Too much medicine?

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My daughter has several food allergies trees & grass also. She is on Zyrtec daily, singulair daily, Albuterol as needed and pulimcort daily. It seems like the zyrtec makes her mean and moody. I tried to tell the DR.s. They say just give it time. She is only 3yrs old. I just feel this is to much medicine. That haven't even told me she has asthma but she is on asthma medicine. She just coughs alot at night and when she runs. So I guess that is why the asthma medicine. Any input would be greatly appreciated!!!!

On Feb 28, 2007

My 6yr old is on Azmacort (inhaled steroid) singlulair and claritin. I would consider him to have moderate asthma. Singulair is supposed to be particularly helpful with exercise induced asthma but there are people it does not help...do you feel it has helped with the running?

If you don't like zyrtec you can try Claritin (it's OTC) and is basically the same. You may find one affects behavior less than the other.

Also have you seen an allergist? I don't know why you'd have all that asthma med without a diagnosis. Does the albuterol help pretty much immediately? It's usually pretty obvious from that if it's asthma.

Luvmyboys

On Feb 28, 2007

I think I would want the asthma confirmed before I gave too much med's for it(personally). My daughter was diagnosed with Cough Variant Ashtma(coughs terribly when active) when she was about 3yrs old. We didn't put her on daily asthma meds though, just used Albuteral 20min before activity and as needed. Now she did take Flovent during the winter months daily, because colds would make the coughing so terrible. But her asthma was confirmed.

It took us months to get a doc to confirm it though, her previous FP would prescribe cough medicine after cough medicine(I counted, he prescribed 11 cough medicines trying to *treat* her cough....she had ashtma!!). Anyways, non of us can tell you if your daughter really needs all that, your doctor has that job. BUT if you are feeling like it's abit much, a 2nd opinion never hurts(I went for a 2nd opinion after RX #11 was prescribed....one chest xray, by the 2nd opinion and decided she was our new PED, showed she had ashtma). Good luck!

------------------ Chanda(mother of 4) Sidney-8 (beef and chocolate, grasses, molds, weeds, guinea pig & asthma) Jake-6 (peanut, all tree nuts, eggs, trees, grasses, weeds, molds, cats, dogs, guinea pig & eczema & asthma) Carson-3 1/2 (milk, soy, egg, beef and pork, cats, dog, guinea pig and EE) Savannah-1 (milk and egg)

On Feb 28, 2007

My son got moody on Claritin so we switched to Zyrtec. This is often a side effect of these types of drugs, so try a different kind. Some kids get behavior issues with Singulair as well.

DS is on Singulair, Zyrtec, Albuterol as needed, Advair. When we were first diagnoising his asthma and allergies he was on a lot of drugs, but they have helped. Now he just takes the Advair, Zyrtec and Singulair daily.

There are documented cases of behavior changes on all of these drugs, so tell your doc you want to try something else. When I mentioned my son's behavior on Claritin to our Allergist he didn't seemed suprised and switched him. Same with Advair -- it made DS very hyper for the first week, but then he adjusted.

Also, Singulair has been shown to increase weight gain in some people which we have noticed with DS. However, it has really helped control his asthma, so we are sticking with it for now.

------------------ mom to Ari(6) - severe nut allergies, asthma, you name it - and Maya (9), mild excema

On Feb 28, 2007

The albuterol seems to make her cough a little better but she is also more calm after a treatment also. Albuterol makes her sleepy. Her mood is just out of control today!! It is amazing how much a 3 yr child can hurt your feelings and then melt your heart all in the same minute. Do any of you know if any these medicines have withdraw affects.

On Feb 28, 2007

poof

[This message has been edited by NicoleinNH (edited June 10, 2007).]

On Feb 28, 2007

My understanding is that mood changes are a common side effect of zyrtec in children that age, so if your Dr. is not listening that might be a red flag. To me the exercise induced cough and night time cough do sound like clasic asthma symptoms in a child, my understanding is that a definative test for asthma (a methacholine challenge test) is not usually done until about age 5 due to the child being able to follow directions and cooperate, before that diagnosis is made by symptoms and history. If you have not done so you might want to see a pediatric allergist.

On Feb 28, 2007

I didn't know there were pediatric allergist. I just thought an allergist was an allergist. I guess that makes since. I just wasn't thinking. We drive over a hour now for a allergist and I still question my daughters allergies.

Nicole thanks for the info. Maybe when my daughter gets a little older. I can't see her being still for a chiropractor! She still freaks out when the Dr. looks at her ears!

On Feb 28, 2007

We go to a pediatric allergist. He sees both adults and children, but mostly children. I also worried about so many meds...my son takes singulair, allegra. He used to be on benadryl constantly as well. He takes albuteral as needed for exercise induced asthma. Zyrtec made my very nice little boy a looney, out of control BRAT and flat MEAN. However, he needed a good antihistimine especially in the spring. We switched to claritin--no good, we tried several others. Allegra works the best for him. Fortunately, my allergist knew my son well enough to recognize that the Zyrtec was causing behavior problems and worked to find a good alternative As far as too much meds? I guess that there is sometimes a trade off...asthma is very dangerous when not controlled. I feel that I trust my son's allergist....one of the pediatricians at his regular doctor is medicine happy IMHO and always goes overboard with trying to prescribe meds when asthma is flared during illness. I basically tell her to call the allergist or I'll go see him. He never prescribes nearly what the ped. does and asthma remains controlled. Oh boy, sorry now I'm rambling....

On Feb 28, 2007

Ohhh, you must be talking about [i]'Dr. FeelGood'....[/i] [img]http://uumor.pair.com/nutalle2/peanutallergy/tongue.gif[/img]

Yes, we see him too. Oh- wait. He must have a twin in NJ practice, huh? [img]http://uumor.pair.com/nutalle2/peanutallergy/biggrin.gif[/img]

But he isn't our allergist. He's our GP. I just nod and smile... he really doesn't whip out the scrip pad unless you bring it up [i]most of the time...[/i]

Seriously, though-- it does [i]seem[/i] like a lot of meds, and I definitely would [i]question[/i] what each is contributing to your child's health. But it may be that they are all really needed. Or it could be that one or more just isn't doing enough to justify using it.

It's a balancing act. I don't like medicating my DD every day either, but I've seen the consequences of not doing so.

hugs}}

On Feb 28, 2007

Quote:

I didn't know chest xrays were used as a way to diagnose astham (other than to rule out infections like pneumonia) but talk to your medical provider about doing additonal testing if it is out there.

Nicole

Good luck! Nicole[/B]

Nicole...Unless my doctor was wrong(she was a Ped doing this, not the allergist), she took one chest xray of my daughter and showed me her lungs were enlarged(I remember her pointing to the xray showing me a part and saying it's usually shorter in non-asthma patients)...a typical thing when they have asthma(is how she explained it). They didn't do that with my son though, he had wheezing that you could hear, my daughter just had the coughing, no wheezing.

------------------ Chanda(mother of 4) Sidney-8 (beef and chocolate, grasses, molds, weeds, guinea pig & asthma) Jake-6 (peanut, all tree nuts, eggs, trees, grasses, weeds, molds, cats, dogs, guinea pig & eczema & asthma) Carson-3 1/2 (milk, soy, egg, beef and pork, cats, dog, guinea pig and EE) Savannah-1 (milk and egg)

On Feb 28, 2007

My son is on singular and zrytec and albuterol and pulmicort as needed

my dd just stared singular

i see a pulminologist for their asthma

On Feb 28, 2007

It's been my experience that the Albuterol makes them cranky...that's what our ped said, and switched them to Xopenex for breathing treatments when needed.

On Feb 28, 2007

Del

[This message has been edited by NicoleinNH (edited June 10, 2007).]

On Feb 28, 2007

Thank you all for your help. It seems like all of our little ones have to take medicine. I am suprised at how many kids are on the same stuff from all different areas. Maybe she needs to be on it all of it. The Zyrtec has to go though. I go back to her allergist in April.

Thanks Nicole. I just figured it would be a long process. I guess because when I go I am there forever! It is worth a phone call anyway.

On Feb 28, 2007

Abigailsmom, I thought I'd throw in my 2 cents here for you.....My dd#2 is on singulair, pulmicort, and claritin daily plus albuterol as needed. She has mostly allergy-induced allergy as she is allergic to everything (grass, trees, dust, mold, pet dander, etc.) Now, I fought the medicine as hard as I could. How can we give a 2 year old 3 meds daily?!

But, when we finally got the mix we have now, dd's life changed. She began to be happy, eat regularly, not have a constant runny nose, etc. Taking all the daily meds has also kept her from needing albuterol, antibiotics, and of course the oral steroids we were doing 6-8 times last year.

So, it seems rough, but I think it's necessary for her quality of life.

On the Zyrtec topic, my dd#1 tried it. It didn't cause personality changes, but it just didn't help as much as claritin. This taught me that every person is different and each med will affect them in an individual way so it's worth trying different things until you get one you like.

Good luck to you! Patty

------------------ Patty mom to Sara (7/02) allergic to pn, grass, trees Julia (9/04) asthma and allergic to tree nuts (no testing, just reactions) (tests + to eggs, no reaction)

On Feb 28, 2007

We are dealing with cough variant asthma. Our 6 year old DD was also given zyrtec, singulair, claritin, anything to try and settle it down. It made her a MONSTER!!! She would literally bounce off her bed, the walls, etc....

So after awhile I gave up. I kept her on her Flovent. Then I began giving her Benadryl at night. The 2 different doctors I asked stated that this was a good way to try it. And we have been doing this for about one year. If we notice any other symptoms we can give her some during the day. But until she gets bigger we are done with the other things. It is not worth her losing control of herself.

On Mar 1, 2007

I have a 6 yr old son with tons of food allergies and seasonals of ragweed, trees and grass - we were prescribed zyrtec - it made my son beligerent and we switched to claritan and use it at night - seemed to make a difference for us - he has not been diagnosed with asthma at this point.

On Mar 1, 2007

My 5-year-old has been on meds for many years. He was diagnosed with asthma before he was a year old and it has been a LOOOOONG process finding which meds will help him. Now he is on Claritin, Flovent 220 twice a day, Singulair, Nasonex and Xopenex (only as needed). I HATED giving him so many meds and even posted about it here many years ago. He has had his first FULL YEAR without being hospitalized for asthma this past year. I guess I really can't argue with that.

On Mar 1, 2007

Hi. I've often worried about the same thing with my daughter. She takes Singulair 10mg, Flovent 220, Zopenex and Albuterol as needed. She has taken all of these meds (varying dosages) daily for almost seven years now. But like Misty, I've seen what going without the meds can do. Before finding the right amount of maintenence meds for her, she was constantly in and out of the hospital and even once in ICU. Our pulmonologist also told us that one round of prednisone is more harmful than 6 mos of Flovent. We were having to use Prednisone at least 3-4 times a year before bumping up her maintenence meds. She was also triggered much, much easier and it made normal functioning much harder for her. ETA: My dd used to not even be able to ride her bike or run around the block w/o coughing and having to stop for a nebulizer. I was amazed at the difference @1 month or so of Singulair made. I vividly remember the first time she made it around the block without having to stop. It was a wonderful moment! I even had to call her dad and grandparents to let them know! This was @6-7 years ago and she has taken it along w/ others mentioned above almost every day since.

I truly understand your concern. I guess it's a matter of weighing the benefits vs risks? For *us* the benefits are much more.

[This message has been edited by krc (edited March 01, 2007).]

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