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Singulair InformationDrug Uses
SINGULAIR is a prescription medicine that blocks substances in the body called leukotrienes. This may help to improve symptoms of asthma and allergic rhinitis. SINGULAIR does not contain a steroid.

SINGULAIR is used to:
1. Prevent asthma attacks and for the long-term treatment of asthma in adults and children ages 12 months and older. Do not take SINGULAIR if you need relief right away for a sudden asthma attack. If you get an asthma attack, you should follow the instructions your healthcare provider gave you for treating asthma attacks.

2. Prevent exercise-induced asthma in people 15 years of age and older.

3. Help control the symptoms of allergic rhinitis (sneezing, stuffy nose, runny nose, itching of the nose). SINGULAIR is used to treat:
outdoor allergies that happen part of the year (seasonal allergic rhinitis) in adults and children ages 2 years and older, and indoor allergies that happen all year (perennial allergic rhinitis) in adults and children ages 6 months and older.

How Taken
For anyone who takes SINGULAIR:
Take SINGULAIR exactly as prescribed by your healthcare provider. Your healthcare provider will tell you how much SINGULAIR to take, and when to take it.
Do not stop taking SINGULAIR or change when you take it without talking with your healthcare provider.
You can take SINGULAIR with food or without food.

Warnings/Precautions
Who should not take SINGULAIR?
Do not take SINGULAIR if you are allergic to any of its ingredients.
See the end of this leaflet for a complete list of the ingredients in SINGULAIR.
Before taking SINGULAIR, tell your healthcare provider if you:
are allergic to aspirin
have phenylketonuria. SINGULAIR chewable tablets contain aspartame, a source of phenylalanine
have any other medical conditions
are pregnant or plan to become pregnant. If you are pregnant or plan to become pregnant, SINGULAIR may not be right for you. If you become pregnant while taking SINGULAIR, talk to your healthcare provider about reporting your pregnancy to the Pregnancy Registry for SINGULAIR, or you can enroll in this registry by calling 1-800-986-8999.
are breast-feeding or plan to breast-feed. It is not known if SINGULAIR passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby while taking SINGULAIR.
Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Some medicines may affect how SINGULAIR works, or SINGULAIR may affect how your other medicines work.

Missed Dose
If you miss a dose of SINGULAIR, just take the next dose at your regular time. Do not take 2 doses at the same time. If you take too much SINGULAIR, call your doctor.

For adults with asthma:
Take SINGULAIR 1 time each day, in the evening. Continue to take SINGULAIR every day for as long as your healthcare provider prescribes it, even if you have no asthma symptoms.
Tell your healthcare provider right away if your asthma symptoms get worse, or if you need to use your rescue inhaler medicine more often for asthma attacks.
Do not take SINGULAIR if you need relief right away from a sudden asthma attack. If you get an asthma attack, you should follow the instructions your healthcare provider gave you for treating asthma attacks.
Always have your rescue inhaler medicine with you for asthma attacks.
Do not stop taking or lower the dose of your other asthma medicines unless your healthcare provider tells you to.

For patients 15 years of age and older for the prevention of exercise-induced asthma:
Take SINGULAIR at least 2 hours before exercise.
Always have your rescue inhaler medicine with you for asthma attacks.
If you take SINGULAIR every day for chronic asthma or allergic rhinitis, do not take another dose to prevent exercise-induced asthma.
Talk to your healthcare provider about your treatment for exercise-induced asthma.
Do not take 2 doses of SINGULAIR within 24 hours (1 day).

For adults with seasonal allergic rhinitis, or for adults with perennial allergic rhinitis:
Take SINGULAIR 1 time each day, at about the same time each day.

Possible Side Effects
If you have asthma and aspirin makes your asthma symptoms worse, continue to avoid taking aspirin or other medicines called non-steroidal anti-inflammatory drugs (NSAIDs) while taking SINGULAIR.

Behavior and mood-related changes. Tell your healthcare provider right away if you have any of these symptoms while taking SINGULAIR:

agitation including aggressive irritability
behavior or hostility restlessness
bad or vivid dreams sleep walking
depression suicidal thoughts and actions
disorientation (confusion) (including suicide)
feeling anxious tremor
hallucinations (seeing or hearing things that are not really there)
trouble sleeping
Increase in certain white blood cells (eosinophils) and possible inflamed blood vessels throughout the body (systemic vasculitis). Rarely, this can happen in people with asthma who take SINGULAIR. This usually, but not always, happens in people who also take a steroid medicine by mouth that is being stopped or the dose is being lowered.

Tell your healthcare provider right away if you get one or more of these symptoms:
a feeling of pins and needles or numbness of arms or legs
a flu-like illness
rash
severe inflammation (pain and swelling) of the sinuses (sinusitis)

The most common side effects with SINGULAIR include:
upper respiratory infection
fever
headache
sore throat
cough
stomach pain
diarrhea
earache or ear infection
flu
runny nose
sinus infection

Other side effects with SINGULAIR include:

increased bleeding tendency
allergic reactions [including swelling of the face, lips, tongue, and/or throat (which may cause trouble breathing or swallowing), hives and itching]
dizziness, drowsiness, pins and needles/numbness, seizures (convulsions or fits) palpitations
nose bleed, stuffy nose
diarrhea, heartburn, indigestion, inflammation of the pancreas, nausea, stomach or intestinal upset, vomiting
hepatitis
bruising, rash
joint pain, muscle aches and muscle cramps
tiredness, swelling

Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of SINGULAIR. For more information ask your healthcare provider or pharmacist. How should I store SINGULAIR? Store SINGULAIR at 59°F to 86°F (15°C to 30°C). Keep SINGULAIR in the container it comes in. Keep SINGULAIR in a dry place and away from light.

Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.



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