ASMAKAST (MONTELUKAST) Price

Dosage Form	Reg. No	Pack Size	Trade Price (TP)	Maximum Retail Price (MRP)
Tab 10 mg	035778	14	Rs.263.50	Rs.310.00
Tab 4 mg	035776	14	Rs.161.50	Rs.190.00
Tab Chewable 5 mg	035777	14L 204.00	—	Rs.240.00

📋 Indications & Clinical Dosage

*Prophylaxis of asthma:* Adult & Children above 15 yrs: 10 mg once daily in the evening. Children 6 months-5 yrs: 4 mg once daily in the evening; 6-14 yrs: 5 mg once daily inthe evening. *Symptomatic relief of seasonal allergic rhinitis in patients with asthma:* Adult & Children above 15 yrs: 10 mg once daily in the evening.

⚠️ Precautions & Warnings

Do not substitute abruptly for inhaled or oral steroid therapy, not for use for relief of acute symptoms. Discontinue if symptoms of Churg-Strauss syndrome appear. Phenyl ketonuria with chewable tablet (contain aspartame).

🔄 Drug Interactions

Phenobarbital, phenytoin, rifampicin.

⚠️ Adverse Reactions / Side Effects

Abdominal pain, aggressive behavior, agitation, anxiety, headache, hyperkinesia, thirst, depression, dizziness, drowsiness, dry mouth, epistaxis, irritability, malaise, muscle cramps, hyperactivity, restlessness, sleep disturbances, palpitation, tremor. Rare: Anaphylaxis, angioedema, seizure, elevated ALT/AST, Churg-Strauss syndrome (Discontinue)

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:

Not known to be harmful

Lactation / Breastfeeding:

Caution advised

📚 Official Regulatory & Clinical References

Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.