Hello.
Thank you for asking at HCM.
I went through your history and I think you are having both
allergic rhinitis and asthma.
I would like to make following suggestions for you:
1. To reduce episodes of episodes of wheezing/asthma symptoms, it is important to control allergic rhinitis (nasal symptoms) as well. Control of nasal symptoms will improve control of asthma.
So I would suggest to take daily
montelukast and
levocetirizine for at least 6-8 weeks. This will help both nasal symptoms as well as asthma symptoms.
2.
Seroflo is a controller medication for asthma. Please make sure that you are using it regularly on daily basis. Also, please make sure your technique of using rotahaler is absolutely perfect. If the technique is not proper, the drug going inside lungs reduces considerably and therefore it is not effective as it should be.
3. Please use reliever rotacap inhalers like salbutamol or
levosalbutamol if you are having wheezing in spite of this. If you need to use them for more than twice a week, I would suggest you to upgrade dose of controller medications after consulting your doctor.
4. I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you are smoking.
5. I would also suggest you regular breathing exercises and a nutritive diet rich in vitamins & minerals and anti-oxidants which will help you in a long run.
6. Personally I would suggest you to consult an Allergist-Immunologist who will advise you
allergy testing. This will help you to identify the substances causing trouble to you as well as ways to avoid them. Also, the Allergist may suggest you
allergen immunotherapy which may work on your immune system to improve allergy symptoms.
Hope this will be helpful to you.
Wish you the best of the health.
Should you have any query, please feel free to ask at HCM.
Regards.