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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having Constant Runny Nose, Advised To Immunise. Opinion?

My 5 year old son has a constant runny nose . He has had allergy tests which show he is alergic to Dust Mites, Cats, Dogs and Theador grass. From time to time he suffers from a really bad cough but currently it is only the constant runny nose. He responds very well to Betnesol but I m concerned about using it. I normally use it for two or three days and then discontinue use for a month or two. I have seen an alergy specialist who recommends immunising him. What do you think?
Wed, 21 Nov 2012
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Allergist and Immunologist,  's  Response
Hello,
Your son has multiple allergies and by 'immunising'' him, the Allergist probably meant starting immunotherapy
This is reserved for those who have failed optimal medical therapy and currently not licensed for his age at least in most centres in Europe (pending completion of trials).
If he has asthma, he will need optimal management for that to prevent a worsening of the allergies.
Constant rhinitis leads to asthma in the long run, so you must remember that.
His medical treatment for now should include: cetirizine syrup 5ml twice daily, olopatadine eye drops, nasonex nasal spray 1 spray / nostril once daily with addition of montelukast 4mg at night if required. This should be continued for 6 months and definitely during winter/summer months.
Only if he fails this and reaches age at least 8-9 years, immunotherapy should be considered.
Thanks.
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Child Having Constant Runny Nose, Advised To Immunise. Opinion?

Hello, Your son has multiple allergies and by immunising him, the Allergist probably meant starting immunotherapy This is reserved for those who have failed optimal medical therapy and currently not licensed for his age at least in most centres in Europe (pending completion of trials). If he has asthma, he will need optimal management for that to prevent a worsening of the allergies. Constant rhinitis leads to asthma in the long run, so you must remember that. His medical treatment for now should include: cetirizine syrup 5ml twice daily, olopatadine eye drops, nasonex nasal spray 1 spray / nostril once daily with addition of montelukast 4mg at night if required. This should be continued for 6 months and definitely during winter/summer months. Only if he fails this and reaches age at least 8-9 years, immunotherapy should be considered. Thanks.