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Singulair vs. Flovent

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Montelukast (Singulair) and Flovent (fluticasone) are both used to manage asthma, but they work in different ways and have different uses. Montelukast is a leukotriene receptor antagonist taken orally, while Flovent is an inhaled corticosteroid. Montelukast is used for long-term asthma treatment, exercise-induced asthma prevention, and year-round or seasonal allergies management. It is taken once daily. In contrast, Flovent is used specifically for the maintenance treatment of asthma and must be inhaled twice daily. Montelukast is available in various forms, including tablets, chewable tablets, and granules, making it suitable for children and those who have trouble with inhalers. Flovent, on the other hand, comes in two types of inhalers: HFA and Diskus. Both montelukast and Flovent are not suitable for treating sudden asthma attacks. Flovent requires you to rinse your mouth after each use to prevent fungal infections, a step not needed with montelukast. Additionally, montelukast has a risk of serious mental health side effects, whereas Flovent can cause throat irritation and potential growth delays in children.

Montelukast

(Singulair)

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Flovent

(fluticasone)

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Summary for Singulair

Prescription only

Montelukast, the generic for Singulair, is used to help control asthma over time and prevent breathing problems during exercise in both adults and children. It's also used to help relieve allergy symptoms. Montelukast (Singulair) comes as tablets, chewable tablets, or oral granules and is usually taken by mouth once a day. Common side effects include upper respiratory infection and headache, and it has a boxed warning for serious mood and behavior changes.

Indications for Singulair

Pros and Cons for Singulair

Pros

  • Only need to take once a day
  • Helps prevent asthma symptoms and allergies
  • Available in child‑friendly forms (chewable tablets, oral granules)

Cons

  • Not for treating sudden asthma attacks
  • Might cause serious mood or behavior changes
  • Not always a first‑choice option for allergies

Common Side Effects for Singulair

  • Upper respiratory infection
  • Fever
  • Headache
  • Sore throat
  • Cough
  • Stomach pain
  • Diarrhea
  • Earache or ear infection
  • Flu
  • Runny nose
  • Sinus infection

Warnings for Singulair

  • Mood or behavior changes
  • Not for asthma attacks
  • High white blood cell counts
  • Chewable tablets not for people with phenylketonuria (PKU)

Summary for Flovent

Prescription only

Flovent (fluticasone) is an inhaled corticosteroid medication used in people 4 years and older with asthma. It helps keep lung inflammation low and the airways open. This inhaler is used twice per day. When used every day, Flovent (fluticasone) can lower the number and severity of asthma attacks. It's not a rescue inhaler, so it won't help an asthma attack that has already started.

Indications for Flovent

  • Maintenance treatment of asthma

Pros and Cons for Flovent

Pros

  • Works well to prevent and lower asthma symptoms
  • Has few side effects since the medication is directly inhaled into the lungs
  • Available as two different types of inhalers (HFA inhaler and Diskus inhaler)
  • Lower-cost generic available for Flovent HFA

Cons

  • Need to use twice per day
  • Need to rinse your mouth after each use to prevent fungal infection in the mouth (thrush)
  • Can't use to treat active asthma attacks
  • Can't use Flovent Diskus if you're allergic to milk proteins since it contains lactose

Common Side Effects for Flovent

In general, common side effects for Flovent HFA and Flovent Diskus are very similar:

  • Throat irritation
  • Upper respiratory tract infection (e.g., common cold)
  • Sinus infection or swelling
  • Headache
  • Cough
  • Voice hoarseness or difficulty speaking

Warnings for Flovent

  • Fungal infection in the mouth
  • Narrowing of your airways (bronchospasm)
  • Severe allergic reactions
  • Altered stress hormone levels
  • Delayed growth in children
  • Eye and vision problems

Prices with our coupons for Singulair vs. Flovent

Price Card Drug Icon
Montelukast30 tablets / 10mg
$8.73$93.48
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Price Card Drug Icon
Fluticasone Propionate HFA1 hfa inhaler / 110mcg
$165.24$297.01
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