PRECAUTION AGAINST LEUKOTRIENE INHIBITORS..

Sirisha Pingali's picture
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Recently FDA has recommended precaution against drugs Montelukast (marketed as Singulair), Zafirlukast (marketed as Accolate), and Zileuton (marketed as Zyflo and Zyflo CR). These drugs are used as leukotriene inhibitors and has led to neuropsychiatric events which include post market cases of aggression, agitation,dream abnormalities,hallucinations,depression,insomnia,irritation etc. So FDA recommended the following precaution in drug labelling..

*Patients and healthcare professionals should be aware of the potential or neuropsychiatric events with these medications.
*Patients should talk with their healthcare providers if these events occur.
*Healthcare professionals should consider discontinuing these medications if patients develop neuropsychiatric symptoms.

Santosh Kumar. JH's picture

Dear Sirisha

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They are used for Asthma patients showing promising effects,
So, why cant it be used in asthma patients despite its systemic side effects...

Regards,
Santosh Kumar

http://www.pharmainfo.net/santosh-kumar-jh
ATHARVANA

Sirisha Pingali's picture

dear santosh..Why do people

dear santosh..
thank you for your valuable comment..
Infact this is good question posted by you..
Please click on the following link to know about leukotrienes in asthma treatment..
http://www.aafp.org/afp/20070101/65.html

Supriya vavilapalli's picture

nice blog

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nice blog

Supriya vavilapalli

THE COGNITIVE MOLECULES

http://www.pharmainfo.net/supriya-vavilapalli

Sirisha Pingali's picture

dear supriya.. thank you for

dear supriya..
thank you for your valuable comment..

ks kumar upadhyayula's picture

Good Information

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Dear Sirisha,

Very great of you that you provided the latest and updated information about the drugs used in market.You are absolutely correct but these leukotriene inhibitors when given with some CNS stimulants was found to have decreased the symptoms you have mentioned.This is as far as my knowlede.please correct me if I am wrong.

Sirisha Pingali's picture

dear suresh.. Thank you for

dear suresh..
Thank you for your valuable comment..
See i collected the drug interactions of the individual drugs...So everywhere you can see the main interacting drug is ASPIRIN..
Drugs that may interact with montelukast include:
aspirin
NSAIDs
phenobarbital
rifampin
Medications that may interact with zafirlukast include:
aspirin
blood pressure medications
some seizure medications
Medications that may interact with zileuton include:
the beta-blocker propanolol
beta-agonists
terfenadine (Seldane and others)

ks kumar upadhyayula's picture

Nice Information

Dear Sirisha,

Very elaborately provided the information and very detailed answer.Nice on your part.

Sirisha Pingali's picture

thank you suresh..keep

thank you suresh..keep posting your comments..

Kranthi Kumar's picture

Is it all ?

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Dear Sirisha,
Good infomration But is it all the precautions to be taken ?
Is there not any alternative drugs for it ?
Is it harmful to any body tissue ?

Sirisha Pingali's picture

dear kranthi.. Thank you for

dear kranthi..
Thank you for your valuable comment..
See..previously leukotriene antagonists are used to treat asthma,rhinitis etc. FDA had recently introduced leukotriene modifiers instead of leukotriene antagonists(of course both are dealt under same heading leukotriene inhibitors). In other words these are alternative medications available.
For eg.Montelukast is recommended as an alternative medication to inhaled corticosteroids or as adjunctive therapy for the treatment of mild and moderate persistent asthma. These do not affect a particular body tissue. Common side effects seen is headache accounts for 18% individuals.

Naman Maharaja's picture

Ma'am can you explain in

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Ma'am can you explain in brief about leukotriene inhibitors?

Naman Team Infinity

 "∞"

http://www.pharmainfo.net/blog/team-infinity

Sirisha Pingali's picture

dear naman thank you for your

dear naman
thank you for your valuable comment..
As you know there is lot to cover under Leukotriene inhibitors. In short,Leukotriene inhibitors are prescription medications that treat asthma and some allergies by blocking the formation or activity of leukotrienes—small mediator chemicals produced by cells in the body.

Zarrin Faria's picture

Dear Srisha, Good

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Dear Srisha,
Good information...what were the grounds on which such declerations were made any studies....
Regards,
Faria Zarrin
Team: BLOGBUSTERS

Sirisha Pingali's picture

dear faria.. thank you for

dear faria..
thank you for your valuable comment..
This declaration is made by some Pulmonary healthcare professionals..Here is the original link where i collected my matter.
http://www.drugs.com/fda/leukotriene-inhibitors-montelukast-marketed-sin...
Please do reply if you are not satisfied.

V.B.S.Aishwarya's picture

Dear Sirisha, Thank you for

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Dear Sirisha,
Thank you for providing such alerting information.
what kind of Dream abnormalities does it lead to?

Regards
Aishwarya

Sirisha Pingali's picture

dear aishwarya thank you for

dear aishwarya
thank you for your valuable comment..
Dream abnormalities are one of the neuropsychiatric symptoms seen in this. Emotional liability, nervousness may be seen.