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Posted on: Wed, 06/09/2004 - 5:13am
nancy023's picture
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Joined: 12/12/2002 - 09:00

My 6 year old has been on Singulair about 10 months. In the beginning it made him hyper and grumpy, and it also disrupted his sleep (which probably added to the grumpy). But, like abbylukesmom said, the prolems wore off, and now we only see the benefits of the drug and not the side effects.
I asked my allergist and none of her other patients have complained of sleeplessness or agitation, so our kids must be the few "lucky" ones.

Posted on: Wed, 06/09/2004 - 10:12pm
saknjmom's picture
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Joined: 04/02/2003 - 09:00

my son has been on singulair for about 3 years. it helped keep his asthma in check and we have not had any problems with his behavior.
We have the behavior problems with Zyrtec, Advair, plain Albuteral, and with histinex (not sure of spelling)
i actually paid more for Xopenex because i couldn't handle the hyper behavior and the distinct change in behavior.
This spring, he needed a bit of a boost with the pollen being high etc. he was prescribed an older medication that is not steroidal called Tilade. That has been wonderful too.
Good luck

Posted on: Sun, 06/13/2004 - 6:39am
SkyMom's picture
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Joined: 10/27/2001 - 09:00

My dd is six years old now and has been on singulair for about a year and a half and has not had any problems with hyperactivity. It has helped her asthma quite a bit. Hope you give singulair a chance.

Posted on: Mon, 06/14/2004 - 2:51am
darenberg's picture
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Joined: 01/24/2004 - 09:00

I am a pulmonary doctor, and I can tell you that it is more likely (as others have suggested) that what makes your child jittery is the albuterol, which is a bronchodilator, and yes, it is like ventolin.
I would agree that Xopenex is less likely (much less likely) to do this, and Xopenex is a form of Albuterol that has been modified to remove the harmful side effects. As a newer drug it is much more expensive, and requires a nebulizer (no handheld inhaler device is available yet)
As far as whether using these drugs on a regular (as opposed to "as needed") basis, that is an entirely different question.
The treatment for asthma is basically on two fronts, one is to treat the underlying aierway inflammation (Inhaled steroids like Advair, Pulmicort, Flovent for example, as well as Singulair), and drugs to treat the symptoms of the airway inflammaiton (albuterol, ventolin, maxair, proventil, serevent etc.,). The latter category of drugs (other than serevent) are best restricted to as needed use, because of the side effects you have already pointed out, and the fact that scheduled use of these drugs, in the absence of symptoms is of no benefit, and may infact be detrimental.
I tell my patients (for example) that they know they are using enough of the inhaled steroid when they no longer need the albuterol.
I hope this helps.

Posted on: Mon, 06/14/2004 - 3:55am
MommaBear's picture
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Joined: 09/23/2002 - 09:00

Quote:Originally posted by darenberg:
[b]I would agree that Xopenex is less likely (much less likely) to do this, and Xopenex is a form of Albuterol that has been modified to remove the harmful side effects. As a newer drug it is much more expensive, and requires a nebulizer (no handheld inhaler device is available yet)
[/b]
As a sidenote, have you come across any portable/battery operated/rechargeable nebulizers that are comparable in delivery/effectiveness/duration of administration to the standard nebulizers?

Posted on: Mon, 06/14/2004 - 4:10am
darenberg's picture
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Joined: 01/24/2004 - 09:00

Quote:Originally posted by MommaBear:
[b]
As a sidenote, have you come across any portable/battery operated/rechargeable nebulizers that are comparable in delivery/effectiveness/duration of administration to the standard nebulizers?[/b]
Try this
[url="http://www.asthmafreedom.com/compressneb.htm"]http://www.asthmafreedom.com/compressneb.htm[/url]
I am not a big fan of portable nebulizers because of their cost, and the fact that if (IF) you can use a metered dose inhaler (aka "puffer") correctly you actually get more medicine to where it belongs than you do with a nebulizer.
[This message has been edited by darenberg (edited June 14, 2004).]

Posted on: Mon, 06/14/2004 - 8:02am
marina_twinmom's picture
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Joined: 09/06/2001 - 09:00

Thanks for the responses, everyone!
DS has been on the medicines for more than a week now, and he's doing MUCH better. He no longer wakes up at night coughing, and the combo of medicines no longer makes him jumpy (then again, we're now timing it so that we give him the Singular right before bedtime, so he's probably asleep by the time it kicks in). His ped told us to discontinue the albuterol after two weeks, which is this Wednesday.
He's still coughing a little when he runs around or gets very active, but otherwise, he seems fine.

Posted on: Mon, 06/14/2004 - 10:46am
mistey's picture
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Joined: 01/18/2004 - 09:00

Momma2boys- I haven't been online for a while. Thanks for your concern. I was having an off day [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]. My little guy is not on albuterol and xopenex, he's on albuterol and palgic. His peditrician put him on the palgic because he had a bad reaction to zyrtec.

Posted on: Mon, 06/14/2004 - 10:55am
momma2boys's picture
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Joined: 03/14/2003 - 09:00

Mistey, thank you! I didn't want to butt in, but I really was concerned! I'm glad it was just a mistake. BTW, what is palgic? I've never heard of it.

Posted on: Tue, 06/15/2004 - 10:34am
mistey's picture
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Joined: 01/18/2004 - 09:00

You weren't butting in at all. I am here to learn, and I appreciate the concern. Palgic is a decongestant/antihistamine. He was on Zyrtec twice and it caused a great deal of gastrointestinal side effects (without getting too graphic [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]!

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