my daughter is two and half year now. She started getting cough and cold frequently when she was 1 year old. doctor gave ger DERIPHYLLIN syrup and she was better after that. but since than her cold , cough , fever become a monthly routine and my paediatrician suggested to test the total IGE serum. it was found elevated around 400 while the normal range was 19. Seeing the report my paedia suggested to keep her on budecort for two years and mont LCZ for three month. I was not in the favour of giving the medicine for so long continuously, so I stopped them in between. but the problem is, she is countinue with her monthly. Should i put her on budecort for two years or not, i am confused.
Frequent fever, colds and cough occurs in all the children till they are 5 years of age. The no of attacks will vary from 4 to 10 a year. The attacks cannot be prevented by budecort, however if with the attacks child has wheezing or prolonged severe cough then budecort or \and monteleukast will help.
Whether you should give budecort continuously or intermittently depends on no of attacks the child gets. If these are almost every month then you can give budecort daily to prevent the wheezing. However if they are less frequent then you can give budecort for about a week, only when your child starts with cold and sneezing.
For how long to give? This is very variable. If you are giving budecort continuously, in that case after about 3 months, if your child has not had any attack of wheezing then you can attempt to stop ; however if he starts wheezing again then you can restart it. Giving budecort for prolonged period has no side effects.
As your child’s IGE is very high you should try to find out what he is allergy to and try to take precautions. Usual allergens are housedust mite, Perfumes, Furs, pets etc. Do read the chapter on asthma in my book easybabycare available for free on easybabycare.net. You will get more information on that.
You can also contact me on my phone +91 9911101576.