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About the medicine

How to use MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS

Contents of the leaflet

  1. Introduction
  2. What MONTELUKAST TARBIS 4 mg is and what it is used for
  3. Before taking MONTELUKAST TARBIS 4 mg
  4. How to take MONTELUKAST TARBIS 4 mg
  5. Possible side effects
  6. Storage of MONTELUKAST TARBIS 4 mg
  7. FURTHER INFORMATION

Introduction

Package Leaflet: Information for the User

MONTELUKAST TARBIS 4 mg

chewable tablets EFG

montelukast

Read all of this leaflet carefully before your child starts taking this medicine.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for your child. Do not pass it on to others, even if their symptoms are the same as your child's. It may harm them.
  • If you think any of the side effects that your child is getting are serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Contents of the pack:

  1. What MONTELUKAST TARBIS 4 mg is and what it is used for
  2. Before taking MONTELUKAST TARBIS 4 mg
  3. How to take MONTELUKAST TARBIS 4 mg
  4. Possible side effects
  5. Storage of MONTELUKAST TARBIS 4 mg
  6. Further information

1. What MONTELUKAST TARBIS 4 mg is and what it is used for

MONTELUKAST TARBIS 4 mg is a leukotriene receptor antagonist that blocks substances called leukotrienes. Leukotrienes cause narrowing and swelling of the airways in the lungs. By blocking leukotrienes, MONTELUKAST TARBIS 4 mg improves asthma symptoms and helps control asthma.

Your doctor has prescribed MONTELUKAST TARBIS 4 mg to treat your child's asthma and prevent asthma symptoms during the day and night.

  • MONTELUKAST TARBIS 4 mg is used for the treatment of patients between 2 and 5 years of age who are not adequately controlled with their medication and need additional treatment.
  • MONTELUKAST TARBIS 4 mg is also used as an alternative treatment to inhaled corticosteroids in patients between 2 and 5 years of age who have not recently taken oral corticosteroids for the treatment of their asthma and have demonstrated that they are unable to use inhaled corticosteroids.
  • MONTELUKAST TARBIS 4 mg also helps prevent narrowing of the airways caused by exercise in patients 2 years of age and older.

Depending on your child's symptoms and the severity of their asthma, your doctor will determine how to use MONTELUKAST TARBIS 4 mg.

What is asthma?

Asthma is a chronic disease.

Asthma includes:

  • difficulty breathing due to narrowing of the airways. This narrowing of the airways worsens and improves in response to various diseases.
  • airways that are sensitive to many things, such as cigarette smoke, pollen, cold air, or exercise.
  • swelling (inflammation) of the inner layer of the airways.

Asthma symptoms include: Cough, wheezing, and chest congestion.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Before taking MONTELUKAST TARBIS 4 mg

Tell your doctor about any allergy or medical problem that your child has now or has had.

Do not give MONTELUKAST TARBIS 4 mg to your child if

  • they are allergic (hypersensitive) to montelukast or any of the other components of MONTELUKAST TARBIS 4 mg. (see 6. FURTHER INFORMATION).

Be careful with MONTELUKAST TARBIS 4 mg

  • If your child's asthma or breathing worsens, tell your doctor immediately.
  • MONTELUKAST oral is not indicated for the treatment of acute asthma attacks. If an attack occurs, follow the instructions that your doctor has given your child. Always have your child's rescue inhalation medication for asthma attacks.
  • It is essential that your child uses all asthma medications prescribed by their doctor. MONTELUKAST TARBIS 4 mg should not be used instead of other asthma medications that your doctor has prescribed for your child.
  • If your child is being treated with asthma medications, be aware that if they develop a combination of symptoms such as flu-like illness, tingling or numbness of arms or legs, worsening of lung symptoms, and/or skin rash, they should consult their doctor.
  • Your child should not take acetylsalicylic acid (aspirin) or anti-inflammatory medications (also known as non-steroidal anti-inflammatory medications or NSAIDs) if they worsen their asthma.
  • Patient should be aware that several neuropsychiatric events have been reported with MONTELUKAST TARBIS 4 mg (such as changes in behavior and mood-related) in adults, adolescents, and children (see section 4). If your child develops these symptoms while taking MONTELUKAST TARBIS 4 mg, they should consult their doctor.

Use of other medications

Some medications may affect the functioning of MONTELUKAST TARBIS 4 mg, or MONTELUKAST TARBIS 4 mg may affect the functioning of other medications that your child is using.

Tell your doctor or pharmacist if your child is using or has recently used other medications, even those purchased without a prescription.

Before taking MONTELUKAST TARBIS 4 mg, tell your doctor if your child is taking the following medications:

  • phenobarbital (used to treat epilepsy)
  • phenytoin (used to treat epilepsy)
  • rifampicin (used to treat tuberculosis and some other infections)

Taking MONTELUKAST TARBIS 4 mg with food and drinks

MONTELUKAST TARBIS 4 mg chewable tablets should not be taken with meals; they should be taken at least 1 hour before or 2 hours after meals.

Pregnancy and breastfeeding

This subsection is not applicable to MONTELUKAST TARBIS 4 mg as its use is indicated in children between 2 and 5 years of age. However, the following information is important for the active ingredient, montelukast.

Use during pregnancy

Women who are pregnant or plan to become pregnant should consult their doctor before taking MONTELUKAST TARBIS. Their doctor will assess whether they can take MONTELUKAST TARBIS during this period.

Use during breastfeeding

It is unknown whether MONTELUKAST TARBIS appears in breast milk. If you are breastfeeding or plan to breastfeed, you should consult your doctor before taking MONTELUKAST TARBIS.

Driving and using machines

This subsection is not applicable to MONTELUKAST TARBIS 4 mg chewable tablets, as their use is indicated in children between 2 and 5 years of age. However, the following information is important for the active ingredient, montelukast.

MONTELUKAST TARBIS is not expected to affect the ability to drive or use machines. However, individual responses to the medication may vary. Certain side effects (such as dizziness and drowsiness) that have been reported very rarely with MONTELUKAST TARBIS may affect the patient's ability to drive or use machines.

Important information about some of the components of MONTELUKAST TARBIS 4 mg

MONTELUKAST TARBIS 4 mg chewable tablets contain aspartame, a source of phenylalanine. If your child has phenylketonuria (a rare inherited disorder of metabolism), they should be aware that each 4 mg chewable tablet contains 1.35 mg of phenylalanine.

3. How to take MONTELUKAST TARBIS 4 mg

  • This medication should be administered to children under adult supervision.
  • Your child should only take one MONTELUKAST TARBIS 4 mg tablet once a day, as prescribed by their doctor.
  • It should be taken even when your child does not have symptoms or when they have an acute asthma attack.
  • Make sure your child always takes MONTELUKAST TARBIS 4 mg as their doctor has told them.

Consult your child's doctor or pharmacist if you have any doubts.

  • It should be taken orally.

For children from 2 to 5 years of age:

One 4 mg chewable tablet should be taken daily in the evening. MONTELUKAST TARBIS 4 mg chewable tablets should not be taken with meals; they should be taken at least 1 hour before or 2 hours after meals.

If your child is taking MONTELUKAST TARBIS 4 mg, make sure they do not take any other medication that contains the same active ingredient, montelukast.

For children from 2 to 5 years of age, MONTELUKAST TARBIS 4 mg chewable tablets are available.

For children from 6 to 14 years of age, MONTELUKAST TARBIS 5 mg chewable tablets are available.

The 4 mg chewable tablet of MONTELUKAST TARBIS is not recommended for children under 2 years of age.

If your child takes more MONTELUKAST TARBIS 4 mg than they should

Seek help from your child's doctor immediately.

In most cases of overdose, no side effects were reported. The symptoms that occurred most frequently reported in overdose in adults and children were abdominal pain, drowsiness, thirst, headache, vomiting, and hyperactivity.

If you forget to give MONTELUKAST TARBIS 4 mg to your child

Try to give MONTELUKAST TARBIS 4 mg as prescribed. However, if your child forgets a dose, just resume the usual intake of one tablet once a day.

Do not give a double dose to make up for forgotten doses.

If your child stops taking MONTELUKAST TARBIS 4 mg

MONTELUKAST TARBIS 4 mg can only treat your child's asthma if they continue taking it.

It is essential that your child continues taking MONTELUKAST TARBIS 4 mg for the time their doctor prescribes it. It will help control your child's asthma.

If you have any other questions about the use of this product, ask your child's doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, MONTELUKAST TARBIS 4 mg can cause side effects, although not everyone gets them.

In clinical trials with 4 mg chewable tablets, the side effects related to the administration of the medication and reported most frequently (occurring in at least 1 in 100 patients and less than 1 in 10 patients treated) were:

  • abdominal pain
  • thirst

Additionally, the following side effects were reported in clinical trials with montelukast 10 mg film-coated tablets and 5 mg chewable tablets:

  • headache

These side effects were generally mild and occurred with a higher frequency in patients treated with montelukast tablets than with placebo (a pill that does not contain medication).

Additionally, since the medication has been marketed, the following side effects have been reported:

  • allergic reactions including skin rash, swelling of the face, lips, tongue, and/or throat that can cause difficulty breathing or swallowing, itching, and hives;
  • fatigue, restlessness, excitement including aggressive behavior, irritability, tremor, depression, suicidal thoughts and actions (in very rare cases), dizziness, drowsiness, hallucinations, sleep disturbances, including nightmares and sleep problems, tingling/numbness, seizures;
  • discomfort, joint or muscle pain, muscle cramps, dry mouth, nausea, vomiting, indigestion, diarrhea, hepatitis;
  • increased risk of bleeding, hematoma, red painful lumps under the skin that most frequently appear on the shins (erythema nodosum), palpitations;
  • swelling
  • stuttering (very rare - may affect up to 1 in 10,000 people).

In asthmatic patients treated with montelukast, very rare cases of a combination of symptoms such as flu-like illness, tingling or numbness of arms and legs, worsening of lung symptoms, and/or skin rash (Churg-Strauss syndrome) have been reported. You should immediately tell your doctor if your child has one or more of these symptoms.

Ask your doctor or pharmacist for more information about side effects. If you think any of the side effects that your child is getting is serious, or if you notice any side effects not listed in this leaflet, tell your child's doctor or pharmacist.

Reporting of side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect that is not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of MONTELUKAST TARBIS 4 mg

  • Keep out of the reach and sight of children.
  • Do not use this medication after the expiry date stated on the blister pack. The first two numbers indicate the month; the last four numbers indicate the year. The expiry date is the last day of the month stated.
  • Store in the original packaging to protect it from light and moisture.
  • Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medication in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. FURTHER INFORMATION

Composition of MONTELUKAST TARBIS 4 mg:

  • The active ingredient is montelukast. Each tablet contains montelukast sodium equivalent to 4 mg of montelukast.
  • The other components are: Mannitol, microcrystalline cellulose, hydroxypropylcellulose, red iron oxide (E 172), sodium croscarmellose, strawberry flavor, aspartame (E 951), and magnesium stearate.

Appearance of the product and packaging content

The 4 mg chewable tablets are pink, oval, biconvex, and have the inscription "4" on one side.

They are available in packs of 28 tablets.

Marketing authorization holder

TARBIS FARMA, S.L.

Gran Via Carlos III, 94

(Barcelona) - 08028 - Spain

Manufacturer

Neuraxpharm Pharmaceuticals, S.L.

Avda. de Barcelona, 69

(Sant Joan Despi (Barcelona)) - 08970 - Spain

This leaflet was approved in July 2019

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) http://www.aemps.gob.es/

Online doctors for MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS

Discuss questions about MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS, including use, safety considerations and whether a prescription is appropriate, subject to medical assessment and local regulations.

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5.0(6)

Jorge Correa Bellido

General medicine7 years of experience
Licence no. 464626297

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

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His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

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€86
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Chikeluo Okeke

General medicine4 years of experience

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

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Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

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  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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€70
Doctor

Hocine Lokchiri

General medicine21 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

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  • nausea, diarrhoea, abdominal pain, digestive infections
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  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
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  • questions about test results and treatment plans
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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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4.7(11)

Anastasiia Shalko

General medicine13 years of experience
Licence no. 52891

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

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  • renewal of prescriptions when clinically appropriate

Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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5.0(8)

Lizaveta Trafimchuk Takhvaniuk

DermatologyGeneral medicine10 years of experience
Licence no. 58788

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

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€72

Frequently Asked Questions

MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS is montelukast. This information helps identify medicines with the same composition but different brand names.

The average pharmacy price for MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS is around 16.84 EUR. Prices may vary depending on the manufacturer and dosage form.

MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS is manufactured by Tarbis Farma S.L.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Pulmonologists, Allergists, ENT doctors, General medicine doctors, Anaesthesiologists may assess whether MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, MONTELUKAST TARBIS 4 mg CHEWABLE TABLETS is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request an assessment, you can use Oladoctor:

Other medicines with the same active substance (montelukast) include MONKASTA 10 mg FILM-COATED TABLETS, MONKASTA 4 mg CHEWABLE TABLETS, MONKASTA 5 mg CHEWABLE TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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