Hello. Thank you for asking at HCM. I went through your daughter s history. I would like to know more about her like - What is her age? Since what age has she had asthma? Does she have allergic rhinitis (nose symptoms like nasal congestion, running nose, sneezing, etc)? What type of inhaler is she taking? What is her frequency of her symptoms? Has she ever been tested for allergies? Does she have anyone in family with asthma? Is she regularly exposed to dusts/smokes/air pollution? From your given history, I would like to make following suggestions to her: 1. As per your query, Ketasma (Ketotifen - an antihistamine) can cause sedation, drowsiness as side effects. 2. Personally I would suggest her to check her hemoglobin levels and allergy testing for common foods and air-borne allergens prevalent in your region. I would suggest to maintain her hemoglobin around 14 g%. If she tests positive to any allergy-causing substance, avoidance measures can be suggested which may help improving both atopic dermatitis and asthma. 3. I would almost agree with her treatment as mentioned by you. However, I would like to review her technique of using inhalers as if it is not correct, adequate amount of drug may not be reaching lungs and hence may be ineffective. 4. I would also like to know type of her inhalers (to be used regularly or to be used as-and-when-needed basis). If her asthma is not controlled with current inhalers, I would suggest to get reviewed her inhalers by her doctor. 5. I would suggest her avoidance of exposure to dusts, smokes and air pollution as much as possible. 6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help her in a longer run. Hope above suggestions will be helpful to her. Should you have any further query, please feel free to ask at HCM. Wish your daughter the best of the health. Thank you & Regards.