Compare Atrovent vs. Singulair

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Atrovent (ipratropium)

Prescription only

Singulair (montelukast)

Prescription only
Controls COPD.

First choice inhaler for controlling mild chronic obstructive pulmonary disease (COPD).

Makes it easier to breathe.

Singulair (montelukast) has fewer side effects but doesn't work as well as some inhaled medications for asthma and allergies.

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3.7/ 5 average rating with 557 reviewsforSingulair
Upsides
  • The nebulizer is available in generic.
  • Available in combination with albuterol in case Atrovent (ipratropium) by itself is not enough to control your symptoms.
  • Although not a first-line treatment, Singulair (montelukast) can effectively help children and adults with their asthma and allergies.
  • You only need to take it once a day.
  • Available as chewable tablets or granules that you can mix with food.
  • Singulair (montelukast) has fewer side effects than inhaled medications.
Downsides
  • Effects don't last long so it needs to be used multiple times a day.
  • Doesn't work fast enough to be used as a rescue inhaler for COPD attacks.
  • The inhaler is only available in brand name.
  • Even as a generic, Singulair (montelukast) is still expensive.
  • May not be a good choice if you have a history of mental conditions.
  • Singulair (montelukast) can't be used as a rescue inhaler if you get an asthma attack.
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Used for
Dosage forms
  • Inhaler
  • Nebulizer solution
  • Pill
  • Chewable tablet
  • Granule
Price
Lowest price
$18.49
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Lowest price
$10.31
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Reviews
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557 reviews so far
66%
saidit'sworth it
47%
saiditworked well
14%
saidit'sa big hassle

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Side effects
10possible side effects
  • Bronchitis
    10%
  • COPD attack
    8%
  • Shortness of breath
    8%
  • Headache
    6%
  • Influenza like symptoms
    4%
  • Dry mouth
    4%
  • Nausea
    4%
  • Dizziness
    3%
  • Back pain
    2%
  • Urinary tract infection
    2%
See more detailed side effects
13possible side effects
  • Headache
    18%
  • Flu
    4%
  • Stomach pain
    3%
  • Cough
    3%
  • Lack of energy
    2%
  • Fever
    2%
  • Upset stomach
    2%
  • Dental pain
    2%
  • Stomach infection
    2%
  • Dizziness
    2%
  • Stuffy nose
    2%
  • Rash
    2%
  • Abnormal liver function tests
    2%
See more detailed side effects
Risks and risk factors
  • Not a rescue inhaler
  • Serious allergic reaction
  • COPD attack
  • Urination problems
    • Benign prostate hyperplasia
    • Urinary neck obstruction
See more detailed risks and warnings
  • Asthma attacks
    • Exercise-induced asthma
    • Other environmental triggers
  • Aggression and agitation
  • Blood disorder
    • Recent treatment with corticosteroid medicine
    • Lowering dose of corticosteroid medicine
  • Phenylketonuria
    • Phenylketonuria (PKU)
See more detailed risks and warnings
Learn more about Atrovent (ipratropium)
Learn more about Singulair (montelukast)