{"id":633250,"date":"2025-08-20T17:12:01","date_gmt":"2025-08-20T21:12:01","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633250"},"modified":"2025-08-20T17:12:01","modified_gmt":"2025-08-20T21:12:01","slug":"is-singulair-over-the-counter","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/is-singulair-over-the-counter\/","title":{"rendered":"Is Singulair over the counter? A guide to access and alternatives"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/singulair\"><span style=\"font-weight: 400;\">Singulair<\/span><\/a><span style=\"font-weight: 400;\"> (montelukast) is a prescription drug that is used for <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/asthma-treatment-and-medications\"><span style=\"font-weight: 400;\">asthma<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/allergy-treatment-and-medications\"><span style=\"font-weight: 400;\">allergies<\/span><\/a><span style=\"font-weight: 400;\">. Specifically, it is approved by the Food and Drug Administration (FDA) for the following uses:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prevention and chronic treatment of asthma in adults and children 12 months and older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prevention of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/exercise-induced-asthma\/\"><span style=\"font-weight: 400;\">exercise-induced bronchoconstriction<\/span><\/a><span style=\"font-weight: 400;\"> in adults and children 6 years and older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Relief of symptoms of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/best-seasonal-allergy-medicine\/\"><span style=\"font-weight: 400;\">seasonal allergies<\/span><\/a><span style=\"font-weight: 400;\"> (seasonal allergic rhinitis) in adults and children 2 years and older<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Relief of symptoms of perennial allergic rhinitis in adults and children 6 months and older<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Singulair is classified as a leukotriene receptor antagonist. It is available as oral tablets, oral chewable tablets, and oral granules. Because <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/singulair\/what-is\"><span style=\"font-weight: 400;\">Singulair<\/span><\/a><span style=\"font-weight: 400;\"> is commonly used for allergies, people often ask if this medicine is available <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/otc-allergy-meds-savings\/\"><span style=\"font-weight: 400;\">over the counter<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h2 id=\"is-singulair-over-the-counter\"><span style=\"font-weight: 400;\">Is Singulair over the counter?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Singulair is not available over the counter. It requires a prescription from a licensed healthcare provider, such as a primary care provider, allergist, physician assistant, nurse practitioner, or other healthcare professional. Because Singulair has potential side effects and safety concerns, including mental health-related warnings, it is only available as a prescription medication.\u00a0<\/span><\/p>\n<h3 id=\"singulair-side-effects\"><span style=\"font-weight: 400;\">Singulair side effects<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/singulair-side-effects\/\"><span style=\"font-weight: 400;\">side effects of Singulair<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upper respiratory infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sinus infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ear infection or earache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cough\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Runny nose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Flu<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Serious side effects are less common and may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Serious mental health problems (see Singulair boxed warning section below)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased eosinophils (a type of white blood cell) and inflamed blood vessels throughout the body, which is more likely to occur in people with asthma or people who are stopping use of an oral steroid (or decreasing the dose)<\/span><\/li>\n<\/ul>\n<h3 id=\"singulair-boxed-warning\"><span style=\"font-weight: 400;\">Singulair boxed warning<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Singulair has a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/black-box-warning\/\"><span style=\"font-weight: 400;\">black box warning<\/span><\/a><span style=\"font-weight: 400;\">, or boxed warning. This is the most serious warning required by the FDA. The warning states that people have experienced serious mental health problems while taking Singulair or after stopping treatment with this medicine. These problems can happen in people with or without a history of mental health conditions. People who take Singulair should get medical help right away if there are any changes in thinking or behavior, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suicidal thoughts or actions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agitation, aggression, or hostility<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Problems with memory or attention<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleep problems, including trouble sleeping, sleep walking, or bad or vivid dreams<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression, anxiety, or irritability<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Confusion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Restlessness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stuttering<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tremors\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uncontrolled muscle movements<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hallucinations (seeing or hearing things that are not there)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obsessive-compulsive symptoms<\/span><\/li>\n<\/ul>\n<h2 id=\"what-s-the-generic-for-singulair\"><span style=\"font-weight: 400;\">What\u2019s the generic for Singulair?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although there is no over-the-counter (OTC) version of Singulair, there is a generic prescription version\u2014montelukast\u2014which is typically much more affordable.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.fda.gov\/drugs\/frequently-asked-questions-popular-topics\/generic-drugs-questions-answers\"><span style=\"font-weight: 400;\">Like all generic drugs<\/span><\/a><span style=\"font-weight: 400;\">, generic montelukast works the same way as its brand-name counterpart.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although the medicine may look different, it is just as effective, and often a fraction of the cost. For example, a 90-day supply of brand-name Singulair 10 mg costs an average of $995 without insurance. If you substitute generic montelukast and use a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/montelukast-sodium\"><span style=\"font-weight: 400;\">SingleCare coupon<\/span><\/a><span style=\"font-weight: 400;\">, you can pay as low as $9.\u00a0<\/span><\/p>\n<h2 id=\"otc-singulair-alternatives\"><span style=\"font-weight: 400;\">OTC Singulair alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">OTC alternatives for Singulair depend on your reason for using it.\u00a0<\/span><\/p>\n<h3 id=\"otc-alternatives-for-allergy-relief\"><span style=\"font-weight: 400;\">OTC alternatives for allergy relief\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are many OTC allergy medications that can be used as alternatives to Singulair. These include oral <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antihistamines\"><span style=\"font-weight: 400;\">antihistamines<\/span><\/a><span style=\"font-weight: 400;\">, which help symptoms such as a runny nose, sneezing, itching, and watery eyes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Claritin (<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/loratadine-without-insurance\/\"><span style=\"font-weight: 400;\">loratadine<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allegra (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fexofenadine-hcl\"><span style=\"font-weight: 400;\">fexofenadine<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/zyrtec-generic\/\"><span style=\"font-weight: 400;\">Zyrtec<\/span><\/a><span style=\"font-weight: 400;\"> (cetirizine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/xyzal-vs-zyrtec\/\"><span style=\"font-weight: 400;\">Xyzal<\/span><\/a><span style=\"font-weight: 400;\"> (levocetirizine)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some of these medicines are also available in combination with <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pseudoephedrine-hcl\"><span style=\"font-weight: 400;\">pseudoephedrine<\/span><\/a><span style=\"font-weight: 400;\">, an oral decongestant that helps relieve a stuffy nose.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are also various OTC <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/nasal-spray-for-allergies\/\"><span style=\"font-weight: 400;\">nasal sprays<\/span><\/a><span style=\"font-weight: 400;\"> for allergies, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nasal steroids such as <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/flonase-vs-nasacort\/\"><b>Flonase<\/b><\/a><b> (fluticasone) Allergy Relief:<\/b><span style=\"font-weight: 400;\"> Nasal steroids work over time to decrease inflammation (swelling) in the nose and relieve symptoms.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nasal antihistamines such as <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/astepro-azelastine-otc-switch\/\"><b>Astepro<\/b><\/a><b> (azelastine):<\/b><span style=\"font-weight: 400;\"> These work quickly and do not contain steroids.<\/span><\/li>\n<\/ul>\n<h3 id=\"home-remedies-for-allergies\"><span style=\"font-weight: 400;\">Home remedies for allergies<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">You can also try <\/span><a href=\"https:\/\/health.clevelandclinic.org\/natural-remedies-for-seasonal-allergies\"><span style=\"font-weight: 400;\">home remedies<\/span><\/a><span style=\"font-weight: 400;\"> to alleviate allergy symptoms, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using a HEPA filter in the home<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rinsing with nasal saline<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Showering before bedtime to remove pollen and other allergens<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Washing bedding once weekly in hot water<\/span><\/li>\n<\/ul>\n<h3 id=\"otc-alternatives-for-asthma\"><span style=\"font-weight: 400;\">OTC alternatives for asthma<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are no OTC alternatives to Singulair for long-term control of asthma and prevention of asthma symptoms. Singulair is known as a maintenance medicine\u2014it does not relieve symptoms of an asthma attack, such as wheezing or shortness of breath. It is best to consult your healthcare provider about the best treatment for asthma.\u00a0<\/span><\/p>\n<h2 id=\"bottom-line\"><span style=\"font-weight: 400;\">Bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although Singulair is not available over the counter, your healthcare provider can give you medical advice on whether it\u2014or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/montelukast-alternatives\/\"><span style=\"font-weight: 400;\">another treatment option<\/span><\/a><span style=\"font-weight: 400;\">\u2014is best for you. If you are prescribed Singulair, you can use your SingleCare prescription discount card to pay less than $10 for generic <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/montelukast-sodium\"><span style=\"font-weight: 400;\">montelukast<\/span><\/a><span style=\"font-weight: 400;\"> at participating pharmacies.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Singulair (montelukast) is a prescription drug that is used for asthma and allergies. Specifically, it is approved by the Food and Drug Administration (FDA) for the following uses: Prevention and chronic treatment of asthma in adults and children 12 months and older Prevention of exercise-induced bronchoconstriction in adults and children 6 years and older Relief [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":633251,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[554,10965,10708,802],"coauthors":[10668],"class_list":["post-633250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-allergies","tag-asthma","tag-over-the-counter-medications","tag-seasonal-allergies","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Is Singulair over the counter? 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