Mark - acouple of things…
- The instructions in the PDR read to take Singulair in the evening without respect to meals.
It is about 65% absorbed, with no significant difference in adults whether or not it is taken food. All of the studies submitted to the FDA were done with patients instructed to take it in the evening without respect to meals.
Go back to the pharmacy and ask for written information about this medication. You may luck out & get a user-friendly pamphlet, or you may get a wall of fine-print which is the same information in the PDR. Skim through the bolded paragraph headings until you get to the “Dosage & Administration” section. This is the information you need.
- If, in the future, you get medication with this kind of nightmarish dosing instructions, and you can’t manage it, tell your doctor. Say Singulair really did have to be dosed as above, but your schedule didn’t provide a 5 hour period without food unless you got up 2 hours early.
Talk to your doctor. It may make the med a little less effective to vary from the usual instructions, but it’s still better than if you didn’t take it. There are other options as well - while most health plans have lists of “preferred” meds, like the one that forced you to change from Accolate to Singulair, the strength of that preference varies tremendously. In rare cases, the patient may get stuck for the whole cost of the non-preferred med, but usually the most you would pay would be the difference. Sometimes, it’s just a matter of the doc documenting why a non-preferred med is needed & the plan will cover it.
Sue from El Paso