Breath Tablet 4 mg

About Breath Tablet 4 mg

Breath Tablet 4 mg Uses

• Asthma symptom control, including wheezing, shortness of breath, and chest tightness in children.
• Prevention of exercise-induced bronchoconstriction when taken before physical activity.
• Relief from allergic rhinitis symptoms such as sneezing, nasal congestion, and itchy or watery eyes.
• Reduction in nighttime asthma symptoms for children with persistent asthma.
• Add-on maintenance therapy alongside inhaled corticosteroids in children with mild to moderate asthma.

Breath Tablet 4 mg Benefits

• A chewable formulation that makes daily dosing easier for young children who cannot swallow tablets.
• Once-daily dosing that improves treatment adherence for parents and caregivers.
• Fewer asthma flare-ups and emergency visits with consistent daily use.
• A non-steroidal option that avoids common steroid-related side effects.
• Good compatibility with other asthma medicines, without significant interference.

What Experts Say

Montelukast belongs to the leukotriene receptor antagonist drug class. It blocks the CysLT1 receptor, stopping leukotrienes from triggering airway inflammation, bronchoconstriction, and mucus buildup during allergic and asthmatic reactions. This mechanism targets the inflammatory pathway rather than relaxing airway muscles the way a bronchodilator does.

The 4 mg chewable tablet is approved for children between two and five years, dosed once daily in the evening with or without food. This formulation reduces asthma exacerbations and controls allergic rhinitis symptoms without the growth-suppression risks tied to prolonged inhaled steroid use.

Long-term use carries a boxed warning for neuropsychiatric effects, including mood changes, sleep disturbances, and rare behavioral symptoms in children. Regulatory guidance recommends weighing these risks against the respiratory benefits, especially in children with a prior history of mood or behavioral concerns.

Drug Class

• Leukotriene Receptor Antagonist

Breath Tablet 4 mg formula

• Montelukast

Available forms

• Tablet 4 mg

How to use Breath Tablet 4 mg?

• One 4 mg chewable tablet by mouth once daily in the evening is the standard pediatric dose.
• The tablet should be chewed completely before swallowing, not swallowed whole.
• Food does not affect absorption, so the tablet can be taken with or without meals.
• Regular daily use, even during symptom-free periods, is needed for ongoing asthma control.
• This tablet is not a rescue medicine for a sudden asthma attack and should not replace a fast-acting inhaler.

Drug Interactions

• Phenobarbital: This enzyme inducer can lower montelukast blood levels and reduce its effectiveness.
• Rifampicin: This antibiotic can significantly reduce montelukast concentration through liver enzyme induction.
• Gemfibrozil: This lipid-lowering drug can raise montelukast blood levels, increasing side effect risk.
• Phenytoin: This anti-seizure medicine can lower montelukast levels through similar enzyme induction.

Risks and warnings

• Neuropsychiatric Effects: Mood changes, agitation, sleep disturbances, and rare suicidal thoughts have been reported, more often in children and adolescents.
• Liver Function: Rare cases of elevated liver enzymes have occurred; caution is advised in children with existing liver disease.
• Allergic Reactions: Rare hypersensitivity reactions, including rash, swelling, and breathing difficulty, can occur.
• Not for Acute Attacks: This medicine does not relieve a sudden asthma attack and should not replace a fast-acting bronchodilator.
• Eosinophilic Conditions: Rare cases of Churg-Strauss syndrome have been reported during dose reduction of oral steroids in asthma patients.

Breath Tablet 4 mg Side Effects

• Headache
• Stomach pain
• Fever
• Cough
• Diarrhea
• Fatigue or tiredness
• Mood or behavior changes

Storage Conditions

• Store below 30°C, away from direct sunlight and moisture.
• Keep the tablet in its original blister pack until the dose is due.
• Keep out of reach of children.
• Avoid storing in the bathroom or near a kitchen sink.