What Causes Feeling Dizziness After Using Telecast For Cold And Cough?

Posted on Mon, 16 Jun 2014

Question: Good evening Sir,My daughter now 5+ years of age,has started taking sereflo -50 and monticope kid from the age of 3 and a half as prescribed by the doctor,as she was having a very bad cold and cough at the night,after using the above mentioned inhaler and tablet she was fine,but we came to ukraine last two months back,and during our fly our doctor change the medicine telling that continiously yours daughter is using the mentioned medicine so need to be changed.Now she started using Telecast L kid along with salbair-B inhaler once daily,but after using the above mentioned for 15 days here in Ukraine my daughter started telling that her head is rotating very slowly some time,we immefdiately consulted the doctor here,as many people started telling that due to weather changes here it is happening,but the doctors undergone many test of Bp,Sugar,parasite test,hemoglobin,etc but found all ok,then they immediately stopped the tablet Telecast l kid and told us to continue with Inhaler salbait -b which is also to be stopped but very slowly that is first daily one puff for one month,then one day after for 15 days and then on the third day.like that.We have been in consultation for more than 20 days but till now the rotation of head sometime in a day exist.Can u please suggest ? is it due to medicine or any other reason.any how we have also consulted neuro surgeon but she also says that she is having no neuro problem. Please suggest what it can b,can it from the inhaler or any other deaseases likje thyroid or cholestrol etc

Answered by Dr. Irshad H Naqvi (33 minutes later)

Brief Answer:
extreme cold slow adaptation/salbutamol.

Detailed Answer:
Hi Dear
Welcome to the HCM,
If the baby was ok with monticope and seroflo-50 then why it requires to change the drugs with out well explained reason. Until unless there was some failure/serious side effect of medicine.
Monticope and telekast L both are same medicines.
Except the inhaler with little difference. might be not exactly suiting him. Because the salbutamol group medicines/over doses may cause such symptoms like tremors, anxiety,palpitations,vertigo etc to some.
Other possibility-Extreme cold conditions may lead to dizziness because of poor and delayed adaptation to cold.
Protect him from extreme cold.
some medicines like vertin may be also used to reduce such symptoms.
Hope the query is explained.
Please feel free for further clarification.
Thanks

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Irshad H Naqvi (9 hours later)

Respected Sir,Thank u for the prompt response,
First of all i want state that , here in Ukraine now is no cold at all,Temperature here is 25 Degree,and it is perfect .There is green everywhere,so think enough oxygen.As per as Inhaler is concern,Sir what do u suggest to do now,do we stop inhaler instantly and use vertin instead or As prescribed by doctor to reduce it step by step.
Sir one more thing i have forgotten to tell that her Mother is a asmatic and using inhaler sereflo 250 two puff daily along with Viznil tablet once daily.So there can be tendency for her also,but she never had problem of breathing or any relating asmatic,she has been prascribed sereflo and monticope 2 years back because one night she was having cold and ccontinious cough,i dont know is it really required at present or we can wait and see .I can understand that because
her mother is a asthama petient she has a chance too,but can we slowly reduce or stop taking the inhaler and check,whether she really needs it or not.My main concern now is her rotation of head very slowly ?
1.Sir What do u prescribe now to Do?
leave inhaler and use vertin or parallelly use both.
2.Do u think that any other test is required to confirm the problem.or it is the Inhaler for the reason of head rotation?

Sir please treat the matter urgent and suggest.I am very much thankfull for your hospitality and quick response.

Regards
XXXXXXX (father)

Answered by Dr. Irshad H Naqvi (3 hours later)

Brief Answer:
vertin is for only dizziness.

Detailed Answer:
Hi ,
clarification-->Vertin is prescribed only for the dizziness not the replacement of inhaler.
Single episode of nocturnal cough/maternal history of asthma--> In my opinion it was too early to start the seroflo inhaler.
Child might have been treated in the line of allergic bronchitis (RTI).
RTI with some nocturnal cough are quite common with small children,
Often these episodes of RTI can take place 6 to 12 times in a year.
At present it is quite difficult without examining the child that inhalers to be removed or not.
Presently continue the same treatment. Because abruptly withdrawing them may show some rebound phenomenon.
Let the child to be examined by the pediatrician to guide you in reasonable way.
Vertin was only prescribed for the vertigo/ head rotation episodes which to be given for 4 to 5 days only till the symptoms subside.
Hope the query is answered.
Please feel free for the further clarification.
Thanks

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

Follow up: Dr. Irshad H Naqvi (34 minutes later)

Sir, Vertin in Ukraine may b in onother name,sir can u please tell me the composition so that i will search the same here in Ukraine.
Is it a tablet, and to be used once a day.

Regards

Answered by Dr. Irshad H Naqvi (24 minutes later)

Brief Answer:
BITAHISTINE/PROCHLORPERAZINE

Detailed Answer:
It contains
BETAHISTINE 8 MG TAB --> ONE THIRD TAB THRICE A DAY CAN BE USED.
Another tablet that is easily available is PROCHLORPERAZINE (STEMATIL)

Hope the query is answered with your satisfaction.

Thanks

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Above answer was peer-reviewed by : Dr. Prasad