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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Frequent Coughs, Diagnosed With Asthma. Prescribed Monticope , Can't Sleep Due To Cough And Wheeze. Is Steroid Required ?

Dear Doctor, My daughter is 11mths old now, She usually gets cough in every 1month , she was been diagnosed with asthma by one doc. But she is been prescribed with Monticope (dosage 3/4 once in a day) . She usually has a problem during the night and she cannot sleep due to continuous coughing. She also wheezes and it is like a whistle type sound when she breaths. Please suggest is this really asthma and do have to give her steroids for her teatment.
Fri, 15 Feb 2013
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General & Family Physician,  's  Response
Dear Preksha...
Wheezing is a continuous, coarse, whistling sound produced during breathing due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)
The medicines suggested by your Doctor are correct.
Monticope is Montelukast, used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma by reducing broncho-constriction.
So...continue the medicines as suggested.
Other than that...nebulisation can provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)
Antihistamine preparations can also be used to provide symptomatic relief from cold & cough.
So...it will be better to consult a Pediatrician for further management.
There is no need to worry...she will be fine...just make sure that your child is well protected from the cold, dust & other allergens.
Wishing your daughter a good health and speedy recovery.
Thanks & Take care.
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Frequent Coughs, Diagnosed With Asthma. Prescribed Monticope , Can't Sleep Due To Cough And Wheeze. Is Steroid Required ?

Dear Preksha... Wheezing is a continuous, coarse, whistling sound produced during breathing due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma) The medicines suggested by your Doctor are correct. Monticope is Montelukast, used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma by reducing broncho-constriction. So...continue the medicines as suggested. Other than that...nebulisation can provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs) Antihistamine preparations can also be used to provide symptomatic relief from cold & cough. So...it will be better to consult a Pediatrician for further management. There is no need to worry...she will be fine...just make sure that your child is well protected from the cold, dust & other allergens. Wishing your daughter a good health and speedy recovery. Thanks & Take care.