Publication year: 2011 Source: Paediatric Respiratory Reviews, Available online 17 September 2011 Paul L.P. Brand Although montelukast is claimed to be preferable to inhaled corticosteroids in children with asthma and allergic rhinitis, virus-induced exacerbations, exercise induced asthma, and in those experiencing difficulties with inhalation therapy, there is no scientific evidence to support any of these claims. In comparative trials and systematic reviews, inhaled corticosteroids are clearly more effective than montelukast in reducing asthma exacerbations, improving lung function, symptom scores, and rescue medication use
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Inhaled corticosteroids should be the first line of treatment for children with asthma