.61 C$773.28 Best Price | |
| 4mg | 180 pills | C$2.29 | C$514.35 C$411.48 | |
| 4mg | 120 pills | C$2.39 | C$357.80 C$286.24 | |
| 4mg | 90 pills | C$2.56 | C$288.23 C$230.58 | |
| 4mg | 60 pills | C$2.74 | C$206.22 C$164.98 | |
| 4mg | 30 pills | C$3.02 | C$114.28 C$91.42 | |
| 5mg | 360 pills | C$2.35 | C$1,056.06 C$844.85 | |
| 5mg | 180 pills | C$2.48 | C$559.08 C$447.26 | |
| 5mg | 120 pills | C$2.60 | C$390.11 C$312.09 | |
| 5mg | 90 pills | C$2.80 | C$315.56 C$252.45 | |
| 5mg | 60 pills | C$2.98 | C$223.62 C$178.89 | |
| 5mg | 30 pills | C$3.30 | C$124.22 C$99.38 | |
| 5mg | 10 pills | C$3.98 | C$49.67 C$39.74 | |
| 10mg | 360 pills | C$3.50 | C$1,575.41 C$1,260.33 Popular | |
| 10mg | 180 pills | C$3.72 | C$837.39 C$669.91 | |
| 10mg | 120 pills | C$3.90 | C$583.93 C$467.14 | |
| 10mg | 90 pills | C$4.17 | C$469.62 C$375.70 | |
| 10mg | 60 pills | C$4.45 | C$332.95 C$266.36 | |
| 10mg | 30 pills | C$4.91 | C$183.86 C$147.09 | |
| 10mg | 10 pills | C$6.96 | C$86.95 C$69.56 |
Montelukast is a leukotriene receptor antagonist. It works by blocking the CysLT1 receptor, reducing leukotriene-driven inflammation in the airways. Its primary use is to prevent asthma symptoms and to treat seasonal and perennial allergic rhinitis. Because it is taken on a daily schedule, it is not a rescue treatment for an ongoing attack.
After oral absorption, montelukast is highly bound to plasma proteins and is metabolized in the liver, with an elimination half-life of about 2.7 to 5.5 hours. Most patients take it once daily in the evening, though dosing varies by age and indication.
Montelukast acts selectively on the CysLT1 receptor, interrupting the action of cysteinyl leukotrienes that promote bronchoconstriction, mucus production, and airway inflammation. By dampening this inflammatory signal, the medicine complements inhaled therapies and can help stabilize symptoms over time.
Common medical uses include chronic asthma control in adults and children, where montelukast reduces nighttime awakenings and daytime symptoms when added to standard therapies.
It also protects against exercise-induced bronchoconstriction when taken about two hours before activity, helping patients stay active with fewer symptoms.
Allergic rhinitis forms—seasonal and perennial—may improve with montelukast, reducing sneezing, nasal congestion, runny nose, and itching.
Montelukast is available as tablets, chewable tablets, and oral granules. The formulation is chosen by age and preference; daily evening dosing is generally recommended for asthma control, with timing adjusted for other indications.
Chewable tablets are commonly used for younger patients, while standard tablets suit adults. Oral granules can be swallowed directly or mixed with a small amount of soft food like applesauce, yogurt, or mashed potatoes.
For exercise-induced bronchoconstriction, take montelukast about two hours before exercise. Do not take extra doses on days of unusual activity unless advised by a clinician.
If a dose is missed, take it as soon as you remember unless it is near the time for your next dose; do not double up to make up for a missed dose.
Montelukast is generally well tolerated, but some people experience mood or behavior changes, including irritability, agitation, or sleep problems. If you notice new or worsening anxiety, depression, aggression, or thoughts of self-harm, seek medical advice promptly.
Serious neuropsychiatric events have been reported in some patients, though they are rare. Ongoing monitoring by patients and caregivers helps catch problems early.
People with liver disease or significant hepatic impairment should discuss risks with their clinician, as montelukast is metabolized by the liver and may require dosing adjustments or alternative therapies.
Pregnancy and breastfeeding require a careful discussion of risks and benefits. Clinicians weigh the potential asthma-control benefits against uncertain fetal or infant effects when considering montelukast.
Importantly, montelukast is not a rescue therapy. If you have an asthma attack, use your fast-acting inhaler and seek urgent care if symptoms worsen.
Most users tolerate montelukast well. Commonly reported effects include abdominal pain, diarrhea, headache, fever, cough, sore throat, and nasal congestion.
Less common but notable effects include dizziness, sleep disturbances, or mood changes such as irritability.
Serious adverse events are rare but may include signs of liver injury—jaundice, dark urine—or severe allergic reactions such as swelling of the face, lips, tongue, or throat.
If you notice persistent symptoms, new mood changes, or signs of an allergic reaction, contact a clinician promptly. Do not ignore warning signs.
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