MONTE-AIR® is a widely used medication in South Africa for treating asthma and allergic rhinitis (hay fever). It contains the active ingredient montelukast sodium and comes in various strengths and forms to cater to both children and adults.
This comprehensive guide is designed to help you understand MONTE-AIR, including its uses, how to take it, possible side effects, precautions, and much more, in clear and simple language.
What Is it Used For?
MONTE-AIR is used to treat and prevent the following conditions:
1. Asthma
- Controls chronic asthma symptoms.
- Prevents wheezing, difficulty breathing, and nighttime symptoms.
- Helps patients who are not fully controlled with other asthma medications.
2. Allergic Rhinitis (Hay Fever)
- Relieves symptoms caused by seasonal allergens (e.g., pollen).
- Also effective for perennial allergies (e.g., dust mites, pets).
3. Exercise-Induced Bronchoconstriction (EIB)
- Prevents airway narrowing triggered by physical activity (ages 15+).
Note: MONTE-AIR is not a rescue medication and cannot treat sudden asthma attacks.
How Does MONTE-AIR® Work?
Montelukast blocks substances called leukotrienes in the lungs and nose. These chemicals cause inflammation, swelling, and mucus buildup that can lead to asthma and allergy symptoms.
By blocking leukotrienes, MONTE-AIR:
- Keeps airways open.
- Reduces inflammation.
- Prevents asthma symptoms and allergic reactions.
Available Forms and Strengths
MONTE-AIR is available in different forms tailored for various age groups:
| Formulation | Strength | Age Group | Administration Method |
|---|---|---|---|
| Sprinkles (oral granules) | 4 mg | 6 months – 5 years | Mix with soft food or baby formula |
| Chewable Tablet | 4 mg | 2 – 5 years | Chewed before swallowing |
| Chewable Tablet | 5 mg | 6 – 14 years | Chewed before swallowing |
| Film-Coated Tablet | 10 mg | 15 years and older | Swallowed whole with water |
Who Should Take it ?
MONTE-AIR is suitable for:
- Children 6 months and older with asthma or allergies.
- Adults and teenagers managing long-term asthma.
- Individuals with seasonal or year-round allergic rhinitis.
- People who experience breathing problems during or after exercise.
Who Should NOT Take
Avoid MONTE-AIR if you:
- Are allergic to montelukast or any ingredient in the product.
- Are already using another montelukast-containing medication.
Consult your doctor before use if you:
- Have liver disease.
- Are pregnant or breastfeeding.
- Take other medications.
- Have mental health concerns or mood disorders.
How to Take MONTE-AIR®
1. When to Take It
- For asthma: take in the evening.
- For allergies: take once daily (any time).
- For exercise-induced asthma: take 10 mg 2 hours before exercising.
2. How to Take Each Form
| Form | How to Take |
|---|---|
| Tablet (10 mg) | Swallow whole with water. |
| Chewable | Chew completely before swallowing. |
| Sprinkles | Mix with soft food and give immediately. |
3. With or Without Food?
- Can be taken with or without food.
4. Missed Dose
- Skip missed dose and continue as normal.
- Do not double dose.
5. Overdose
- Seek medical help immediately if too much is taken.
Side Effects of MONTE-AIR®
Common Side Effects
| Symptom | Description |
|---|---|
| Headache | Most common, often mild |
| Stomach pain | Upset tummy or mild cramps |
| Sore throat | Especially during allergy season |
| Diarrhea | Seen more in young children |
| Fever | Temporary, especially in children |
| Skin rash | Mild irritation or redness |
Serious Side Effects (Seek Immediate Help)
| Symptom | What to Look Out For |
|---|---|
| Behavioral changes | Aggression, anxiety, depression |
| Suicidal thoughts/actions | Unusual mental health changes |
| Allergic reaction | Swelling, difficulty breathing, rash |
| Hallucinations | Seeing/hearing things that aren’t real |
| Liver issues | Yellow skin/eyes, dark urine, tiredness |
Notify your doctor if any unusual symptoms occur.
Behavior and Mental Health Warnings
Caution is advised due to potential neuropsychiatric side effects:
- Mood swings
- Aggression or irritability
- Nightmares or sleepwalking
- Depression or suicidal thoughts
Parents should monitor children closely. Consult a healthcare provider immediately if any concerning behavior develops.
Drug Interactions
Inform your doctor if you use:
- Phenobarbital (seizures)
- Rifampicin (tuberculosis)
- Other asthma medications
These may reduce MONTE-AIR’s effectiveness.
Pregnancy, Breastfeeding, and MONTE-AIR®
- Use during pregnancy only if absolutely necessary.
- Consult your doctor if breastfeeding.
Driving and Machine Use
- MONTE-AIR typically does not affect alertness.
- If you feel dizzy or drowsy, avoid driving or using machines.
Storage Instructions
- Store below 30°C.
- Keep in original packaging.
- Keep out of reach of children.
- Do not use after expiry date.
- Return unused medicine to your pharmacist.
Product Appearance and Packaging
| Form | Description |
|---|---|
| 4 mg Sprinkles | Sachet with white powder |
| 4 mg Chewable | Pink, square, fruit-flavored |
| 5 mg Chewable | Pink, round, fruit-flavored |
| 10 mg Tablet | Beige, round, film-coated tablet |
Manufacturer Information
- Produced by: Cipla Medpro (Pty) Ltd
- Address: 1474 South Coast Road, Mobeni, KwaZulu-Natal, South Africa
Frequently Asked Questions
1. Is MONTE-AIR a steroid?
No, it is a leukotriene receptor blocker, not a steroid.
2. Can I stop MONTE-AIR suddenly?
Yes, but only with your doctor’s advice.
3. Can MONTE-AIR be used long-term?
Yes, it is safe for long-term use under medical supervision.
4. Can babies take MONTE-AIR?
Yes, babies from 6 months can take the 4 mg Sprinkles form.
5. Does MONTE-AIR make you sleepy?
Drowsiness is rare, but if it occurs, avoid driving.
Conclusion
MONTE-AIR® is a valuable treatment option for asthma and allergic rhinitis across all age groups. It helps prevent breathing difficulties, allergy symptoms, and exercise-related asthma when taken regularly and correctly. Always follow your healthcare provider’s instructions, and report any unusual side effects promptly.
For any concerns, contact your doctor or pharmacist .
Education:
NPU (National Pharmaceutical University) 2010-2015, 2015-2016 internship
Work experience:
2010 – 2012 Pharmacy 63 – Production Department
2012 – 2015 Pharmacy 63 – Pharmacist
2015 – 2016 Pharmacy 63 – Pharmacist
2016 – to date Pharmacy UA – Head of Pharmacy






