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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having Asthma, Sneezing, Running Nose. Prescribed Romilast L5. Symptoms Reoccur On Stopping. Safe To Continue?

Hello Doc,
My daughter aged 7 yrs, has asthmatic problem since childhood. She also has a problem of sneezing or a running nose particularly while going to bed at night or early in the morning. This is again since a year now. We ve been to our family doctor many times and always been prescribed with Romilast L5. and magically it works with her. But the problem is whenever she is away of Romilast even for a day she again starts with all problems. We have asked the doc many times how to get rid of this.. Though he said there is nothing to worry with regular taking of Romilast. Its just an anti allergic.
Would like to clarify from u, is Romilast is safe to use for a child for so long time ?
Why cant she keep herself up even one day away of Romilast ?

Regards
Santanu Sen
Wed, 7 Aug 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.CM. Forum.
Romilast L's ingredients are monteleukast + levoceterizine as both drugs are anti allergic.
However prolong use of these drugs don't develop any side effects .
In my opinion in this type of cases I usually prescribe monteleukast+ bambuterol 1/2 at bed time ( as child is less than 10 years).
Consult your treating physician and get his opinion about this drug.
Since this bambuterol develop mild degree tremors ( need not to worry these stops after 3-4 days of treatment),but effective and most potent treatment for such type of conditions.
Avoidance of mite, dust, fumes, spray. powder, sudden rise and fall of temperature will help.
When she will attain age of 14 years these symptoms will subsides .
Good luck.
Dr. HET
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Pediatrician, Pulmonology Dr. Arun's  Response
Romilast is the brand name. It contains a drug called monteleukast. It is used as "add on" therapy for asthma i.e. in addition to other medicines if they are not effective. Romilast L contains two medicines: monteleukast and levocetirizine. It should not be taken by patients of asthma because levocetirizine dries up the secretions in the lungs and can make matters worse. Such a combination is not permitted in any advanced country. These days we prefer inhalational medicines such as Asthalin Inhaler (rather than tablets or syrup) because such medicines reach lungs straight away without passing through blood.
I would suggest you to consult your doctor and ask him about preventive inhalers. Also ask for allergen testing to find out what she is allergic to so that you can avoid.
Regarding Romilast , you can continue it without side effects but not romilast L.
Regards
Arun
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Child Having Asthma, Sneezing, Running Nose. Prescribed Romilast L5. Symptoms Reoccur On Stopping. Safe To Continue?

Hello, Thanks for the query to H.CM. Forum. Romilast L s ingredients are monteleukast + levoceterizine as both drugs are anti allergic. However prolong use of these drugs don t develop any side effects . In my opinion in this type of cases I usually prescribe monteleukast+ bambuterol 1/2 at bed time ( as child is less than 10 years). Consult your treating physician and get his opinion about this drug. Since this bambuterol develop mild degree tremors ( need not to worry these stops after 3-4 days of treatment),but effective and most potent treatment for such type of conditions. Avoidance of mite, dust, fumes, spray. powder, sudden rise and fall of temperature will help. When she will attain age of 14 years these symptoms will subsides . Good luck. Dr. HET