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Patients who have exacerbations of asthma after exercise should continue to use their usual regimen of inhaled beta-agonists as prophylaxis and have a short-acting inhaled beta-agonist available for rescue.
Patients on therapy with montelukast may present with systemic eosinophilia.
Do not abruptly substitute montelukast for inhaled or oral corticosteroids.
Avoid aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) while taking montelukast in patients with known aspirin sensitivity.
Do not use in the treatment of acute asthma attacks.
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