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Montelukast neuropsychiatric effects — GPhC CRA MCQ

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EasyRespiratory TherapeuticsMontelukast neuropsychiatric effectsGPhC CRA

A parent collects montelukast for a child with asthma and asks what adverse effects to watch for. The child has had nightmares in the past. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ESeek advice if mood change, sleep disturbance or behavioural symptoms occur

Montelukast is associated with neuropsychiatric adverse effects that patients and carers should recognise. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS; BTS/NICE/SIGN asthma guideline