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Montelukast mood symptoms — GPhC CRA MCQ

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HardRespiratory TherapeuticsMontelukast mood symptomsGPhC CRA

A parent says their child has nightmares and mood changes after starting montelukast for asthma. What would you advise the patient?

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

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Correct answer: C — Seek prescriber review promptly and discuss possible neuropsychiatric adverse effects

Montelukast has recognised neuropsychiatric adverse effects and new symptoms should be reviewed. In this vignette, "Seek prescriber review promptly and discuss possible neuropsychiatric adverse effects" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS