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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..?
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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