Product Information:

MONTIGET Paeds Granules contain Montelukast Sodium 4mg, a leukotriene receptor antagonist used for the management of asthma and allergic rhinitis in children. Montelukast works by blocking cysteinyl leukotriene receptors (CysLT1) in the airways, reducing inflammation, bronchoconstriction, and mucus production.

This granule formulation is specifically designed for children aged 6 months to 5 years, offering flexible dosing and ease of administration by mixing with soft foods or liquids.

Uses of (MONTIGET PAEDS GRANULES):

1. Asthma:
2. Prophylaxis and chronic treatment of asthma in children ≥6 months
3. Prevention of exercise-induced bronchoconstriction (in children ≥2 years)
4. Allergic Rhinitis:
5. Relief of symptoms (sneezing, nasal congestion, itching, runny nose) in seasonal or perennial allergic rhinitis

Key Benefits of (MONTIGET PAEDS GRANULES):

1. Age-appropriate 4mg strength for young children
2. Granule form allows easy mixing with food or milk—ideal for children who cannot swallow tablets
3. Once-daily dosing improves adherence
4. Non-steroidal anti-inflammatory action with minimal systemic side effects

How To Use (MONTIGET PAEDS GRANULES):

1. Administer once daily in the evening (for asthma) or at bedtime (for allergic rhinitis).
2. Empty entire contents of one sachet (4mg) directly into the child’s mouth OR mix with 1 teaspoon (5ml) of cold or room-temperature soft food (e.g., applesauce, mashed banana, yogurt) or infant formula/milk.
3. Give immediately after mixing—do not store for later use.
4. Do not dissolve in water or warm liquids.
5. Continue daily, even when asymptomatic.

When Not to Use (MONTIGET PAEDS GRANULES):

Do not use if your child has:

1. Hypersensitivity to montelukast or any excipients
2. Acute asthma attack or status asthmaticus (not for rescue therapy)
3. Severe liver impairment (use with caution)

Side Effects of (MONTIGET PAEDS GRANULES):

Common: Headache, abdominal pain, diarrhea, cough, fever.

Rare: Rash, thirst, fatigue.

Serious (rare but require monitoring):

1. Neuropsychiatric events: Agitation, aggression, anxiety, depression, sleep disturbances, nightmares, or suicidal thoughts
2. Hypersensitivity reactions: Angioedema, urticaria
3. Discontinue and seek medical help if behavioral changes or allergic reactions occur.

⚠️ FDA/DRAP Warning: Montelukast carries a Boxed Warning for serious neuropsychiatric events. Use only when benefits outweigh risks, especially in children.

Dosage: (MONTIGET PAEDS GRANULES):

1. Children 6 months to 5 years: One sachet (4mg) once daily
2. Not for children <6 months
3. Take consistently at the same time each day

Who It’s For (MONTIGET PAEDS GRANULES):

Children aged 6 months to 5 years with persistent asthma or allergic rhinitis requiring controller therapy, especially those unable to use inhalers or needing add-on treatment.

Warnings & Precautions:

1. Not a rescue medication—does not treat acute asthma attacks
2. Monitor closely for mood or behavior changes; discontinue if psychiatric symptoms appear
3. May be used with inhaled corticosteroids, but do not abruptly stop steroids
4. Effectiveness may take several days—maintain regular use

Drug Interactions:

1. Phenobarbital, rifampicin: May reduce montelukast levels
2. Aspirin: May worsen asthma in aspirin-sensitive patients (montelukast does not prevent this)
3. Always inform your doctor about all medications.

Additional Information:

Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children. Each sachet is single-use. Available by prescription in Pakistan.