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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cough Variant Asthma

Hi my son has cough variant asthma, he is on a controller med of symbicort and recently was given duoneb in instead of albuterol for a flair up he had that was not improving after oral steroids. He again has began having a more wet cough and instead of starting albuterol, i started duoneb treatments one to two times a day as needed, they seem to be working much better than the straight albuterol, but i was wondering if duoneb is only supposed to be used when his flair up is more severe or if it is okay to start initially. I feel like the duoneb has kept his symptoms from progressing. Thank you for your time
posted on Tue, 20 May 2014
Twitter Thu, 3 Jul 2014 Answered on
Twitter Fri, 4 Jul 2014 Last reviewed on
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Allergist and Immunologist,  's  Response
Hello.

Thank you for asking at HCM.

I would like to know age of your son. However, I guess he is having childhood asthma.

Albuterol is usually the most important medicine to be used in flair up. Even Duoneb contains two drugs - ipratropium bromide & albuterol. So it can also be used initially for asthma exacerbation. However, it cannot be given so frequently as albuterol alone.

Also, if your son has frequent flair ups, I would suggest to increase controller medications (increase dose of inhaled corticosteroids or add montelukast) as need for frequent albuterol indicates asthma is not under good control.

Hope this will help you to solve your query.

Wish your son best of the health.

Regards.
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Suggest Treatment For Cough Variant Asthma

Hello. Thank you for asking at HCM. I would like to know age of your son. However, I guess he is having childhood asthma. Albuterol is usually the most important medicine to be used in flair up. Even Duoneb contains two drugs - ipratropium bromide & albuterol. So it can also be used initially for asthma exacerbation. However, it cannot be given so frequently as albuterol alone. Also, if your son has frequent flair ups, I would suggest to increase controller medications (increase dose of inhaled corticosteroids or add montelukast) as need for frequent albuterol indicates asthma is not under good control. Hope this will help you to solve your query. Wish your son best of the health. Regards.