Podlaga za napotitev so bila razhajanja med povzetki glavnih značilnosti zdravila, vključno z vidiki kakovosti zdravila Singulair in z njim povezanih imen, ki so odobreni v državah članicah EU, in sicer v zvezi z naslednjimi indikacijami: dodatna terapija za zdravljenje astme pri bolnikih z blago do zmerno perzistentno astmo, pri katerih bolezni ne moremo zadostno uravnati z inhalacijskimi kortikosteroidi in pri katerih β- agonisti s kratkotrajnim delovanjem, uporabljeni „ po potrebi “, ne nudijo zadostnega kliničnega nadzora nad astmo; alternativna terapija, s katero se nadomešča zdravljenje z nizkim odmerkom inhalacijskih kortikosteroidov pri bolnikih z blago perzistentno astmo, ki nedavno niso imeli hudih napadov astme, pri katerih bi bila potrebna uporaba peroralnih kortikosteroidov, in pri katerih je bilo ugotovljeno, da ne morejo uporabljati inhalacijskih kortikosteroidov; preprečevanje astme pri pediatričnih bolnikih, pri katerih prevladuje bronhokonstrikcija, ki jo sproži napor.
The basis for referral was that there were divergences in the Summaries of Product Characteristics (SPC) including quality aspects of Singulair and associated names approved across EU Member States, with respect to the following indications: Treatment of asthma as add-on therapy in patients with mild to moderate persistent asthma who are inadequately controlled on inhaled corticosteroids and in whom “ as-needed” short acting β -agonists provide inadequate clinical control of asthma; as an alternative treatment option to low-dose inhaled corticosteroids for patients with mild persistent asthma who do not have a recent history of serious asthma attacks that required oral corticosteroid use, and who have demonstrated that they are not capable of using inhaled corticosteroids; prophylaxis of asthma in paediatric patients in which the predominant component is exercise-induced bronchoconstriction.