Overview
It blocks leukotrienes, chemicals that cause airway swelling and tightening.
It is a controller medicine. It does not stop an asthma attack that has already started.
What it's used for
- Preventing asthma symptoms
- Preventing exercise-related breathing problems
- Seasonal and year-round allergies (when other medicines don't work or can't be used)
How to take it
- Take it once a day; for asthma, usually in the evening.
- Chewable tablets and granules are available for children.
- Keep your rescue inhaler for sudden symptoms.
Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.
Side effects
Common side effects
- Headache
- Stomach pain
- Upper respiratory infection symptoms
Warnings
- The FDA has a boxed warning about serious mood and behavior changes. Stop it and call your provider if they happen.
- For allergies alone, it's usually used only when other medicines aren't right.
Other medicines, foods, and alcohol
- Phenobarbital and rifampin can lower its effect.
Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.
Pregnancy and breastfeeding
Talk with your provider about the benefits and risks.
Missed doses, overdose, and storage
If you miss a dose
Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.
If someone takes too much
Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.
Storing it
Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.
Conditions it's used for
Sources
- DailyMed: FDA drug label for Montelukast (U.S. National Library of Medicine)
- MedlinePlus: Drugs, herbs, and supplements
- FDA: Drugs@FDA
Last updated 2026-11-13.