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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Increased Steroid Dosage For Asthma Affect Child S Liver?

My eleven year old daughter has asthma and was on 20 mg of liquid steroid each day for five days/doses from 1/26-1/29. On 1/31 I took her back to the doctor and she repeated the steroids for a week but increased the dosage to 60mg/60mg/60mg/40mg/40mg/20mg/20mg and included two weeks of antibiotics. I m now concerned about her liver/kidney function and at this point I don t plan on going back to the prescribing doctor in reference to asthma issues. I read in Prescription for Nutritional Healing that wheezing can persist up to a month and my sister read that she was treated for acute asthma. How is acute asthma determined? Do you have an excellent referral to a asthma/allergy doctor who integrates immune support through appropriate supplementation? I am residing on Eastern Long Island and I don t mind traveling into the city. A NP/nutritionist could also address immune/allergy/asthma support.
Fri, 17 Apr 2015
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General & Family Physician,  's  Response
If the child is still on steroids u can taper the dose and gradually stop,as far as asthma is concerned u can give her nebulization with low dose of bronchodilators, encourage her by doing some breathing exercises,acute asthma is what we say patient is in status asthmaticus,in that case to get back normal breathing patient requires oxygen,since ur daughter is already on steroid,give her wysolone 10mg tab thrice a day for a week,followed by twice a day for a week, once a day for next week and one tab alternate days for a week and stop,keep a nebulizer at home,add Asthalin respules and give nebulization twice a day for one week,if she has productive cough,give her Ambrodil syrup 10ml twice a day after food for a week and taxim tab 200mg twice a day for one week
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Will Increased Steroid Dosage For Asthma Affect Child S Liver?

If the child is still on steroids u can taper the dose and gradually stop,as far as asthma is concerned u can give her nebulization with low dose of bronchodilators, encourage her by doing some breathing exercises,acute asthma is what we say patient is in status asthmaticus,in that case to get back normal breathing patient requires oxygen,since ur daughter is already on steroid,give her wysolone 10mg tab thrice a day for a week,followed by twice a day for a week, once a day for next week and one tab alternate days for a week and stop,keep a nebulizer at home,add Asthalin respules and give nebulization twice a day for one week,if she has productive cough,give her Ambrodil syrup 10ml twice a day after food for a week and taxim tab 200mg twice a day for one week