Thursday, October 20, 2011

Singulair - Not worth it, for now...

In late August, Mimi developed a little cough and an alternating stuff/runny nose.  I gave her albuterol treatments with her "fishy mask" and that seemed to help.  After her cough went on for almost 2 weeks, I took her to the pediatrician's office.  The doctor said that her lungs sounded good and she didn't see any signs of infection.  She said it was just allergens and that I was doing the right thing by administering albuterol, as needed.  She did offer me samples of Xopenex, which she said has less incidences of sleep disruptions.  The cough got better after a few days, but the stuffy/running nose continued.  I Googled and figured out that she has allergic rhinitis.  After we neared 6 weeks of sinus congestion, she got a mild fever, so I took her in, again, and the doctor said it looked like a sinus infection and prescribed an antibiotic (Augmentin a.k.a. Amoxicillin Clavulanate) for 14 days.  A few days later, she had an appointment with her allergist and I asked what we could do for her allergic rhinitis.  He said he had seen great success with Singulair.  I had told him, before, that I was worried about the potential side effects.  The website states:

SINGULAIR may cause serious side effects.

Behavior and mood-related changes have been reported. Tell your healthcare provider right away if you or your child have any of these symptoms while taking SINGULAIR:
  • agitation including aggressive behavior or hostility
  • bad or vivid dreams
  • depression
  • disorientation (confusion)
  • feeling anxious
  • hallucination (seeing or hearing things that are not really there)
  • irritability
  • restlessness
  • sleepwalking
  • suicidal thoughts and actions (including suicide)
  • tremor
  • trouble sleeping

My daughter tends to get the "rare" side effects of the medicines she takes, so I was a little hesistant, but we decided to give it a try.

UGH!  It was like someone flipped a switch on her.  She is a toddler and, of course, prone to mood swings, but these were markedly different.  Her highs and lows were even more dramatic.  She was throwing things, hitting at me (more often), and was in an all-around grumpy mood.  She had trouble sleeping at night and would cry for me, describing these scary dreams that she was having.  It's not that these things hadn't ever happened, but they were just amplified.  Now, it could have been the fact that she was on Zyrtec, Augmentin AND Singulair at the same time, but either way, Singulair is off the table, for now.  If she was having symptoms of uncontrolled asthma, then I think taking Singulair would be worth enduring the side effects, because I have heard many reports from fellow moms who say it worked miracles for their children.  I would agree that if your choices are "be in a good mood, but struggle to breathe" or "breathe and be grumpy", that one would choose the latter, but we weren't using it for her asthma.  Having a stuffy/runny nose just doesn't warrant Singulair, at this point, so I'm back to pursuing other alternatives.  I think we might have to get serious and replace the carpeting in our house.  If I can somehow contain/control her exposure to the aggravating allergens, then maybe we won't need any additional medication. 

1 comment:

  1. K also had mood changes from Singulair, so we ended up taking her off of it. Sorry to hear it didn't work for Morgan.