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Is Seroflo Or Budevort Better For Cough In Children?

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Posted on Fri, 24 Jun 2016
Question: hello doctor, my 3 years old daughter is allergic to milk. she is having cough since last month. 1 doctor prescribed her combination of budecort and levolin. her condition improved while using these. after that allergy specialist prescribed seroflo instead of budecort. now 1st doctor says dont use seroflo...use budecort. so i am using budecort. now i feel her condition of cough is not improving further. should i use seroflo instead of budecort ?
doctor
Answered by Dr. Drkaushal85 (23 minutes later)
Brief Answer:
Yes, you should give her seroflo.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Seroflo is having salmeterol and fluticasone.
Budecort is having only budesonide.
Budesonide and fluticasone are inhaled corticosteroids (ICS).
Fluticasone is more superior in terms of efficacy and side effects (lesser) as compare to budesonide.
And salmeterol is inhaled bronchodilator of choice now a days.
So better to consult give her combination of salmeterol and fluticasone (seroflo) instead of plain budesonide (budecort).
Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (8 minutes later)
thanks for answer doctor...as the doctor advised to use budecort one puff twice a day for one month. similar prescription was there for seroflo by allergy specialist. so how long i need to give serflo for full cure of cough. one month or till the cough symptoms are visible ?
doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
I need few more information about her illness.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
To answer this, I need few more information about her illness.
So please let me know
1. Usually milk allergen causes diarrhea. It is rare to have cough due to milk allergy. Is she having diarrhea after eating milk?
2. You said that the cough started since 1 month. So what about initial 2 years of her life? Is she having similar symptoms in the past?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your daughter. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (17 minutes later)
yes , she is having problem of diarrhea since her first few months. during her first winters, when she was just 7-8 months, she suffered from severe cold for all winter season. her situation improved with constant use of nebulizer with levolin 0.63mg respules. during next summer she faced diarrhea multiple times. again in next winters same..cough and cold. in this last winter...novenmber 2015 to feb 2016. she suffered from cough and cold. only levolin nebulizer gave her relief. the in May 2016, i.e. last month i got her allergy tests done. then i came to know that she is allergic to milk and artificial food colors. as i consulted 2 doctors, both gave 2 different prescriptions...

1. levolin + budecort, 01 montair tablet in evening for one month, alaspan 5 ml for 6 days
2. levolin + seroflo, 01 montair tablet in evening for one month, alaspan 5 ml for 6 days

now i have followed 1st prescription for 15 days. and my observation is that with initial improvement in situation of cough, now things seem to be steady. do i need to wait for complete cure of cough using levolin+budecort.
or i should replace it with combination of levolin and seroflo.
as she is only 3 years, i am concerned about side effects of seroflo also.

kindly guide.
doctor
Answered by Dr. Drkaushal85 (9 minutes later)
Brief Answer:
Better to give her seroflo twice daily and levolin as and when needed.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, she is mostly having asthma.
In my opinion, you should give her seroflo twice daily and levolin as and when needed.
Continue montair tablet in night time.
Please let me know
1. Has any doctor told you about asthma in her?
2. Is she having breathing difficulty while running or climbing stairs?
3. Is she having whistling sound from chest while sleeping?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your daughter. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (13 minutes later)
thanks doctor

no..none of the doctor has said, that she is having asthama.
no...she is very fond of running and climbing stairs.. she does not have any difficulty in breathing
no...no whistling sound from chest....

i am again telling you, i am very much concerned about side effects of serflo....kindly tell should i use seroflo and how long it should be used, and is it safe for her.
doctor
Answered by Dr. Drkaushal85 (11 minutes later)
Brief Answer:
Yes, seroflo is safe for long term use.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I am too much insisting on asthma and allergy because her symptoms are suggestive of asthma and the inhaled treatment she is taking is also of asthma.
And asthma needs at least 6-8 months of treatment than gradual tapering down of treatment.
Seroflo is safe for long term use. No major side effects except sore throat and upper respiratory tract infection.
To prevent side effects, appropriate dosage is important.
So please let me know
1. What is the strength of seroflo you are using? Is it 125 or 250?
2. How many times in a day she is taking?
3. What is her weight?
4. Is she doing gargles after use of seroflo?
Please reply me answers of above asked questions, so that I can guide you better. All these are important in preventing possible side effects.
I will be happy to help you further. Wishing good health to your daughter. Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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Is Seroflo Or Budevort Better For Cough In Children?

Brief Answer: Yes, you should give her seroflo. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Seroflo is having salmeterol and fluticasone. Budecort is having only budesonide. Budesonide and fluticasone are inhaled corticosteroids (ICS). Fluticasone is more superior in terms of efficacy and side effects (lesser) as compare to budesonide. And salmeterol is inhaled bronchodilator of choice now a days. So better to consult give her combination of salmeterol and fluticasone (seroflo) instead of plain budesonide (budecort). Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.