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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A Frequent Wheezing Be Caused By Tapering?

My son is 5 .2 years old. He use to suffer from Wheezing frequently. He has been taking L Montus Kid for 1.5 years and now he has been switched to Montair tab 5 mg (to taper down the medicine). Also he is on inhalation - Foracort 100 for the same time, which is also in the tapering phase. Since the tapering has started since last week, he is feeling uneasy, sweats profusely and is also having a little cough. Could that be an effect of tapering? Is such long use of these drugs advisable? I continued as it did help him in his cough.
Mon, 23 Jun 2014
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Allergist and Immunologist,  's  Response
Hello.

Increased wheezing & cough while tapering the controller medications (such as Montair & Foracort) may suggest either 1. it's not time for tapering or 2. tapering has been too rapid. or 3. there may be an intercurrent infection/trigger factor responsible for causing recurrence of cough & wheeze.

So I would suggest you to discuss these factors with your pediatrician and modify the speed of tapering controller medications.

Regarding your 2nd question, childhood asthma is a chronic condition and frequently requires such long term use. Every drug has side effects but with the doses that you have mentioned, I feel they are safe for long-term use if proper inhaler technique is used.

One more important aspect of childhood asthma, please try to identify asthma triggers (such as smoke, dusts, cold temperatures etc) for your child and try to avoid them.

I would also suggest to encourage him for breathing exercises which might be helpful in long run.

Hope this solved your queries.

Wish your sun the best of the health.

Regards.
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Can A Frequent Wheezing Be Caused By Tapering?

Hello. Increased wheezing & cough while tapering the controller medications (such as Montair & Foracort) may suggest either 1. it s not time for tapering or 2. tapering has been too rapid. or 3. there may be an intercurrent infection/trigger factor responsible for causing recurrence of cough & wheeze. So I would suggest you to discuss these factors with your pediatrician and modify the speed of tapering controller medications. Regarding your 2nd question, childhood asthma is a chronic condition and frequently requires such long term use. Every drug has side effects but with the doses that you have mentioned, I feel they are safe for long-term use if proper inhaler technique is used. One more important aspect of childhood asthma, please try to identify asthma triggers (such as smoke, dusts, cold temperatures etc) for your child and try to avoid them. I would also suggest to encourage him for breathing exercises which might be helpful in long run. Hope this solved your queries. Wish your sun the best of the health. Regards.