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Montelukast Side Effects

The most commonly reported side effects of montelukast include dyspnoea, asthma, and fatigue, based on 170,132 FDA adverse event reports from 2004 to 2025. 6.7% of reports found the drug to be ineffective.

Montelukast side effects

Percentages show how often each reaction appears relative to total reports for montelukast.

1
Dyspnoea9.9%16,831
2
Asthma9.8%16,757
3
Drug Ineffective6.7%11,316
4
Fatigue6.3%10,689
5
Cough6.0%10,254
6
Headache5.5%9,397
7
Wheezing4.9%8,351
8
Pneumonia4.8%8,149
9
Nausea4.7%7,917
10
Pain4.3%7,355
11
Off Label Use4.1%6,944
12
Malaise3.7%6,244
13
Diarrhoea3.6%6,183
14
Anxiety3.5%5,958
15
Dizziness3.3%5,638

These are voluntary reports and do not establish that montelukast caused these reactions.

Report severity

62.7%Serious106,706 reports
27.3%Hospitalizations46,517 reports
4.3%Fatal7,233 reports

Seriousness is determined by the reporter, not by OpenClaim.

Montelukast drug interactions

Other drugs that appear in adverse event reports alongside montelukast. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Omalizumab8.1%13,789
2
Dupilumab7.2%12,197
3
Fluticasone5.9%10,012
4
Albuterol5.6%9,490
5
Budesonide4.1%6,995
6
Prednisone3.9%6,563
7
Tiotropium-bromide3.7%6,314
8
Salmeterol-xinafoate3.6%6,137
9
Mepolizumab3.3%5,563
10
Formoterol3.2%5,447
11
Adalimumab3.2%5,368
12
Lenalidomide2.8%4,682
13
Sodium-oxybate2.7%4,623
14
Pantoprazole-sodium1.9%3,312
15
Omeprazole1.6%2,743

Taken alongside

1
Albuterol32.8%55,723
2
Fluticasone25.8%43,889
3
Ergocalciferol14.8%25,148
4
Acetaminophen14.7%25,074
5
Levothyroxine-sodium13.3%22,549
6
Omeprazole13.0%22,201
7
Cetirizine-hydrochloride12.5%21,333
8
Budesonide12.4%21,164
9
Prednisone12.3%20,939
10
Aspirin12.0%20,347
11
Salmeterol-xinafoate10.8%18,373
12
Formoterol10.5%17,917
13
Atorvastatin-calcium10.1%17,115
14
Gabapentin9.9%16,772
15
Furosemide9.3%15,757

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports montelukast side effects

65.0% of montelukast adverse event reports involve female patients and 27.8% involve male patients. The largest age group is adult at 56%. These figures reflect who reports side effects, not underlying risk.

Sex

Female65.0%
Male27.8%
Unknown7.2%

Age group

< 20.7%
2–117.1%
12–173.7%
18–6456.4%
65+32.1%

What is montelukast used for

Conditions and purposes for which patients were taking montelukast when the adverse event was reported.

Abdominal DiscomfortAbdominal PainAbdominal Pain UpperAbnormal BehaviourAccidental Exposure To Product By ChildAcidosisAcute Respiratory Distress SyndromeAcute Respiratory FailureAcute SinusitisAddison^s DiseaseAdenocarcinoma Of ColonAdenoidal DisorderAdenoidal HypertrophyAdjuvant TherapyAdverse Drug Reaction

Showing 15 of 1,024 indications

Montelukast brand names and reporting trend

Montelukast is sold under the brand name Singulair.

Brand names

Singulair85,146

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking montelukast with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.