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Can Levolin Be Taken In Place Of Budecort?

Posted on Tue, 1 Aug 2017

Question: Hi, my son who is 5and half years old is diagonized with exercise induced asthma. Doctor prescribed budecort 200 until he asks to stop and singulair tablets for 1 month. My concern is if it is EIA why to give puffs when he doesn't have attacks regularly.also I have seen many side effects for singulair is it ok to give or I can skip giving those tablets. Also is budecort 200 twice a day not a high dosage for that kid? Can I replace budecort with levolin as I feel he feels better when given levolin than budecort. Please suggest. Thank you.

Answered by Dr. Pradeep Kumar Jain (45 minutes later)

Brief Answer:
I would like to continue with same as adviced

Detailed Answer:
Hello

Thanks for asking on this platform

Management of asthma depends on the stage of the disease.
Steroid (budecort) is the mainstay of treatment for controlling the disease. Even if the child does not has regular symptoms steroid puffs needs to be given regularly. If symptoms persists even after giving low dose steroid puffs that is 200 microgram,tge dose needs to be escalated or some other medicine(beta agonist like salmeterol) needs to be added.
Inhaled steroid and singulair (montelukast) are the treatment for mild persistent asthma.If taken in prescribed dosage side effects are not high.
Levolin needs to be given on as and when required basis when patient gets symptomatic.
So I would like to continue with same as advised.
Please let me know if you have any more questions.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Pradeep Kumar Jain (35 minutes later)

Hi will giving this medicine for some time help my kid completely withstand those attacks even after I stop after 2 months of given course. Or do I need to continue this for his lifetime. How will I understand that he is out of all this and normal.

Answered by Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
Step down of treatment is done if child remains symptom free for 6-12 month

Detailed Answer:
Hi

Thanks for follow up

Once child gets categorised into mild persistent asthma and treatment started with steroid and montelukast, it should be continue at least for 6 -12 months(depending on other factors). If child remains symptom free and there are no repeated attacks step down of treatment can be done.
In adults this is done based on spirometer test and clinical condition but in children it is usually done on clinical basis only.

So please discuss with your doctor before discontinuing the medicine.

Regards

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Above answer was peer-reviewed by : Dr. Yogesh D