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compositionComposition:MONTELUKAST-4MG
prescription
Prescription Medicine
info
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Montelukast is used to help prevent and treat asthma symptoms such as wheezing, shortness of breath, chest tightness, and coughing. It also helps relieve allergy symptoms, including sneezing, a runny nose, and nasal congestion. Montelukast works by blocking leukotriene substances in the body that cause airway tightening and inflammation. Reducing swelling and preventing airway narrowing helps control asthma symptoms and relieve nasal allergy symptoms. Common side effects of Montelukast include headache, fever, abdominal pain, and diarrhoea. These side effects are typically mild and tend to subside over time. However, consult your doctor if your child experiences persistent or severe symptoms.

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Written By ,
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

MONTELUKAST-4MG

Manufacturer/Marketer :

Rowez Life Sciences Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Monhale-4 Suspension

Monhale-4 Suspension is a prescription oral suspension used to prevent and manage asthma in children. It is also prescribed to relieve symptoms of outdoor seasonal allergies and year-round indoor allergies in pediatric patients. This medicine works to keep your child's airways open and reduce the body's allergic response to environmental triggers.

This medicine helps prevent asthma symptoms but does not relieve a sudden asthma attack. Always keep your child's prescribed quick-relief (rescue) inhaler available and follow your child's asthma action plan during emergencies. It can be taken with or without food. Along with taking this medicine, reducing your child's exposure to common allergens—like dust mites, pet dander, and tobacco smoke—can significantly improve their breathing and overall comfort.

While this medicine is generally well tolerated, most children do not experience serious side effects. However, it is important to monitor your child for any unusual changes in mood or behavior, such as increased anxiety, aggression, nightmares, sleep disturbances, depression, or thoughts of self-harm in older children and adolescents. Contact your child's doctor promptly if these symptoms occur before stopping the medicine, unless your child is in immediate danger or severe distress, in which case seek emergency medical care immediately.

This medicine should not be used as the only treatment for an acute severe asthma attack. Children with aspirin-sensitive asthma should also tell their doctor before starting Monhale-4 Suspension , as special precautions may be needed. Before starting treatment, tell your doctor if your child has a history of liver damage or any other chronic health conditions. If the oral suspension contains phenylalanine, parents of children with phenylketonuria (PKU) must consult their doctor first.

Some medicines can interfere with how this pediatric treatment works. For example, certain seizure medications may lower the level of this medicine in the child's body, making it less effective. If this medication is being considered for adolescents or pregnant individuals, please consult your doctor or pharmacist to discuss safety guidelines.

Uses of Monhale-4 Suspension

This medicine is used to help prevent asthma symptoms and manage seasonal and year-round allergic rhinitis in children. The detailed uses of this medicine are as follows:

  • Asthma prevention: It helps prevent daily asthma symptoms and supports long-term control of asthma. It is not intended to treat sudden asthma attacks.
  • Seasonal allergic rhinitis: It helps relieve allergy symptoms such as sneezing, runny nose, nasal congestion, and itchy or watery eyes caused by seasonal allergens like pollen.
  • Perennial (year-round) allergic rhinitis: It helps manage allergy symptoms triggered by indoor allergens such as dust mites, mold, and pet dander throughout the year.
  • Exercise-induced bronchoconstriction (EIB): It helps prevent narrowing of the airways triggered by exercise in appropriate patients. Your child's doctor will advise whether this medicine is suitable and when it should be given before physical activity.

Key Benefits

This medicine helps provide long-term control of asthma and allergy symptoms in children when used regularly as prescribed. Its benefits include:

  • Helps reduce airway inflammation, making breathing easier and lowering the risk of asthma flare-ups.
  • Helps prevent asthma symptoms during physical activity, allowing children to play and exercise more comfortably.
  • Relieves seasonal and year-round allergy symptoms, such as sneezing, runny nose, nasal congestion, and itchy eyes.
  • Helps improve sleep by reducing nighttime asthma and allergy symptoms, supporting better rest and daytime energy.
  • Supports better day-to-day asthma and allergy control, helping children participate more comfortably in school and other daily activities.
Side effects of Monhale-4 Suspension 100Ml
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
  • Consult a healthcare professional to diagnose the skin infection and receive appropriate treatment.
  • Follow your doctor's instructions for treatments including creams, ointments, or antibiotics to stop the spread of germs.
  • Avoid scratching to help stop further infection and irritation.
  • Particularly after handling the affected region, wash your hands frequently.
  • To stop the spreading of infection, avoid sharing personal items including towels, clothes, and makeup.
  • Keep your skin moist to avoid dryness and irritations.
  • If your symptoms worsen or don't change, let your doctor know as they provide medical attention.
  • Avoid trigger foods that can cause allergic reactions, such as nuts, shellfish, or dairy products.
  • Keep a food diary to track potential food allergens.
  • Include omega-3 rich foods like salmon and walnuts to reduce inflammation.
  • Wear loose, comfortable clothing made from soft fabrics like cotton.
  • Apply cool compresses or take cool baths to reduce itching.
  • Use gentle soaps and avoid harsh skin products.
  • Reduce stress through relaxation techniques like meditation or deep breathing.

Directions for Use

  • Monhale-4 Suspension can be given to your child with or without food, as advised by your doctor.
  • Follow your doctor's instructions carefully regarding the dosage and timing to ensure your child's safety.
  • Measure the prescribed dose of Monhale-4 Suspension using a proper measuring cup or syringe for accuracy, and give it to your child orally.
  • Shake well before use.

How Monhale-4 Suspension Works

During an allergic reaction or asthma flare-up, the body releases natural chemicals that cause the airways to swell, tighten, and produce excess mucus. This medicine works by blocking these specific inflammatory chemicals. By stopping these chemicals from binding to their targets, the medicine reduces swelling in the lungs and nasal passages, keeping the airways relaxed and open for easier breathing.
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Alcohol

Not applicable

-

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Pregnancy

Not applicable

-

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Breast Feeding

Not applicable

-

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Driving

Not applicable

-

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Liver

Consult your doctor

Let your doctor know if your child has any history of liver disease. Your doctor will weigh the benefits and potential risks before prescribing Monhale-4 Suspension .

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Kidney

Consult your doctor

Let your doctor know if your child has any history of kidney disease. Your doctor will weigh the benefits and potential risks before prescribing Monhale-4 Suspension .

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Children

Safe if prescribed

Monhale-4 Suspension is safe for children when given as prescribed by a doctor. The doctor will determine the appropriate dose based on your child's age, weight, and medical condition. Always follow the doctor's instructions.

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Heart

Consult your doctor

Please consult a doctor if your child has any heart problems before giving Monhale-4 Suspension .

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Geriatrics

Not applicable

Monhale-4 Suspension is for paediatric patients only.

What if I have taken an overdose of Monhale-4 Suspension

In case of an accidental overdose, seek immediate medical attention or call a poison control center right away, even if your child does not show any symptoms.

Diet & Lifestyle Advise

  • Maintain a smoke-free environment: Keep your home and your child's surroundings free from secondhand tobacco smoke, as it can trigger asthma symptoms and worsen respiratory irritation.
  • Reduce dust mite exposure: Wash your child's bedding weekly in hot water and keep the sleeping area clean to help minimize dust mites.
  • Encourage good hydration: Ensure your child drinks plenty of water throughout the day to help keep airway mucus thin and easier to clear.
  • Limit pollen exposure: Monitor local pollen levels and keep windows closed on high-pollen days to help reduce exposure to seasonal allergens.
health query

Have a query?

How Soon It Starts Working

  • The time required for Monhale-4 Suspension to start to work: Monhale-4 Suspension ideally shows its action within 2 to 4 hours after administration.
  • The time for which the effects of Monhale-4 Suspension last: The effect of Monhale-4 Suspension lasts for 24 hours.

What if you forget to take Monhale-4 Suspension

If your child vomits within about 30 minutes after taking the oral suspension, contact your doctor or pharmacist for advice on whether the dose should be repeated. Do not automatically give another dose unless advised by a healthcare professional.

Storage

•Store the oral suspension at a controlled room temperature, ideally between 20°C to 25°C (68°F to 77°F).

Drug Warnings

  • Do not use for asthma emergencies: This medicine is not intended to treat a sudden asthma attack. Always keep your child's prescribed quick-relief (rescue) inhaler readily available for emergencies.
  • Shake well before use: Shake the bottle thoroughly before each dose to ensure the medicine is evenly mixed.
  • Monitor mood and behavior: Watch for changes in your child's mood, behavior, sleep, or unusual dreams, and contact your doctor promptly if you notice emotional changes, nightmares, or increased irritability.
  • Mix the suspension correctly: Do not mix the oral suspension with foods or liquids other than those recommended in the product instructions or by your doctor, such as breast milk, infant formula, or a small amount of soft food like applesauce.

Drug-Drug Interactions

verifiedApollotooltip
  • Seizure medicines and rifampin: Medicines such as phenobarbital, phenytoin, or rifampin may reduce the levels of this medicine in the body, which can decrease its effectiveness.
MontelukastPrimidone
Severe
MontelukastPhenytoin
Severe

Drug-Drug Interactions

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MontelukastPrimidone
Severe
How does the drug interact with Monhale-4 Suspension 100Ml:
Coadministration of Monhale-4 Suspension 100Ml and primidone can reduce the levels and effects of Monhale-4 Suspension 100Ml.

How to manage the interaction:
Taking Monhale-4 Suspension 100Ml and Primidone together can possibly result in an interaction, it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
MontelukastPhenytoin
Severe
How does the drug interact with Monhale-4 Suspension 100Ml:
Coadministration of Monhale-4 Suspension 100Ml and Phenytoin may reduce the blood levels and effects of Monhale-4 Suspension 100Ml. This can lead to low treatment outcomes.

How to manage the interaction:
Taking Monhale-4 Suspension 100Ml and Phenytoin may interact with one another, but they can be taken together if your doctor has prescribed them. However, if you experience signs such as headache, fever, sore throat, cough, abdominal pain, diarrhoea, earache, runny nose, or behaviour and mood changes, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
MontelukastRifabutin
Severe
How does the drug interact with Monhale-4 Suspension 100Ml:
Coadministration of Monhale-4 Suspension 100Ml and rifabutin can reduce the levels and effects of Rifabutin. This can lead to low treatment outcomes.

How to manage the interaction:
Taking Monhale-4 Suspension 100Ml and rifabutin together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience increased side effects such as headache, fever, sore throat, cough, abdominal pain, diarrhea, earache, runny nose, or behavior and mood changes consult a doctor. Do not discontinue any medications without consulting a doctor.
MontelukastRifapentine
Severe
How does the drug interact with Monhale-4 Suspension 100Ml:
Coadministration of Rifapentine with Monhale-4 Suspension 100Ml may reduce the blood levels and effects of Monhale-4 Suspension 100Ml. This can lead to low treatment outcomes.

How to manage the interaction:
Taking Rifapentine with Monhale-4 Suspension 100Ml together can possibly result in an interaction, it can be taken if your doctor has advised it. If you experience increased side effects such as headache, fever, sore throat, cough, abdominal pain, diarrhea, earaches, runny nose, or behavior and mood changes consult a doctor. Do not discontinue any medications without consulting a doctor.
MontelukastMiconazole
Severe
How does the drug interact with Monhale-4 Suspension 100Ml:
Coadministration of Miconazole with Monhale-4 Suspension 100Ml may increase the blood levels and effects of Monhale-4 Suspension 100Ml. This increases the risk or severity of side effects.

How to manage the interaction:
Although there is a possible interaction between miconazole and Monhale-4 Suspension 100Ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as fever, sore throat, cough, stomach pain, diarrhea, earache, runny nose, or uncommon, depression, confusion, difficulty concentrating, anxiety, hallucinations, irritability. memory impairment, restlessness, sleep walking, Consult a doctor immediately. Do not stop using medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip
  • Soft food, breast milk, or infant formula: This medicine can be taken with or without food. If the oral suspension is mixed with soft food, breast milk, or infant formula as directed, it should be administered within 15 minutes and any unused portion should be discarded.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[RESPIRATORY STIMULANTS]

FAQs

Monhale-4 Suspension contains montelukast, which is used to help prevent and treat asthma symptoms such as wheezing, shortness of breath, chest tightness, and coughing. It also helps alleviate allergy symptoms, such as sneezing, a runny nose, and nasal congestion.
Monhale-4 Suspension contains montelukast, which helps by blocking substances that cause swelling and tightening in the airways. This makes breathing easier and helps prevent asthma and allergy symptoms in your child.
Common side effects may include headache, fever, abdominal pain, diarrhoea, sore throat, or cough. These are usually mild and temporary. Consult your doctor if symptoms persist or worsen.
No, this medicine is not a rescue treatment and will not stop a sudden asthma attack. You must use a quick-relief inhaler for immediate breathing difficulties. Talk to your doctor if you do not have an action plan for sudden attacks.
Shake the bottle well, measure the exact dose with the provided syringe, and give it directly or mix it into a spoonful of cold, soft food like applesauce. Make sure your child swallows the entire mixture within 15 minutes. Talk to your doctor or pharmacist if you need help measuring doses.
If your child is taking this medicine for asthma, it is usually given once daily in the evening. For allergy symptoms, it can be given in either the morning or the evening. Talk to your doctor to establish the best daily schedule.
Yes, this medicine works as a preventive treatment and must be taken daily without interruption to keep asthma and allergies under control. Talk to your doctor before stopping the medication.
Mood or behavior changes should always be taken seriously. Contact your child's doctor immediately for guidance before stopping the medication, unless your child is in immediate danger or severe distress, in which case seek emergency medical care without delay. Monhale-4 Suspension carries an FDA Boxed Warning for serious neuropsychiatric side effects, although these reactions are uncommon. Your healthcare provider will advise whether treatment should be continued, adjusted, or changed to another medicine.
No, you should only mix this suspension with breast milk, baby formula, or a spoonful of soft foods like applesauce or pudding. Do not dissolve it in water, juice, or other liquids. Talk to your pharmacist for more details.
Yes, in many cases, doctors may safely prescribe this medicine alongside other allergy or asthma treatments like antihistamines or steroid inhalers. Talk to your doctor or pharmacist to confirm compatibility with your child's current medications.

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Country of origin

India

Manufacturer/Marketer address

IV/1-B, Ezhumanthuruthy Building Parutheli Junction, Edappally Toll Kochi, Kerala
Other Info - MON0977
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