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| SPECIALIST ANSWERS
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Question |
Sir, most of the paediatric drugs dosage are weight dependent, while drugs like Monteleucast(Mast cell stabilizers) are age dependent. WHY..?
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Answer |
The dosing of montelukast is determined by plasma concentration levels of the drug. Studies in children have demonstrated that The plasma concentration profile of montelukast following administration of the 10-mg film-coated tablet is similar in adolescents ³ 15 years of age and young adults. The 10-mg film-coated tablet is recommended for use in patients ³ 15 years of age.
The mean systemic exposure of the 4-mg chewable tablet in pediatric patients 2 to 5 years of age and the 5-mg chewable tablets in pediatric patients 6 to 14 years of age is similar to the mean systemic exposure of the 10-mg film-coated tablet in adults. The 5-mg chewable tablet should be used in pediatric patients 6 to 14 years of age and the 4-mg chewable tablet should be used in pediatric patients 2 to 5 years of age.
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