Q. How can bronchial asthma in children be treated?

Answered by
Dr. Radela Yvonne L. Ramos-cortes
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 19, 2022

Hello doctor,

I have a girl child who is 4 years old and weighs around 16 kilograms.

She has been having cough and cold for the past 7 days and cannot sleep well during the night.

I have been giving her Ambroxol syrup for the past 4 days, and I gave her Allerkid last night.

What medication can I give her?

Please advise.

Thank you.



Welcome to

Does the patient have any fever? Is the patient a known asthmatic or with food and drug allergies? How was the response to Ambroxol and Allerkid?

The cough and cold may be due to an infection (viral or bacterial), an allergy, or an asthma attack, among other possible diagnoses. If it is due to an infection, it is usually associated with fever, but it can also present without any fever. If the cause is viral, it will resolve on its own. However, because we are still in a pandemic, COVID-19 is also considered. If it is a bacterial infection, then an antibiotic is needed. If the cause is an allergy, the Allerkid (Cetirizine) may help. If it is an asthma attack, then adding Salbutamol via a nebulizer may help.

However, because of her age and the duration of the symptoms, I would really suggest bringing the patient to a doctor so they may be properly examined and the right medicine may be given. It is quite hard to evaluate children because they cannot verbalize how they feel, so I suggest you bring the child to a doctor as soon as possible for proper assessment and treatment.

As of now, continue the Allerkid (Cetirizine), and you may nebulize with Salbutamol when she coughs but again, please bring the child to a doctor as soon as possible.

I hope that was helpful.

Thank you and regards.

Hello doctor,

Thank you for your reply.

She has no fever.

What is the dosage of Salbutamol?

We will bring her to the doctor tomorrow, but we just need first aid for the frequent coughing, particularly at night.

Thank you.



Welcome back to

The dose for Salbutamol (Ventolin) nebule is 2.5 mg/2.5 ml 1 nebule every 4 to 6 hours. You can try tonight to nebulize the child before sleeping.

If the frequent coughing is more at night, it might be due to bronchial asthma. You may add Montelukast 5 mg 1 tablet after dinner, but, as I suggested earlier, it is really best if the child is seen by a doctor so a proper examination may be done.

To be on the cautious side, since she has not yet been seen by a doctor, nebulize only if needed, or every 6 to 8 hours interval. Try to give one dose only tonight before she sleeps. We only recommend giving it every 4 hours after proper examination of the patient.

In your case, a diagnosis is really needed, so an actual consultation with a physical examination is really necessary before maintaining her on nebulization.

Please reach out for any further queries.

Thank you.

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