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These chemicals cause swelling in your lungs and tightening of the muscles around your airways, which can result in asthma symptoms. The active ingredient in the drug which is highly selective in inhibiting the action of leukotrienes, important mediators of inflammation in asthma and other allergies. Since Singulair is used to prevent asthma attacks, it should be taken regularly as prescribed even when you are not experiencing asthma symptoms. Montelukast can be given in combination with other asthma medications, and it does not interact with warfarin or theophylline.