• Child-safe chewable formulation: Designed especially for children aged 6 months to 5 years who cannot swallow tablets; ensures correct dosing and compliance.

   Effective pediatric indications: Used for asthma maintenance, prevention of exercise‑induced bronchospasm from age 6, and treatment of allergic rhinitis from age 6 months (perennial) or 2 years (seasonal).

• Once-daily evening dose: Helps manage asthma symptoms that worsen at night—dosing in the evening aligns with circadian patterns of airway activity. 

• Minimal drug interactions: Can be safely co-administered with common asthma and allergy medications like theophylline, corticosteroids, oral contraceptives, digoxin, warfarin, and decongestants without significant interaction risk. However, with enzyme inducers (e.g. phenobarbital, rifampin), Montela exposure may reduce by ~40%. 

• Very affordable pediatric option: At approximately ৳ 4–5 per chewable tablet, it's one of the cheapest montelukast options in Bangladesh.

ℹ️ Precautions & Safety NotesNot for acute asthma attacks: Not suitable as a rescue medication. Patients should maintain access to fast-acting reliever inhalers. )

• Watch for rare neuropsychiatric effects: Although uncommon, it may cause mood changes, nightmares, aggression, depression, memory loss, or suicidal thoughts—especially in prolonged use. Monitor closely, particularly in children. ([turn0reddit12]turn0search3]

• Contraindications: Hypersensitivity to montelukast or any component. Do not use in infants under 6 months.

  Typical side effects in children: Include diarrhea, fever, headache, nausea, skin reactions, and upper respiratory infections. Rare symptoms may include behavioral changes, tremor, pain, and seizures. 

• Use in pregnancy/lactation: Limited data; use only if clearly needed. Animal studies showed no adverse developmental effects at high doses. Montelukast is excreted in breast milk, but effects are unknown. 

• Storage Guidance: Store in a cool, dry place below 30 °C, protected from light and moisture. Keep out of reach of children.