I wondered if anyone else has used high dose inhaled steroids for a flare plan?
I have a 2 year old who has a reactive airway since he developed RSV bronchiolitis at the age of 5 months. That landed us in the hospital for 3 days.
At this point he mostly just has a cough as his "asthma" symptom. He is seen by a pediatric asthma doctor at one of the top hospitals in the country. When he gets a flare they have him do high dose inhaled steroids. For maintenance he is on Flovent 110mcg 2 puffs twice a day. For his flare plan he does Flovent 110mcg 3 puffs three times a day. We also do Albuterol. I try using a nebulizer but he is a typical 2 year old boy and won't sit still long enough. He is pretty good using the inhaler with spacer/facemask.
He has not required oral steroids. We did a 2 1/2 week trial of Singulair. Not sure that made a difference. October has been a bad month. We ended up doing the flare plan 3 times. He attends daycare 3 times a week. URI's seem to be his biggest trigger.
When he has a flare he can cough through most of the night. This usually goes on for a least one night until it is usually under better control. I will wake him up sometimes (because he is trying to sleep through it) and give him Albuterol. Sometimes that really doesn't do much. The asthma doctor thought perhaps he was just having a lot of postnasal drip and that if it were his asthma the albuterol would have helped.
I'm a little nervous about him being on such high doses of inhaled steroids. I wondered if anyone else was doing this as well?