I read about the Singular black box warning and so I’m trying to find out more about it.
According to my son’s pulmonary team the most serious risk of Singulair is uncontrollable bronchiospasm.
Severe (and needing to be on a vent for a week or a month, to force air into closed off airways), has pretty obvious risk associated with it. The whole, needing to be within 11 minutes to a hospital or you’re dead, thing. And preferably within 4 minutes to avoid the issue with brain damage and being a vegetable. This reaction tends to happen mostly with asthmatics & COPD & RAD & CF patients. Especially RAD patients who react badly to the broccoli test. Every time my son is hospitalized the Singlair issue comes up, because they really prefer to trial their pulmonary kids on it when they’re already inpatient. Worst case scenario you’re already right there. Best case scenario you have a really effective med.
It’s the milder version they say is what is
probably linked to the risk of suicide and psychiatric issues, but also fairly unprovable, because individual reactions to oxygen depletion vary so strongly. This one is mostly liked to NON pulmonary patients (allergy peeps, not lung peeps), because asthmatics, COPD, RAD, etc. check their SPo2 fairly regularly AND know how they respond at different oxygen saturation’s ( ex - that they get stupid at 94, agitated / enraged / tearful/ overblown emotional storms at 92, life of the party goofballs at 88, & rag doll lethargic at 77. Everyone has different reactions, the example above is my son’s.). So if someone doesn’t
realize their o2 is low, or thinks “90s is fine” (because most basically, it is, even upper 80s if you’re sleeping is totally not going to cause brain damage), then they may very well think their emotions are “real” instead of caused by oxygen depletion, so they don’t check their SPo2, don’t see their pulmonologist about their chronically low saturation to find a cause, and don’t get treatment. Instead? They act on the belief what they’re feeling is justified. IE suicide, self harm, divorce, job loss, and other common side effects of psych symptoms. This has a super easy fix ... a few liters of supplemental o2 for a few weeks to a month.
It’s probably important to note that for something to be a
common side effect, it has to hit at least 1% of the population. This one is NOT a common side effect, and it’s one of the most commonly prescribed allergy and asthma maintenance meds out there.
You can buy a good travel pulse-ox (about the size of 2 lipsticks) from Amazon for about $30. Good is important if you’re tracking mood. You don’t need the $2,000 professional version (the size of a shoebox), but an app for that isn’t accurate enough.