A parent collects montelukast granules for a 7-year-old child with asthma. The child has recently had sleep disturbance and mood changes. The parent

Question

A parent collects montelukast granules for a 7-year-old child with asthma. The child has recently had sleep disturbance and mood changes. The parent asks whether this could be related. What would you advise the patient?

Accepted Answer

Advise contacting the prescriber because neuropsychiatric reactions are recognised

Answer

Reassure that behavioural symptoms cannot be medicine related

Answer

Suggest taking montelukast with grapefruit juice

Answer

Advise doubling the dose if sleep disturbance occurs

Answer

Recommend stopping inhaled corticosteroid instead

Montelukast neuropsychiatric effects — GPhC CRA MCQ

A parent collects montelukast granules for a 7-year-old child with asthma. The child has recently had sleep disturbance and mood changes. The parent asks whether this could be related. What would you advise the patient?