Drug & supplement interaction

Serine + Montelukast Sodium

Montelukast Sodium brand name: Singulair.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Serine and Montelukast Sodium in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Serine and Montelukast Sodium

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Montelukast Sodium and Serine in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Serine at all — not against Montelukast Sodium, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Serine safety at a glance

Serine overall Use caution Generally considered low-risk in food amounts, but supplement safety and long-term use are not well established.
Pregnancy Avoid There is not enough safety data on supplemental serine in pregnancy, so it is best avoided unless your doctor advises it.
Breastfeeding Avoid Safety during breastfeeding has not been studied, so avoid supplements unless directed by your doctor.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Montelukast Sodium and Serine? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Serine and Montelukast Sodium May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do. 3 of them are worth acting on rather than waiting out — marked below.

  • Seizures Worth acting on Additional detail

    Serine

    “Orally, D-serine 120 mg/kg (about 8 grams) daily has been reported to cause insomnia after a single dose. Taking L-serine in doses greater than 400 mg/kg (about 25 grams) can cause reversible nystagmus and seizures.”

    Serine · Natural Medicines adverse-effect record, reported in epilepsy.

    2 sources cited
    1. 102215. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30. PubMed
    2. 102204. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.

    Montelukast Sodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Montelukast Sodium. Read the label on DailyMed ›

  • Liver problems Worth acting on Additional detail

    Serine

    “Orally, D-serine 120 mg/kg (about 8 grams) daily has been reported to cause asymptomatic transaminitis which resolved after discontinuation of serine.”

    Serine · Natural Medicines adverse-effect record, reported in myasthenia gravis.

    1 source cited
    1. 102215. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30. PubMed

    Montelukast Sodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Montelukast Sodium. Read the label on DailyMed ›

  • A higher chance of infection Worth acting on reported in 5.8% of FDA reports for Montelukast Sodium Additional detail

    Serine

    “Orally, in one very small, exploratory study, patients taking L-serine 400 mg/kg (about 25 grams) daily for one year had a higher rate of localized infections than those taking placebo. Whether ingestion of L-serine caused or increased the risk of these infections is unknown.”

    Serine · Natural Medicines adverse-effect record, reported in myasthenia gravis.

    1 source cited
    1. 102204. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.

    Montelukast Sodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Montelukast Sodium, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Trouble sleeping Additional detail

    Serine

    Recorded for Serine in the same Natural Medicines adverse-effect record shown under Seizures above.

    Montelukast Sodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Montelukast Sodium. Read the label on DailyMed ›

  • Stomach upset / Stomach pain / Nausea Additional detail

    Serine

    “Orally, D-serine 120 mg/kg (about 8 grams) daily has been reported to cause gastrointestinal distress. L-serine 5-30 grams daily has been reported to cause abdominal pain, dyspepsia, bloating, nausea, and loss of appetite.”

    Serine · Natural Medicines adverse-effect record, reported in dyspepsia.

    3 sources cited
    1. 102215. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30. PubMed
    2. 102204. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.
    3. 102220. Levine TD, Miller RG, Bradley WG, et al. Phase I clinical trial of safety of L-serine for ALS patients. Amyotroph Lateral Scler Frontotemporal Degener. 2017;18(1-2):107-111. PubMed

    Montelukast Sodium

    Listed in the ADVERSE REACTIONS section of the FDA label for Montelukast Sodium. Read the label on DailyMed ›

Reported for Serine but not commonly for Montelukast Sodium: reduced appetite, kidney problems and bloating or gas.

Effects for Montelukast Sodium come from the ADVERSE REACTIONS section of its FDA label; effects for Serine come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 121,067 voluntary FDA FAERS reports for Montelukast Sodium that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

From our Q&A

Questions About Serine or Montelukast Sodium

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Serine or Montelukast Sodium, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Montelukast Sodium

This page covers Serine only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Montelukast Sodium page lists 81 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Adrafinil (moderate), African Wild Potato (moderate), Bacopa (moderate) and Berberine (moderate).

By severity: 1 major · 56 moderate · 24 minor.

From our pharmacist’s overview on the Montelukast Sodium page

“If you rely on montelukast (Singulair) for asthma or allergies, this list deserves genuine attention. The one major-rated concern is activated charcoal, which can soak up the medicine in your gut before it absorbs, leaving you with a weaker dose just when your airways need a steady one.”

Reviewed by 2 · Jul 18, 2026

Open the Montelukast Sodium interaction page

One more smart check

Taking Serine as Part of a Dietary Supplement Product? Check It for Interactions

We hold 898 real supplement products containing Serine, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Serine. Even though Serine itself has no known interaction with Montelukast Sodium, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Serine and Montelukast Sodium Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Serine
Top 25%

#234 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Montelukast Sodium
Top 5%

#137 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Serine reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Serine and Montelukast Sodium records this page draws on were last updated July 11, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Serine

What is Serine?

  • Memory and brain health
  • Nervous system disorders (e.g., ALS research)
  • Mood and stress support
  • Sleep support
  • General supplementation for the nervous system

Serine is an amino acid your body can make on its own and also gets from protein-rich foods, so most people do not need a supplement. L-serine has been studied for certain neurological conditions like ALS, but the evidence is still early and far from proven. If you are considering a serine supplement, talk with your pharmacist or doctor first.

Amino acid (made by the body and found in protein foods) · Capsules, powder, tablets; available as L-serine and phosphatidylserine

An interaction check asks whether these two react with each other — it does not ask whether Serine is a good idea for someone in your situation. Here is what our Serine record says about it on its own.

Serine: dosing

There is no well-established standard dose of serine for general supplement use. Doses used in research, especially for neurological conditions, vary widely and were given under medical supervision, so they should not be copied at home.If you choose to take a serine product, follow the directions on the label and do not exceed the recommended amount.

From our Serine monograph — the full record covers uses, side effects and every documented interaction.

Read the full Serine monograph & all interactions
Medication

About Montelukast

What Is Montelukast Used For?

Brand name: Singulair

Montelukast is used for the long-term prevention and treatment of asthma in children and adults, and for preventing breathing problems triggered by exercise (exercise-induced bronchoconstriction). It is also used to relieve symptoms of seasonal allergic rhinitis (hay fever) and perennial allergic rhinitis (year-round nasal allergies). The age ranges covered depend on the specific product form — tablets, chewable tablets, and oral granules are each approved for different age groups.

For allergic rhinitis, montelukast should be reserved for people who haven't responded well to other treatments, because its potential mental health risks may outweigh the benefits when nasal allergy symptoms are mild and other options work. It is not a rescue treatment for sudden asthma attacks — always keep a fast-acting inhaler on hand.

Most-Reported Side Effects for Montelukast Sodium

From FAERS, the FDA’s public side-effect reporting system (121,067 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Asthma 14,956 reports
Dyspnea 14,837 reports
Cough 9,067 reports
Fatigue 8,688 reports
Headache 8,236 reports
See full Montelukast drug information
Keep checking

Other Drugs & Serine

Browse every other medication we’ve checked against Serine — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Serine against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Serine list.

See the full Serine interactions page
See every supplement checked against Montelukast Sodium, ranked by severity
Evidence & sources

Serine References

The 3 references that drive our Serine monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Fridman V, Suriyanarayanan S, Novak P, et al. Randomized trial of l-serine in patients with hereditary sensory and autonomic neuropathy type 1. Neurology. 2019;92(4):e359-e370.
  2. Kantrowitz JT, Malhotra AK, Cornblatt B, et al. High dose D-serine in the treatment of schizophrenia. Schizophr Res. 2010 Aug;121(1-3):125-30. PubMed
  3. Levine TD, Miller RG, Bradley WG, et al. Phase I clinical trial of safety of L-serine for ALS patients. Amyotroph Lateral Scler Frontotemporal Degener. 2017;18(1-2):107-111. PubMed

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Serine and Montelukast Sodium Together: Common Questions

Is it safe to take Serine with Montelukast Sodium?
We do not list a known interaction between Serine and Montelukast Sodium. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Serine and Montelukast Sodium have any of the same side effects?
Yes — our sources link each of them separately to 7 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Does Montelukast Sodium interact with any supplements?
Yes. Montelukast Sodium has documented interactions with 81 supplements in our database — Serine is not one of them. The Montelukast Sodium interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Serine monograph Uses, safety profile, and every drug interaction in one place Montelukast drug information The full plain-English guide to this medication Montelukast Sodium supplement interactions Every supplement checked against Montelukast Sodium, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 3 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Montelukast Sodium and Serine?

Our pharmacists answer your medication & supplement questions — free.

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.