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Montelukast - Revision history
2026-06-17T19:17:38Z
Revision history for this page on the wiki
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Docmoates: Add medication infobox (Drugbox) to monographs
2026-06-17T16:09:34Z
<p>Add medication infobox (Drugbox) to monographs</p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 16:09, 17 June 2026</td>
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<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| name = Montelukast</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| brand = Singulair</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| therapeutic = Antiasthmatic, antiallergy</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| pharmacologic = Leukotriene receptor antagonist</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| onset = Effect within a day; once-daily dosing.</ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| halflife = Half-life 2.7 to 5.5 hours; no routine level.</ins></div></td></tr>
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<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| highalert = No</ins></div></td></tr>
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<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">| antidote = Not applicable.</ins></div></td></tr>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><div style="border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;"></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div><div style="border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;"></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''</div></td></tr>
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https://wiki.docmoates.com/index.php?title=Montelukast&diff=4507&oldid=prev
Docmoates: NCLEX nursing pharmacology monographs — batch import
2026-06-17T14:06:14Z
<p>NCLEX nursing pharmacology monographs — batch import</p>
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''Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and '''must be verified against current manufacturer labeling before clinical use'''. This is educational content, not prescribing guidance.''<br />
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'''Montelukast''' (brand name Singulair) &mdash; Antiasthmatic, antiallergy; Leukotriene receptor antagonist.<br />
<br />
== Identification ==<br />
* '''Therapeutic class:''' Antiasthmatic, antiallergy.<br />
* '''Pharmacologic class:''' Leukotriene receptor antagonist.<br />
<br />
== Pharmacology ==<br />
* '''Mechanism of action:''' Blocks leukotriene receptors to reduce inflammation and bronchoconstriction.<br />
* '''Onset / peak / duration:''' Effect within a day; once-daily dosing.<br />
* '''Half-life / therapeutic level:''' Half-life 2.7 to 5.5 hours; no routine level.<br />
<br />
== Clinical use ==<br />
* '''Indications:''' Asthma maintenance, allergic rhinitis, exercise-induced bronchospasm prevention.<br />
* '''Usual dose, route, frequency:''' 10 mg PO daily in the evening (chewable and granule forms for children).<br />
* '''Maximum dose / adjustments:''' Once daily.<br />
<br />
== Safety ==<br />
* '''Contraindications:''' Hypersensitivity.<br />
* '''Black box warning:''' Serious neuropsychiatric events, including mood changes and suicidal thoughts; reserve in allergic rhinitis for patients without other options.<br />
* '''Interactions:''' CYP inducers (phenobarbital, rifampin) lower levels.<br />
* '''Pregnancy / lactation:''' Use if needed.<br />
* '''High-alert:''' No.<br />
<br />
== Adverse effects ==<br />
* '''Common side effects:''' Headache, abdominal pain.<br />
* '''Serious effects to report:''' Mood or behavior changes, agitation, depression, suicidal thoughts.<br />
* '''Antidote / reversal:''' Not applicable.<br />
<br />
== Nursing process ==<br />
* '''Assessment before administration:''' Asthma control, mental health history.<br />
* '''Interventions during therapy:''' Screen for mood changes; not for acute attacks.<br />
* '''Monitor:''' Symptom control, mood and behavior.<br />
* '''Evaluation / expected outcome:''' Fewer symptoms.<br />
<br />
== Patient teaching ==<br />
* '''Patient teaching:''' Take in the evening; report any mood or behavior change.<br />
* '''Notify provider if:''' Mood changes, agitation, depression, thoughts of self-harm.<br />
* '''Administration tips:''' Evening dosing; controller, not a rescue.<br />
<br />
[[Category:Other Respiratory Agents]]</div>
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