Hello.
Thank you for asking at HCM.
I went through your daughter's history and both allergic and non-allergic causes are possible.
My suggestions for your daughter will be as follows:
1. Personally I would consider a combination of
montelukast and levoceitirizine for at least 2-4 weeks (depending upon response) to her.
2. I would like to know the dose of the Budate. Also, I would like to review technique/device of giving Budate to her. (I guess you are nebulizing, it's ok, but I would like to review technique of nebulization also).
3. Once montelukast and
levocetirizine can control symptoms, I would like to gradually reduce dose of Budate.
4. I would suggest you to consult an Allergist-Immunologist who will advice your daughter
allergy testing, which will help you identify substances she may be allergic to.
5. If any family member smokes, please at least advise him/her not to smoke inside home, if he/she cannot quit
smoking.
6. Please try to keep your daughter away from exposure to dusts, smokes and air pollution as much as possible.
7. A nutritive diet rich in
vitamins and minerals (e.g., adequate fruits, green leafy vegetables and sprouted beans) will also be helpful in a long run.
Hope above answer will be helpful to you.
Wish your daughter a quick recovery and the best of the health.
Should you have any concern, please feel free to ask at HCM.
Regards.