"Montelar": instructions for use, feedback

Unfortunately, bronchial asthma is a fairly common ailment that men, women and even children face. Naturally, medicine today offers a lot of medicines that can eliminate seizures. It is to this group that the preparation "Montelar" belongs. Instructions for use, prices and reviews, contraindications and pharmacological properties - these are the points that interest patients who have been prescribed this remedy.

Form of release and description of composition

The medicine "Montelar" comes in the form of chewing tablets of pink color. They are most often prescribed to children. They have an oval or round shape, a pleasant cherry smell and taste. Tablets with a cover for adults have an oblong form and a beige hue.

The main active ingredient of the preparation is montelukast in the form of montelukast sodium. One tablet may contain 10.5 or 4 mg of this powder. In addition, the composition contains auxiliary substances.

For example, chewable tablets contain mannitol, giprolose, croscarmellose sodium, aspartame, magnesium stearate, red iron oxide, cherry flavoring and flavoring. In the composition of tablets for adults, lactose monohydrate, magnesium stearate, giprolose, croscarmellose sodium, as well as macrogol 400, titanium dioxide, yellow and red iron oxide as dyes are present as adjuvants.

Main pharmacological properties

This drug is a leukotriene receptor antagonist. It selectively inhibits the receptors of certain cysteine leukotrienes (in particular, LTC4, LTE4, LTD4) of the epithelial tissues of the respiratory tract. Thanks to this effect, bronchospasm can be prevented. It often occurs when inhaled cysteine leukotriene.

As a rule, 5 mg of active substance is enough to stop spasm of the bronchi. Their dilation occurs two hours after taking the drug. The effect can be more pronounced if at the same time to conduct therapy with beta2-adrenomimetics.

After taking the drug quickly and almost completely absorbed by the walls of the gastrointestinal tract. The greatest concentration in the blood is observed after 2-3 hours. Bioavailability of the drug ranges from 64 to 73%. The degree of binding to plasma proteins is 99%.

Metabolism of the drug occurs in the liver. Cumulation of the drug in the body (under the condition of a correctly selected dose) does not occur. The half-life is 5 hours. 86% of active substances and their metabolites are excreted along with the calves.

This drug enhances the effect of bronchial dilators, as well as hormonal agents that are used for inhalations. Most often, the treatment of bronchial asthma involves the use of these drugs in the complex.

Indications for use

In what cases is it advisable to take the "Montelar" medication? The instructions for use contain data on the main indications for the therapy:

• Long-term therapy and prevention of bronchial asthma (tablets are used to prevent the development of night and day bouts);
• Treatment of bronchial asthma in those cases if the patient has an increased sensitivity to acetylsalicylic acid;
• Prevention of spasm of bronchi, which occurs against the background of physical activity;
• Elimination of symptoms of allergic rhinitis (year-round and seasonal);
• With some forms of bronchial asthma, this drug can be used as an alternative to inhaled corticosteroids.

The preparation "Montelar": instructions for use

Immediately it is worth saying that the doctor determines the dose, regimen and duration of therapy individually. As a rule, adult patients are recommended to take 10 mg of active substance once a day. Children from 2 to 6 years take 4 mg per day. A single dose for schoolchildren aged 6 to 15 years is 5 mg. The drug is usually prescribed during a period of exacerbation of the disease. The course of therapy can include bronchodilators, as well as inhalation with glucocorticosteroids.

Are there any contraindications to the therapy?

Do all patients can use the drug "Montelar"? Instructions for use indicate that the medicine has some contraindications, which should be read:

• To begin with, it must be said that this drug is not prescribed to patients with increased sensitivity to any of the components.
• Also, the drug has some age limitations. It can be taken only by children over 15 years of age. Chewable tablets are prescribed to children from six (with a dose of 5 mg) and from two years (with a dose of 4 mg). Babies who have not reached the age of two, the drug is contraindicated.
• Chewable tablets are not prescribed for patients with phenylketonuria.
• Contraindications also include such hereditary diseases as lactase deficiency, galactose intolerance and glucose-galactose malabsorption.
• Pregnancy and the period of breastfeeding are relative contraindications - taking the medicine in this case is possible, but only under the careful supervision of the doctor.

Possible complications and side effects

Can there be any complications when taking the medication "Montelar"? Patient feedback and statistical studies show that adverse reactions are rare. On the other hand, the probability of their development can not be excluded, so it is worth familiarizing with the list of the most common violations:

• The drug can affect the psyche, causing aggressive and hostile behavior, depression, anxiety, irritability, tremors, hallucinations, sleep disorders, somnambulism, disorientation.
• On the part of the nervous system, dizziness, headaches, parasthesia may occur, rarely convulsions develop in patients.
• The medicine can negatively affect the digestive system, which causes nausea, vomiting, diarrhea, increased activity of liver enzymes (very rarely it leads to hepatitis), as well as pancreatic lesions.
• In some patients, adherence to respiratory tract infections increases along with admission, and cases of nasal bleeding increase.
• With hypersensitivity, allergic reactions may develop, accompanied by skin rashes, hives, itching, burning, extremely rarely angioedema and anaphylactic shock.
• Other side effects include arthralgia, myalgia, asthenia, erythema nodosum, a tendency to become bruised.

Medicinal product "Montelar": analogues

Not always suitable for patients prescribed by a doctor drug. What can be done in such cases? Is it possible to replace the "Montelar" drug with something? Analogs of this drug exist. The modern pharmacological market offers a lot of substitutes, but only the attending physician can find a really good, effective and safe option.

For example, doctors often offer the medicine "Singular". "Montelar" can also be replaced by such means as "Moncasta", "Singulex" and "Singlon". Also to the list of analogues can be attributed "Montelukas", "Ektalust" and "Monax".

How much does the drug cost?

Today, many people are interested in questions about what the "Montelar" drug is. Instruction, testimonials, indications and contra-indications are, without a doubt, very important moments. But for many patients, the price of one or another medicine is equally important.

Immediately it is worth saying that the cost will depend on many factors, including the city of residence, the pharmacy you have chosen, the dosage of the drug, etc. A package of 14 tablets with a dose of 10 mg of active substance is on average 850-900 rubles. A pack of 28 tablets costs about 1500 rubles.

In pharmacies are sold and chewable tablets, which are often prescribed for children suffering from asthma. A package of 14 tablets with an active substance content of 4 or 5 mg will cost approximately 930-1000 rubles. But 28 tablets cost about 1300-1400 rubles.

Reviews of doctors and patients

Many people are interested in the opinions of specialists, as well as patients who have already completed the course of therapy, before buying a medicine. So what do they say about the "Montelar" preparation? Reviews of doctors and patients are positive, since the tablets do cope with their main task. The result can be seen even after 1-3 days after the beginning of the reception - the symptoms of bronchial asthma become less pronounced, the coughing attacks weaken and are transferred easier, and sometimes completely disappear.

Is it dangerous to use the preparation "Montelar"? Feedback suggests that, despite the impressive number of side effects, they occur extremely rarely.

Naturally, there is a category of patients to whom this medication has not helped, because the effect of therapy largely depends on the individual characteristics of the patient. The shortcomings can also be attributed to its relatively high cost.