Categoria
Singular
Nombres de marca,
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Analogos
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Marca los nombres de mezcla
No information avaliable
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Formula quimica
C35H36ClNO3S
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RX enlace
http://www.rxlist.com/cgi/generic3/monteluk.htm
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FDA hoja
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MSDS (hoja de seguridad de materiales)
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Sintesis de referencia
ML Belley et al., Eur. Pat. Appl. 480,717 (1992)
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Peso molecular
586.184 g/mol
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Punto de fusion
No information avaliable
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H2O Solubilidad
No hay información disponible
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Estado
Solid
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LogP
8.488
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Formas de dosificacion
Tablet (oral)
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Indicacion
Para el tratamiento del asma
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Farmacologia
Montelukast, zafirlukast como, es un antagonista del receptor de leucotrienos utilizado como una alternativa a los medicamentos anti-inflamatorios en la gestión y el tratamiento crónico del asma y broncoespasmo inducido por el ejercicio (BEI). A diferencia de zafirlukast, montelukast no inhibe CYP2C9 o CYP3A4 y, por tanto, no espera que afecte a la eliminación hepática de los fármacos metabolizados por estas enzimas.
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Absorcion
Absorbe rápidamente tras la administración oral (biodisponibilidad es del 64%)
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Toxicidad
Los efectos secundarios incluyen dolor de cabeza, dolor abdominal o estomacal, tos, dolor dental, mareos, fiebre, ardor de estómago, erupciones en la piel, congestión nasal, debilidad o cansancio inusual.
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Informacion de Pacientes
General
- Patients should be advised to take montelukast daily as prescribed, even when they are asymptomatic, as well as
during periods of worsening asthma, and to contact their physicians if their asthma is not well controlled.
- Patients should be advised that oral tablets of montelukast are not for the treatment of acute asthma attacks.
They should have appropriate short-acting inhaled b-agonist medication available to treat
asthma exacerbations.
- Patients should be advised that, while using montelukast, medical attention should be sought if short-acting
inhaled bronchodilators are needed more often than usual, or if more than the maximum number of inhalations of
short-acting bronchodilator treatment prescribed for 24-hour period are needed.
- Patients receiving montelukast should be instructed not to decrease the dose or stop taking any other
antiasthma medications unless instructed by a physician.
- Patients who have exacerbations of asthma after exercise should be instructed to continue to use their usual
regimen of inhaled b-agonists as prophylaxis unless otherwise instructed by their
physician. All patients should have available for rescue a short-acting inhaled b-agonist.
- Patients with known aspirin sensitivity should be advised to continue avoidance of aspirin or non-steroidal
anti-inflammatory agents while taking montelukast.
Chewable Tablets:
Phenylketonurics: Phenylketonuric patients should be informed that the chewable tablet contains
phenylalanine (a component of aspartame) 0.842 mg per 5-mg chewable tablet.
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Organismos afectados
Humanos y otros mamíferos