Aireez Tablet 4 mg

About Aireez Tablet 4 mg

Aireez Tablet 4 mg Uses

• Prevents asthma symptoms and lowers the number of daytime and night attacks.
• Controls sneezing, runny nose and nasal itching from seasonal allergic rhinitis.
• Eases year round allergic rhinitis triggered by dust mites, dander and mould.
• Blocks exercise-induced narrowing of the airways before sport or physical activity.
• Supports inhaled steroid therapy so the reliever inhaler is needed less often.
• Gives a chewable daily option for children who cannot manage an inhaler well.

Aireez Tablet 4 mg Benefits

• One dose a day, which fits easily into a fixed evening routine.
• Chewable tablet that needs no water, no spacer and no inhaler technique.
• Non-steroidal control option, which reassures families worried about long term steroids.
• Treats asthma and allergic rhinitis at the same time with one medicine.
• Helps cut school absences and broken sleep during heavy pollen months.
• Stocked widely across Pakistani pharmacies at a modest monthly cost.

What Experts Say

Montelukast blocks the cysteinyl leukotriene receptor in the airway lining, which is a completely different pathway from the one inhaled steroids act on. Physicians in Pakistan therefore add it to an existing controller rather than swapping the two, particularly in children whose inhaler technique is unreliable.

The 4 mg strength sits in the paediatric dose band, and evening dosing is deliberate because airway inflammation and bronchoconstriction usually worsen in the early hours of the morning. Response is judged over two to four weeks using symptom frequency, reliever use and night waking rather than one lung function reading.

Doctors also review mood, sleep and behaviour at every follow up, since neuropsychiatric reactions remain the main reason montelukast is stopped. Children who carry both allergic rhinitis and asthma tend to gain the most, because a single daily dose treats the upper and the lower airway together.

Drug Class

• Leukotriene receptor antagonist
• Anti-asthmatic and anti-allergic agent

Aireez Tablet 4 mg formula

• Montelukast 4 mg

Available forms

• Tablet

How to use Aireez Tablet 4 mg?

• Give one 4 mg chewable tablet once daily, chewed fully before swallowing.
• Use the evening dose for asthma control, because symptoms usually peak overnight.
• For allergic rhinitis alone, pick any time of day and keep it the same every day.
• Give the dose at least two hours before exercise when it is prescribed for that purpose.
• Carry on daily even when breathing feels normal, since the benefit comes from steady use.
• Never use this tablet for a sudden attack; keep the reliever inhaler for that job.
• Skip a missed dose if the next one is close and never take two together.

Drug Interactions

• Phenobarbital: Speeds up montelukast breakdown and can weaken asthma control.
• Phenytoin and carbamazepine: Similar enzyme induction may reduce montelukast blood levels.
• Rifampicin: Lowers montelukast exposure during long antitubercular courses.
• Gemfibrozil: Raises montelukast levels and may increase side effects.
• Aspirin and NSAIDs: Can trigger bronchospasm in sensitive patients despite montelukast cover.
• Oral corticosteroids: Reducing them too quickly after starting montelukast risks a flare.

Risks and warnings

• Mood and behaviour: Report agitation, nightmares, low mood or unusual behaviour to the doctor at once.
• Not a rescue medicine: This tablet cannot relieve an attack in progress and never replaces a reliever inhaler.
• Phenylketonuria: The chewable tablet contains aspartame, so it is unsuitable for children with this condition.
• Steroid tapering: Do not stop or reduce inhaled or oral steroids on your own after starting montelukast.
• Eosinophilic reactions: Rash, worsening breathlessness or pins and needles during steroid reduction needs urgent review.
• Aspirin sensitivity: Patients with aspirin sensitive asthma must still avoid aspirin and other NSAIDs while on treatment.
• Liver disease: Montelukast is cleared by the liver, so significant liver impairment calls for medical supervision.
• Pregnancy and breastfeeding: Use only when a doctor confirms the benefit clearly outweighs the risk.

Aireez Tablet 4 mg Side Effects

• Headache
• Stomach pain or mild indigestion
• Thirst and dry mouth
• Diarrhoea or nausea
• Fever in young children
• Cough or sore throat
• Skin rash or itching
• Restlessness, irritability or unusual aggression
• Vivid dreams, nightmares or disturbed sleep
• Low mood, anxiety or poor concentration
• Nosebleeds
• Raised liver enzymes on blood testing

Storage Conditions

• Keep the blister strip inside its original carton, below 30 degrees Celsius.
• Protect the tablets from direct sunlight and from bathroom or kitchen humidity.
• Leave each tablet sealed in its foil pocket until the moment it is chewed.
• Store the pack well out of reach of young children, since the flavour is appealing.
• Discard the strip if any tablet looks chipped, discoloured or damp.