OpenHealth Q&A

Get answered by medical professionals

Potential Side Effects of Montelukast

7/27/2025, 9:40:19 PMMale25-34

Age: 28 Gender: Male Height: 5'7" Weight: 150 lbs Ethnicity: Asian Duration of Symptoms: 3 Years Location: Pakistan Relevant Medical History: Asthma or bronchitis Current Medication: Montelukast 10 mg Over the past seven years, I have been consistently taking this medication on a daily basis. However, in the last three years, I have begun to experience various psychological challenges, including feelings of depression, social withdrawal, irritability, and a general tendency to avoid social situations. Additionally, I have been a smoker for the past twelve years. If I inadvertently miss a single dose of Montelukast, I face severe consequences, as an asthma attack tends to develop within 10 to 12 hours after skipping a dose, often escalating to the point where I am unable to walk or even speak due to the intensity of the attack. In the past, I utilized a Ventolin inhaler, but now I have switched to using salbutamol for my asthma management.

AsthmaMultiple SclerosisInternal Medicine

Answers (1)

Cony

7/27/2025, 9:40:32 PM

OpenHealth AI

It's important to understand the potential side effects of Montelukast, particularly since you've been taking it long-term and are experiencing psychological challenges. Montelukast is primarily used to manage asthma and allergies, but some users report mood changes, including depression, anxiety, and irritability.

Explanation

Montelukast, like any medication, can affect different people in different ways. While it helps control asthma symptoms by blocking certain substances in the body that cause asthma, it has been associated with neuropsychiatric events in some individuals, including those you mentioned. Your history of smoking can also contribute to respiratory issues and may impact your mood and overall health.

Next Steps

  1. Monitor Your Symptoms: Keep a journal documenting your mood, emotional changes, and any asthma symptoms. This can help identify patterns or triggers related to your medication or other factors.

  2. Evaluate Medication Necessity: Given the severe asthma symptoms when missing a dose, confirm with your healthcare provider whether Montelukast is still the best option for you or if other asthma management strategies could be employed. Discuss alternatives that might minimize psychological effects.

  3. Explore Support for Psychological Symptoms: Consider engaging with a mental health professional. Discussing your feelings of depression and withdrawal can provide you with coping strategies.

  4. Quit Smoking: Smoking can worsen asthma and may also contribute to mental health struggles. Seek resources for smoking cessation, which can improve both your respiratory health and mood.

  5. Stay Informed: Stay vigilant about your asthma symptoms, and ensure you have an asthma action plan that outlines how to respond to worsening symptoms or an asthma attack.

Your health is a priority, so take these steps seriously, and don’t hesitate to reach out for support.

Related Questions

Understanding My Recent Health Issues: Numb Legs and Unexplained Symptoms

I’m feeling quite confused about my health lately. As a 23-year-old, I've undergone several medical evaluations, including an electromyography (EMG), blood tests, and a comprehensive examination by a radiologist. The only notable finding was a minor growth in my kidneys, which the doctors assure me isn’t a concern right now, but I’ll need a follow-up in six months. Also, an MRI is on the calendar for September. My symptoms have been puzzling: frequent cramps and tingling sensations coursing through my body, particularly in my legs, every time I lie down. Lately, I've been experiencing muscle spasms at random times throughout the day, where my muscles feel as though they're firing uncontrollably. The most debilitating symptom, however, is an incessant cramping in my left leg that is quite distressing. This morning was particularly alarming; I woke up to find my right leg completely numb and feeling like it was buzzing—definitely a strange sensation for me. I initially thought it was just due to lying awkwardly, so I stood up to see if the feeling would dissipate. When I returned to bed, the peculiar sensation returned instantly. I can’t help but wonder if my anxiety regarding the upcoming MRI is influencing these symptoms, especially since there's often a long wait time for such tests in my country. To add to my worries, I awoke with an intense headache, something I rarely experience, which has made me anxious about potential neurological issues. I’m mostly seeking some reassurance that my situation isn’t indicative of something serious, just so I can relax and hopefully catch some more sleep.

Multiple SclerosisFibromyalgiaThyroid Disorders
Male25-34
6 minutes ago

Persistent Swelling in Lymph Nodes: A Concern

I've noticed an unusual issue lately—after shedding some pounds, I've developed swollen lymph nodes under my chin on both sides. This change is quite alarming and has significantly impacted my confidence. I'm curious about what might be causing this. Could the recent weight reduction be contributing to their prominence? I'd appreciate any insights on this matter!

ArthritisLupusInternal Medicine
Male25-34
6 minutes ago

What Could This Be?

About a month ago, I (19M) had a sexual encounter with a classmate. We utilized a condom for anal intercourse, but opted not to use one for oral sex. The following day, I woke up with a sore throat, initially attributing it to the physical activity. However, two days afterward, I began to notice some lesions in my throat, which caused me to worry about possible chlamydia or gonorrhea. Consequently, I consulted a physician who decided to play it safe by administering a ceftriaxone injection and prescribing doxycycline along with TMP-SMX for a short duration. Unfortunately, my throat's inflammation and lesions intensified, prompting a return to the doctor, who then prescribed a 5-day course of azithromycin alongside the other antibiotics. By this point, we had ruled out STIs as a factor and chalked my condition up to bad luck. After completing this round of medications, I experienced some relief, but soon noticed that the symptoms had returned. This led me to seek medical advice once again, resulting in a prescription for amoxicillin combined with clavulanate for a period of 14 days. I have now been off this treatment for just under a week, and I still see a lingering presence of plaques in my throat, along with some ongoing inflammation, though it’s not as severe as it was previously. I am experiencing some flu-like symptoms as well, including sneezing, nasal congestion, mild fatigue, and what feels like a low-grade fever. Additionally, I'm open to sharing photographs of my throat that I’ve taken throughout this ordeal; I've kept a thorough record of the changes. I must admit, I was somewhat inconsistent with the last course of antibiotics; I missed a dose and took others later than intended. This has me concerned that a resistant infection may be developing. I would appreciate any insights you might have. Thank you for your support. Good evening.

Crohn's DiseaseInternal MedicineRheumatology
Male25-34
35 minutes ago

Is 18 Too Early for a Breast Examination?

Hello everyone, I’m an 18-year-old female, standing 5'2" and weighing 120 pounds. I’m not taking any medications. Recently, I had my annual physical check-up with my usual doctor. During the examination, after checking my abdomen, she unexpectedly lifted my bra and palpated my breasts without any prior warning. This has become a routine procedure over the last few years, and I often feel uneasy about it. I did some research and discovered that breast exams should typically be performed with my arm raised and that they are generally recommended to start between the ages of 20 and 25. I find it concerning that my doctor chose to do this at my current age, especially since there's no family history of breast cancer in my family. Should I consider switching to a different doctor? I appreciate her as a physician, but I can’t shake the feeling that this practice is making me uncomfortable and seems unnecessary.

LupusInternal MedicineEndocrinology
Male25-34
45 minutes ago

Should I Consult an ENT About My Ear Issue?

Age: 25 Gender: Male Height: 5’qq Weight: 150 lbs Ethnicity: Asian Duration of Symptoms: Approximately one to two months Location: East Coast, United States --- I’m uncertain whether I might be dealing with a fungal infection or another issue. There’s no pain involved, just a bit of itching, and I've not noticed any swelling. My girlfriend attempts to clean my ears intermittently, about once or twice monthly, but this condition has persisted for several months. The discharge appears pale yellow and comes out in small fragments. It’s possible that I still have remnants of Debrox from a few months back that I didn’t completely rinse out. Unfortunately, the ENT specialist I’ve visited before is completely booked until December. In the meantime, I’m wondering if there are any home remedies I could consider trying. I’ve seen suggestions online about using a vinegar and water solution or antifungal ear treatments, and perhaps more Debrox might be beneficial as well.

DiabetesInternal Medicine
Male25-34
55 minutes ago