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Suggest Treatment For Asthma In A 5 Year Old

Posted on Mon, 2 Mar 2015

Question: Hi My 5 year old having cold,cough,running nose and sore throat from yesterday afternoon... Given 3 dosage of timinc till today afternoon no improvement ...after consulting with his doctor on phone started azee 200 for 5 days..doctor also prescribed alaspan syrup..he is regularly on seroflo inhaler twice a day...I had already given one dosage of azee..what should I give with azee whether ascoril d or alaspan as he is coughing much and still having watery eyes..

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

Brief Answer:
Alaspan is the better choice

Detailed Answer:
Hello
Thanx for the query. It seems that your child is suffering from asthma and this has exacerbated now. He is regularly on seroflo and this episode is not associated with fever so Azee is good for him. Usually some atypical organisms or viral infection precipitate the asthma.Most of the time these organisms don't cause fever. Azithromycin covers these organism well.

Now the question is for Ascoril D or Alaspan. Alaspan is a good antiallergic while ascoril d contains antiallergic with cough suppresent. Cough suppresant ideally should not be prescribed for children,as it retains the cough in airway and that is harmful. So I would suggest you to give Alaspan.
I would also suggest you to give salbutamol inhaler three to four time a days for few days after consulting your physician to relieve the spasm that has caused the exacerbation of cough.
If the symptoms are occurring frequently about once a week then dose of seroflo may need to be increased to control the symptoms.

Sometimes we need to prescribe oral steroid for short duration if symptoms are severe.
So my suggestion would be alspan, salbutamol nebulisation but after consulting your physician only.
I hope this will help.
Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Pradeep Kumar Jain (9 minutes later)

I am already giving levolin in 0.63 twice a day and planning to give him for 3-4 days should I increase the frequency for same...??

Answered by Dr. Pradeep Kumar Jain (21 minutes later)

Brief Answer:
That is good, can increase the frequency

Detailed Answer:
Welcome again
This is really nice to know that you are already giving levolin. I think you can increase the frequency(3-4 times/day) as symptoms are severe.
I don't want to make you worried but you should know that salbutamol inhalation can cause low blood potassium level, increase heart rate and trembling of hands.Usual three to four times of nebulisation does not lead to these problems.
So while nebulising please take care of that. If any problem occurs visit your physician immediately.
Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Pradeep Kumar Jain (39 hours later)

hi thanks for all answer...
yesterday I went to doctor and after examining my son doctor discontinued azee and alaspan syrup and started tossex (2.5ml) and terbutaline sulphate (5 ml) thrice a day for 5 days and omnacortil forte syrup (4ml) twice a day for 3 days...also started montair LC kid in place of montair 5 for 2 months..

seroflo to continue with one puff twice a day for 2 minutes time with spacer for 2 months..

any suggestions...

Answered by Dr. Pradeep Kumar Jain (6 hours later)

Brief Answer:
Follow the advice.

Detailed Answer:
Hi,

Sorry for delayed reply.

It appears that your child's symptoms have improved. The prescribed medication is right. A long duration treatment is needed in such condition to prevent the recurrence.
So continue the treatment as advised.

You can asked further query if any.

Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari