Montelukast Pediatric Dosing
Leukotriene receptor antagonist dosing for asthma and allergic rhinitis in children.
Age in years
Clinical indication
⚠️ Warnings & Contraindications
- FDA BLACK BOX WARNING: Serious neuropsychiatric events including suicidal thoughts, depression, and agitation
- Stop immediately if patient develops mood changes or suicidal ideation
- Not for acute bronchospasm - use SABA for rescue
- Less effective than ICS for asthma control
- Granules can be mixed with soft food (applesauce, carrots, rice)
- Not for children <6 months
ℹ️ Clinical Notes
Granules: 4 mg/packet. Chewable tablets: 4 mg, 5 mg. Film-coated tablets: 10 mg. Once-daily dosing in evening for asthma. For exercise-induced bronchospasm, take 2 hours before exercise.
References
- Singulair (montelukast) prescribing information - FDA (2024)
- Montelukast - FDA Boxed Warning for Neuropsychiatric Events - FDA (2020)
Medical Disclaimer
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