A 15-year-old patient with asthma has been started on montelukast. His parent reports new nightmares, low mood, and agitation within 2 weeks of

Question

A 15-year-old patient with asthma has been started on montelukast. His parent reports new nightmares, low mood, and agitation within 2 weeks of treatment; asthma symptoms are otherwise stable. What is the most appropriate action?

Accepted Answer

Refer promptly to the prescriber to review montelukast and mental health symptoms

Answer

Reassure because these symptoms are unrelated to asthma medicines

Answer

Suggest taking montelukast with ibuprofen to reduce agitation

Answer

Stop inhaled corticosteroid because it is the likely cause

Answer

Advise doubling montelukast at night to improve sleep

Montelukast neuropsychiatric effects — GPhC CRA MCQ

A 15-year-old patient with asthma has been started on montelukast. His parent reports new nightmares, low mood, and agitation within 2 weeks of treatment; asthma symptoms are otherwise stable. What is the most appropriate action?