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Aug 22, 2009 · Unfortunately, there is nothing available over the counter that would be similar to Singulair Over-the-counter montelukast 4 mg can be purchased without a prescription and is most often used to treat symptoms of moderate to severe atopic dermatitis in adults that may not require the direct supervision of a physician. If these symptoms continue to be problems for you, you might want to try an antihistamine, which can be purchased over the counter. Com/asthma-management/p93523 Over-the-Counter Medicine for Asthma that is Similar to Singulair. May 12, 2014 · Singulair is also good for prevention of exercise-induced bronchoconstriction (wheezing and shortness of breath worsened with exercise) at a dose of 10 mg at least 2 hours prior to exercise. Both Work Well for Seasonal Allergies He says the University of Chicago study shows that an over-the-counter drug can …. 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