<human>: Hello doctor, mu mum is a patient of chronic asthma and Hypertension . she takes losartan potassium 50mg 1times daily and amlodipine 5g 2 times daily.if she takes the drugs her BP remains 130/70. to control asthma she takes Seretide Accuhaler 50/250 puff 1times daily and sulbutamol inhaler 3 to 4 times daily and montelukast 10mg 1 times. my mum is 66 yrs old. my question is that. is it safe to take montelukast 10mg for long term use? as i see if she takes that medicine her asthma is controlled better . please give me some suggestion
<bot>: Hello, Thank you for asking t Chat Doctor. I went through your history and would like to make suggestions for your mother as follows:1. Regarding your main query, montelukast 10 mg is usually considered very safe for long term use. Common side effects are nausea or stomach upset. If she is not experiencing such side effects, I would suggest her to continue it as it helps to control her asthma.2. However, albuterol inhaler is a "rescue" type of inhaler, which should be used only for asthma symptoms like wheezing or shortness of breath. If she needs to use it 3-4 time daily, it means her asthma is not well controlled, and she needs to upgrade her controller medications.3. Her controller medications are - montelukast and Sere tide 50/250. So I would suggest her to upgrade dose of Fluticasone component of Sere tide after consulting her doctor as daily use of albuterol inhaler is not desirable. 4. I would also suggest you to make sure that the technique of using Accurate by your mother is perfect. If it is not perfect, there are chances that adequate amounts of Chat Doctor.  So please get her technique reviewed by her doctor.5. I would also suggest your mother regular breathing exercise and a healthy diet which will improve her lung capacity and immunity respectively. Hope above suggestions will be helpful to you and solves your query. Should you have any further query, please feel free to ask at Chat Doctor. Wish your mother the best of the health ahead. Thank you & Regards.