Case Report

Sleeptalking! Sleepwalking! Side Effects of Montelukast

Table 1


Naranjo algorithm
YesNoDo not know or not doneOur patient

(1) Are there previous conclusive reports on this reaction?+1000
(2) Did the adverse events appear after the suspected drug was given?+2−10+2
(3) Did the adverse reaction improve when the drug was discontinued or a specific antagonist was given?+100+1
(4) Did the adverse reaction appear when the drug was readministered?+2−10+2
(5) Are there alternative causes that could have caused the reaction?−1+20+2
(6) Did the reaction reappear when a placebo was given?−1+100
(7) Was the drug detected in any body fluid in toxic concentrations?+1000
(8) Was the reaction more severe when the dose was increased, or less severe when the dose was increased?+1000
(9) Did the patient have a similar reaction to the same or similar drugs in any previous exposure?+1000
(10) Was the adverse event confirmed by any objective evidence?+100+1

Totals8

>9: definite adverse drug reaction.
5–8: probable adverse drug reaction.
1–4: possible adverse drug reaction.
0: doubtful adverse drug reaction.