Hello, thank you for using Healthcare Magic!
It sounds like your child's
asthma is not well controlled. Well controlled asthma means he should not need his
albuterol inhaler more than twice per week in the daytime, and twice per month at night. Any time your child wakes up at night coughing he should be given albuterol.
Medicines like
budecort (inhaled
steroids) are used when albuterol isn't enough to control the asthma. It should be given EVERY day (as directed by the doctor that prescribed it) whether your child has asthma symptoms or not. Typically this medicine is started at low doses and increased if needed. It may be that your child needs a higher dose. If he is already getting the maximum dose, he may need to switch to a medicine that combines the inhaled steroid with a long-acting form of albuterol.
Montelukast is a medicine that is used for kids with asthma who also have seasonal allergies. It is not necessary to use it with budecort in order for either of these medicines to work.
Make another appointment with your doctor to discuss the fact that these medicines aren't working yet. It sounds like the doctors have been making good decisions about how to help your child, and just need to continue adjusting his medicines.
I hope I have given you some useful information, and wish you the best of health.
Sincerely,
Dr. Kinney