Q. I have severe Asthma and are already on several meds including Flovent, Serevent, Theodur and intermittent oral steroids. I heard of a newer med called Singular. Might this be helpful?

A. Yes. Singular (Montelukast) is a newer med for treatment/prevention of Asthma flare-ups. It works by blocking leukotriene receptors which are a major pathway for Asthma inflammation. Some patients have a remarkable improvement in reduction in Asthma attacks and less need for their bronchodilators such as Proventil. It may be added on to your regimen. Also, it may be used for mild-moderate Asthma as well. For anyone who prefers not to use inhaled steroids, it is often possible to use Singular instead. The dose for adults is one 10mg tab at bedtime. It is usually very well tolerated.

Accolate is another similar med, but it usually needs to be taken twice per day.

Reference: http://www.merck.com/product/usa/

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