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Child having allergic asthma. Prescribed Wylosone. Breathing loud, coughing during sleep. Side effects of medicine?

Good evening Dr! My niece is 4 yrs old and has allergic asthma triggered by smoke and cold air. She has been prescribed wylosone 10 mg when the attack comes. She keeps coughing and is unable to sleep and even if she does sleep one can hear her breathing in the entire house- it is so loud. Recently there has been loss of hair also . Is it because of her medicine?
Asked On : Sun, 4 Nov 2012
Answers:  2 Views:  40
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Allergist and Immunologist 's  Response
Long term use of Wysolone is definitely NOT recommended and you must visit a Chest Physician for a complete asthma evaluation. A visit to the Allergist will also help in delineating the allergies and making sure avoidance strategies are in place.
Asthalin or Levolin as required, Symbicort turbohaler and montelukast 4mg at night is recommended as initial treatment, Regular peak flow diary, asthma evaluation with questionnaire is recommended every 3 months for now.
Answered: Tue, 6 Nov 2012
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General & Family Physician Dr. Debraj Jash's  Response
Thanks for query. As per your history, your child was probably suffering from allergic asthma. Usually she should receive Budecort(200) metered dose inhaler via a face mask twice daily. Oral wysolone tablet for 7-10 days was recommended during acute exacerbation of asthma. As per your history, your garanddaughter has uncontrolled asthma as described by the presence of persistent cough, wheeze, nocturnal symptoms. Oral prednisolone in short term basis is beneficial as it reduces the severity of exacerbation, rate of hospital admission, decline of lung function. If it is taken on a long term basis it may lead to puffiness of face, bruising, osteoporosis, cataract,hirsutism glucose intolerance, hyperlipidemia,reduced peak growth velocity. I f your daughter requires oral steroid on a long term basis that means your granddaughter's asthma was uncontrolled.You require to consult a pulmonologist. Because there are several causes of uncontrolled asthma. I cannot opine on that without seeing the patient from a long distance. Hope, I answered your queries.
Answered: Tue, 6 Nov 2012
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