Churg strauss symptoms and conditions

I've been on Singulair 10mg tablets for only 4 days to alleviate seasonal allergies and have been suffering from very bad cramping in my feet, legs, hands, arms and upper body. Additionally I have experienced what feels like bloating and a hardening of the stomach area. On top of all this I've had the craziest dreams!

The upside is my allergies have been relieved somewhat, but these side effects are certainly not worth this additional pain and anxiety I've been suffering. Further reading on Singulair, including this forum, Wikipedia, and other places has left me convinced that this is not a safe medication to be taking (look up churg-strauss syndrome for example) and I will be discontinuing it immediately.

I'm quite angry that doctors are prescribing such a thing when a simple antihistamine would suffice. This also cost me €60 for a 28 day supply.

I have restless legs, nightmares and weight gain. Trouble concentrating, numbness and tingling of the hands and feet, falling. I have been evaluated by a neurologist and no one has made the connection of weight gain to singulair.
Also, have high blood pressure that came on suddenly.

I have followed the South Beach diet and continued to gain. I am going off this drug and really appreciate this website.

I was on it for 2 weeks for an upper respiratory infection and I have mild asthma. I got to the point after the 2nd week I could not feel my legs, they felt detached. I cried. I thought I was water in car when I drove to a doctor appointment. I felt like I had the flu 24 hours a day. No headaches but it never touched my asthma. Two weeks of that junk then I went to a doctor who put me on my medication I took as a kid. One pill and it was over.
Sudafed in my opinion is a dangerous drug. Those side effects they list on tv are a joke. They are the tip of the ice berg.

I have been on Singular for 2 months. I have noticed dizziness and almost passing out. I thought it was my other herbal supplements, but now I am still having the feelings and I will discontinue the Singular! Today I have a headache and just don't feel right in my head, almost like double vision feeling. I'm glad I found this website. I went on Singular for dog allergies, but it is not worth feeling this way!

I originally posted about my 9 year old son on January 5th. Refer back to this for the symptoms. He had his upper and lower endoscopies on the 12th, and the lower showed numerous ulcers in the large intestine and at the beginning of the small intestine. The doctor insists that it has to be Crohn's disease based on just this and the blood work, which showed eosinophilia and elevated sedimentation. He is insistent that this has nothing to do with the Singulair and the dosage change. It's just a coincidence .... He' in the hospital for a week now. Watch for those stomach complaints! His started with poor appetite, complaining that he was full when he had hardly eaten, and vague complaints about eating giving him a stomach ache. It progressed to occasional diarrhea. It got worse quickly after that, just a few weeks.

October 22, 1998 I had resp. failure (with intubation). My new pulmonary doctor put me on Singulair 10 mg once a day, a few weeks after. Within time, I started to have numbing and tingling in my face, arms, and legs. March of 1999 the symptoms worsened and started causing pressure in my face, arms, and legs, and anxiety started to kick in. I was told I had neuropathy and to take mobic. Symptoms getting worse, and went to a rheumatologist in June 1999, and he was suspect of singulair. The doctor thought that what I was experiencing was due to the singulair. He (the rheumatologist) discussed this with the pulmonary doctor and the pulmonary doctor did not believe this to be the case. Not forgetting, in March of 1999, I had a ct of the sinus area, and low and behold 1/3 of the cavity was and probably still is full of polyps.

As time went on, symptoms getting worse, and not one bloody doctor could figure out why I was feeling this way. In addition, at times, I was put on steroids for my asthma (not including my inhalers).

Two years ago, my body went into shock, leaving my left side very different than my right side. Affecting: my head, my face, my eye, my ear, my esophogus, my lungs, my arm, my leg.

I have been depressed and anxious not knowing what the heck was going on with me.

Recently ruled out thyroid, and lupus, and possibly ms.

Last weekend, I reviewed the letter from the rheumatologist (dated 1999) and the ct report from March 1999 (regarding the sinus/ polyps) and made copies to present to a pulmonary doctor that I have recently been seeing.

This past Monday the 10th, I had my appt with him. He knew of my situation from the last few visits (in addition, I had met him this past March for a pulmonary rehab program, and thought he seemed to be knowledgeable and compassionate). While waiting for him to enter the exam room, he had read those reports before entering.

The doctor looked at my hands (red as a beet and swollen) and said "You have Churg-Strauss Syndrome, and get off the singulair."

I had done my homework from a few weeks ago, where I looked up untreated polyps.
Untreated polyps, can turn into vasculitis. There are many types of vasculitis, to include Churg-Strauss Syndrome.

I then cross ref CSS and singulair, and low and behold, BINGO!

I have been suffering for ten years, physically and emotionally because of this drug!

There is also recent updates from the fda (fda.gov) regarding singulair, of which most recently includes anxiety and depression.

I suggest before taking singulair, be aware of the side effects. As soon as a side effect comes up, contact your doctor. Also, be aware of existing conditions (like me, sinus problems and asthma) for this could lead to churg-strauss syndrome.

This info is indicated on the actual disclosure (the paper insert that indicates studies, side effects, etc...) not the handout that is given with the drug.

By the way, I am now working with a new rheumatologist in Los Angeles (Cedar-Sinai affiliated) and a new neurologist.

mdklezmer

My 18 yr old daughter has been on singulair for several years and has complained this week of numbness in her feet and toes. I have told her to stop the drug. Is this a reversible side effect? Does anyone know if there is anything else to do?

STRANGELY ENOUGH THE CORRECT INFORMATION IS SHOWING UP IF YOU HIT REPLY SO DO THAT!

GUESS WHAT, WHEN YOU CUT AND PASTE THE SIDE EFFECTS INTO THIS WEBSITE THEY DON'T ALL SHOW UP!

MISSING IS:

BEHAVIOR AND MOOD RELATED CHANGES

CHECK FOR YOURSELF ON THEIR WEBSITE BECAUSE THEY ARE THERE!

MY APOLOGIES TO ALL FOR AN ERROR IN MY PRIOR POST. WHEN I CUT AND PASTED THE INFORMATION FROM MERCK'S WEBSITE NOT ALL OF IT APPEARED IN MY POST FOR SOME REASON. THE CORRECTED INFORMATION IS BELOW. CHECK THEIR WEBSITE FOR YOURSELVES TO VERIFY THIS.

THIS IS FROM THE PATIENT INFORMATION:

"What are the possible side effects of SINGULAIR?

The side effects of SINGULAIR are usually mild, and generally did not cause patients to stop taking their medicine. The side effects in patients treated with SINGULAIR were similar in type and frequency to side
effects in patients who were given a placebo (a pill containing no medicine).
The most common side effects with SINGULAIR include:
• stomach pain
• stomach or intestinal upset
• heartburn
• tiredness
• fever
• stuffy nose
• cough
• flu
• upper respiratory infection
• dizziness
• headache
• rash

Less common side effects that have happened with SINGULAIR include:
• increased bleeding tendency
• allergic reactions
• behavior and mood related changes
• drowsiness, pins and needles/numbness, seizures (convulsions or fits)
• palpitations
• nose bleed
• diarrhea, indigestion, inflammation of the pancreas, nausea, vomiting
• hepatitis
• bruising
• joint pain, muscle aches and muscle cramps
• swelling

Rarely, asthmatic patients taking SINGULAIR have experienced Rarely, asthmatic patients taking SINGULAIR have experienced a condition that includes certain symptoms that do not go away or that get worse. These occur usually, but not always, in patients who were taking steroid pills by mouth for asthma and those steroids were being slowly lowered or stopped.
Although SINGULAIR has not been shown to cause this condition, you must tell your doctor right away if you get one or more of these symptoms:
• a feeling of pins and needles or numbness of arms or legs
• a flu-like illness
• rash
• severe inflammation (pain and swelling) of the sinuses (sinusitis)
These are not all the possible side effects of SINGULAIR. For more information ask your doctor or pharmacist.
Talk to your doctor if you think you have side effects from taking SINGULAIR."

d27gayle POSTED INCORRECT INFORMATION ABOUT THE SIDE EFFECTS OF SINGULAIR. I JUST COPIED THIS FROM MERCK'S SINGULAIR WEBSITE. THIS IS THE CORRECT AND UPDATED INFORMATION. THIS INFORMATION DOES LIST DEPRESSION AND SUICIDAL BEHAVIOR AS SIDE EFFECTS.

IF PEOPLE ARE GOING TO SHARE INFORMATION ON THIS SITE, PLEASE MAKE SURE IT IS CORRECT BEFORE POSTING!!!!!!!!!

What are the possible side effects of SINGULAIR?
The side effects of SINGULAIR are usually mild, and generally did not cause patients to stop taking their medicine. The side effects in patients treated with SINGULAIR were similar in type and frequency to side effects in patients who were given a placebo (a pill containing no medicine).
The most common side effects with SINGULAIR include:
• stomach pain
• stomach or intestinal upset
• heartburn
• tiredness
• fever
• stuffy nose
• cough
• flu
• upper respiratory infection
dizziness
• headache
• rash

Less common side effects that have happened with SINGULAIR include:
• increased bleeding tendency
• allergic reactions
• behavior and mood related changes
• drowsiness, pins and needles/numbness, seizures (convulsions or fits)
• palpitations
• nose bleed
• diarrhea, indigestion, inflammation of the pancreas, nausea, vomiting
• hepatitis
• bruising
• joint pain, muscle aches and muscle cramps
• swelling

Rarely, asthmatic patients taking SINGULAIR have experienced a condition that includes certain
symptoms that do not go away or that get worse. These occur usually, but not always, in patients who
were taking steroid pills by mouth for asthma and those steroids were being slowly lowered or stopped.
Although SINGULAIR has not been shown to cause this condition, you must tell your doctor right
away if you get one or more of these symptoms:
• a feeling of pins and needles or numbness of arms or legs
• a flu-like illness
• rash
• severe inflammation (pain and swelling) of the sinuses (sinusitis)

These are not all the possible side effects of SINGULAIR. For more information ask your doctor or pharmacist. Talk to your doctor if you think you have side effects from taking SINGULAIR.

Singulair associated with Churg-Strauss. A study in France and Germany.

Thorax. 2008 Aug;63(8):677-82. Epub 2008 Feb 14. Links
The leucotriene receptor antagonist montelukast and the risk of Churg-Strauss syndrome: a case-crossover study.Hauser T, Mahr A, Metzler C, Coste J, Sommerstein R, Gross WL, Guillevin L, Hellmich B.
Dr A Mahr, Department of Internal Medicine, Hôpital Cochin, 27 rue du Faubourg Saint-Jacques, 75679 Paris Cedex 14, France. alfred.mahr@cch.aphp.fr.

BACKGROUND: There has been some concern that leucotriene receptor antagonists might precipitate the onset of Churg-Strauss syndrome (CSS). A study was undertaken to investigate the relationship between the leucotriene receptor antagonist montelukast and the onset of CSS. METHODS: Medication histories of 78 patients with CSS from France and Germany were retraced by questioning the patients, treating physicians and dispensing pharmacists, and from medical records. Using a case-crossover research design, exposures to montelukast and other asthma medications during the 3-month "index" period immediately preceding the onset of CSS were compared with those of four previous 3-month "control" periods. Odds ratios (ORs) were computed by conditional logistic regression. RESULTS: The ORs for CSS onset were 4.5 (95% CI 1.5 to 13.9) for montelukast, 3.0 (95% CI 0.8 to 10.5) for inhaled long-acting beta(2) agonists, 1.7 (95% CI 0.5 to 5.4) for inhaled corticosteroids and 4.0 (95% CI 1.3 to 12.5) for oral corticosteroids. Montelukast exposure during control periods increased temporally over three consecutive calendar periods of CSS onset from 1999 to 2003 (p(trend) <0.0001). CONCLUSION: Montelukast use was associated with a 4.5-fold higher risk of CSS onset within 3 months. However, the positive estimates obtained for other long-term asthma control medications suggest that this link might be confounded by a general escalation of asthma therapy before CSS onset. The association between montelukast and CSS observed in this study is probably also explained by the increasing use of this medication over time.

PMID: 18276721

I started full body internal itching after taking 10 days of Singulair. The physician that prescribed it said it couldn't cause itching. My new doctor tested for Lupus, I have an autoimmune disorder called Churg Strauss. After undergoing several steroid treatments and 3 days of IV Prednisone I got some relief. This has been going on for 6 months now. The itching becomes severe enough to make me want to commit suicide. Luckily it is pretty controlled by taking nightly doses of Atarax along with Periactin. Thank God I found a doctor who cared enough to search out the symptoms and help me get thru day by day.

My 9 year old son only took Singuliar for about 5 weeks. He had side effects almost immediately, he was so aggressive, angry all the time, headaches, stomach ache and feeling like he was going to throw up, bad nightmares, a horrible rash, biting his nails, not focusing in school and got into trouble all the time, no appetite but his little body seem puffy all over. He has been off this medication for 3 months and he is still not 100%. He cries at little things and still has the same rash and with meds it is not going away. He had to change schools as he still was having problems in school. He just seems like he is not the same little boy and something is just not right. I do not know what to do at this point. Doctors say it should be out of his system by now, but if it is than there is permanent damage to his brain as he is just not the sharp little guy he was. We have had to take him out of all sports. Anyone else having these same problems???

I am 26 and I have been taking Singulair for 7 years. Like all of you, it was a miracle at first. I didn't use an inhaler for 8 months!!! Now however, I use it 10 times a day and it is as if the Singulair does nothing now. (Except for all the things it may be doing that I know not of yet) But here is the big deal...If I miss a dose or try not to take it, I have an uncontrollable attack that leaves me miserable for days. Somtimes the inhaler won't stop it. I have to take a pill and wait....I won't to stop now that I know about Churg Strauss...Does anyone know of another way to help my asthma?