A 6-year-old child with mild persistent asthma also has seasonal allergic rhinitis. The parents are concerned about long-term inhaled corticosteroid use. Which medication is most appropriate as an alternative controller therapy?
- A Oral theophylline
- B Inhaled salmeterol
- C Oral montelukast ✓
- D Oral prednisolone on alternate days
Correct answer: C. Oral montelukast
Explanation
Montelukast, a leukotriene receptor antagonist, is an acceptable alternative controller for mild persistent asthma, especially when allergic rhinitis coexists. It is oral and well-tolerated. Long-acting beta-agonists should not be used as monotherapy in children. Theophylline has a narrow therapeutic index. Systemic steroids are not appropriate for maintenance.
Reference: Katzung Basic and Clinical Pharmacology, 15th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.