What is an alternative medicine for cold in a 4-year-old?
Patient's Query
Hello doctor,
My daughter is 5 years old and has allergic cold symptoms, sneezing, irritation of the eyes, nose, and wheezing on some occasions. Our pediatrician prescribed Montair-LC kid syrup one teaspoon daily. Given for three months.
I want to stop the medicine, but the doctor suggested giving it on alternate days. If the medicine is stopped even for a day, she gets back the symptoms severely. Is there any alternative? How to taper the medicine?
Please suggest.
Thank you.
Hi,
Welcome to icliniq.com.
As your child might have an airway reactive disease, it suggests she is having airway reactive problems or an allergy to some substance. The best plan of action will be to give a Montelukast sodium 4 mg tablet at night. Give Salbutamol syrup half a teaspoon once daily for five days. Buy a nebulizer and give nebulization with normal saline to Asthalin solution in a concentration of one to one ratio. Rest medication will be gradually tapered off.
Stop all syrups and the rest of the medications. Gradually, medicines will be reduced according to the symptoms.
The probable cause: Allergy.
Investigations to be done: CBC (complete blood count).
Differential diagnosis includes:
- Asthma.
- Reactive airway disease.
Probable diagnosis: Asthma.
Preventive measures:
- Allergens to be avoided like dust, pollens.
- Extreme hot and cold weather should be avoided.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
How long should Montelukast sodium be given? Can the Montair LC kid be stopped abruptly? We used to give Asthalin nebulizer when she had a cough? Is Salbutamol syrup necessary now?
Since my only concern is to stop the Montair LC kid syrup.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
Salbutamol syrup is necessary just to supplement the effect of Montelukast sodium. It can be stopped after seven days. Montelukast sodium is usually given to kids for 15 days to one month and gradually stopped tapering off the dose. So your child will not be completely dependent on this drug.
I hope this helps.
Kindly follow up if you have more concerns.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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