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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Advice On Medicinal Prescription For Asthma.

my name is manmohan
mu daughter is suffering from wheezing past from 2 yrs , but we are providing the nebulizer in 2 or 3 times in daily & 11 yrs girl

Note;1. 90 % asthalin nebulizer
bal 10 % bude cort or duolin and which one is best budecort or duolin
pls adv ur suggestuion
Wed, 9 Jul 2014
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Allergist and Immunologist 's  Response
Hello Manmohan,

Thank you for asking at HCM.

For your question regarding budecort and duolin, I should make clear that both of them are quite different and have different role in asthma.

Duolin is a reliever/rescue type of drug which should be used when your daughter has an asthma attack/worsening of asthma. It should not be used on daily basis.

Budecort is a controller/preventer type of drug which has to be used regularly as suggested by your doctor regardless of asthma symptoms.

Asthalin is also used like Duolin at times of asthma attacks but should not be used daily.

If she need to use asthalin or duolin on daily basis, it means her asthma is not well controlled and doctor needs to review the medicines.

One more thing, personally I would not recommend daily nebulization for asthma management in an 11 year old child. There are many better inhaler devices are available like Metered Dose Inhaler (MDI), MDI with spacer device or Dry Powdered Inhalers (DPI), etc. They are easy to use, easy to carry and ensure good drug delivery to lungs. So I would recommend to use MDI with or without a spacer.

Daily home based nebulization not only is cumbersome but also carries a small risk of infections.

Hope I have made things clear to you and this will be helpful to you.

Wish your daughter the best of the health.

Regards.

Dr Parin N. Parmar
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Need Advice On Medicinal Prescription For Asthma.

Hello Manmohan, Thank you for asking at HCM. For your question regarding budecort and duolin, I should make clear that both of them are quite different and have different role in asthma. Duolin is a reliever/rescue type of drug which should be used when your daughter has an asthma attack/worsening of asthma. It should not be used on daily basis. Budecort is a controller/preventer type of drug which has to be used regularly as suggested by your doctor regardless of asthma symptoms. Asthalin is also used like Duolin at times of asthma attacks but should not be used daily. If she need to use asthalin or duolin on daily basis, it means her asthma is not well controlled and doctor needs to review the medicines. One more thing, personally I would not recommend daily nebulization for asthma management in an 11 year old child. There are many better inhaler devices are available like Metered Dose Inhaler (MDI), MDI with spacer device or Dry Powdered Inhalers (DPI), etc. They are easy to use, easy to carry and ensure good drug delivery to lungs. So I would recommend to use MDI with or without a spacer. Daily home based nebulization not only is cumbersome but also carries a small risk of infections. Hope I have made things clear to you and this will be helpful to you. Wish your daughter the best of the health. Regards. Dr Parin N. Parmar