NHS Crawley and NHS Horsham and Mid Sussex CCG
3 Respiratory system
03-03-02 Leukotriene receptor antagonists

British Thoracic Society Asthma guidelines 2012 state:

In children under five years who are unable to take inhaled corticosteroids, leukotriene receptor antagonists are an effective first line preventor

Initiating oral montelukast in primary care settings, early after the onset of acute asthma symptoms, can result in decreased asthma symptoms and the need for subsequent healthcare attendances in those with mild exacerbations. There is no clear evidence to support the use of leukotriene receptor antagonists for moderate to severe acute asthma.


First Choice

Tablets, Chewable Tablets & Granules
  • Please see SmPC for important licensing information.
  • Paediatric formulations should be initiated by a specialist in paediatric asthma

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