What is Montelukast?
Montelukast is a medication used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. It's also used to prevent breathing difficulties during exercise.
Why is it considered overused and dangerous?
Overuse: It's often prescribed for short-term conditions like the common cold, which is not its intended use. It is also combined with antihistamines, increasing its price and potential for side effects.
Dangerous Side Effects: Studies have linked it to serious mental health issues like aggression, depression, suicidal thoughts, and even deaths by suicide.
What are the safer alternatives?
For short-term conditions: Antihistamines like levocetirizine, loratadine, or fexofenadine are time-tested and safer options.
For long-term asthma control: Inhaled corticosteroids are considered the first-line therapy and are generally safer than montelukast.
What needs to be done?
Regulators need to intervene: To stop the misuse of this drug and increase awareness about its potential harms among doctors and patients.
Patients need to be informed: About safer alternatives and the risks associated with montelukast, especially for young children.
Key takeaway:
Montelukast is a medication that should be used cautiously and only for its approved indications. Its overuse and combination with other drugs, especially for short-term conditions, can lead to serious side effects. It's essential to prioritize safer alternatives and raise awareness about its potential risks.
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