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  4. A possible effect of montelukast on neurological aging examined by the use of register data

A possible effect of montelukast on neurological aging examined by the use of register data

International Journal of Clinical Pharmacy, 2021 · DOI: https://doi.org/10.1007/s11096-020-01160-8 · Published: October 9, 2020

AgingPharmacologyNeurology

Simple Explanation

This study investigates whether montelukast, a drug typically used for asthma, might have a positive effect on the aging brain. The researchers analyzed data from Norwegian registries to see if there's a connection between montelukast use and better neurological function in older adults. The study linked prescription data with results from neurological tests, comparing montelukast users to those using other immune-related drugs. They looked at factors like memory, balance, and finger tapping speed to assess brain health. The findings suggest that montelukast might help slow down age-related neurological decline. This idea comes from observing that montelukast users tended to score better on neurological tests compared to others, even after considering other health factors.

Study Duration
2004 to 2017
Participants
8045 participants (Tromsø Study), Norwegian Prescription Database
Evidence Level
Not specified

Key Findings

  • 1
    Previous use of montelukast correlated with improved scores on cognitive or neurological functioning.
  • 2
    Montelukast users showed significantly improved scores on the Short Physical Performance Battery (SPPB) and finger-tapping tests compared to the control group.
  • 3
    Other anti-inflammatory agents, such as NSAIDs and glucocorticoids, did not show the same positive correlation with cognitive or neurological function as montelukast.

Research Summary

The study investigated the potential of montelukast, a leukotriene receptor antagonist, to alleviate age-related neurological decline using Norwegian registry data. The results suggested that previous use of montelukast correlated with improved scores on cognitive and neurological tests, particularly the SPPB and finger-tapping tests. Unlike montelukast, other anti-inflammatory drugs like NSAIDs and glucocorticoids did not show similar positive effects on neurological function.

Practical Implications

Potential for Mental Aging Postponement

Montelukast may have the potential to delay mental aging.

Dosage Optimization for Brain Effects

The standard asthma dosage of montelukast might not be the most effective for influencing brain function, suggesting a need for dosage optimization.

Basis for Clinical Trials

The findings support initiating clinical trials to thoroughly investigate montelukast's impact on aging.

Study Limitations

  • 1
    The data are based on correlations rather than controlled experiments.
  • 2
    The observed effect is relatively small and thus vulnerable to confounders.
  • 3
    The low number of participants did not allow for stratifying on how many prescriptions were received or the time between drug use and testing.

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