Drug class · Respiratory

Leukotriene receptor antagonists

Montelukast is a prescription medicine that helps prevent asthma symptoms. Asthma and Lung UK describes it as an add-on taken alongside the regular preventer inhaler.

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Mechanism of action

Montelukast and zafirlukast block cysteinyl leukotriene type 1 receptors but not type 2 receptors. StatPearls says eosinophils are the main source of cysteinyl leukotrienes, which are important in recruiting more eosinophils.

Members of the class

montelukastzafirlukast

Members with a page on this site are linked.

Conditions treated

Cautions

  • The MHRA warns that montelukast can cause neuropsychiatric reactions, including sleep disorders, hallucinations and changes in behaviour and mood.
  • The MHRA advises patients to speak to their prescriber immediately, or seek urgent medical attention, if these reactions occur.

Class warnings

  • The MHRA warns that montelukast can cause neuropsychiatric reactions, including sleep disorders, hallucinations and changes in behaviour and mood. UK

Class interactions

WithEffectSource
Some epilepsy medicines, rifampicin and gemfibrozilThe NHS lists epilepsy medicines such as phenobarbital or phenytoin, rifampicin and gemfibrozil as medicines to mention to a doctor or pharmacist before taking montelukast. UK

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Connected pages in detail

What each linked page on Anatomy Nexus covers, in a line, for Leukotriene receptor antagonists.

Conditions

  • Asthma A chronic inflammatory disease of the airways causing reversible narrowing, with episodes of wheeze, breathlessness, chest tightness and cough.

Medications

  • Montelukast Montelukast is a prescription medicine that helps prevent asthma symptoms.
Educational content. A drug class page describes what a family of medicines has in common. Individual medicines differ in dose, licensing and interactions; treatment choices belong to a prescriber.