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Dr. Gupta
Dr. Gupta, Pediatrician
Category: Pediatrics
Satisfied Customers: 7909
Experience:  MD, practicing Pediatrician with 19 years of experience. Member American Academy of Pediatrics.
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Hi, My 22 month old daughter has chronic asthma and allergies.

This answer was rated:

Hi, My 22 month old daughter has chronic asthma and allergies. Everytime she gets a cold, it triggers her asthma really bad to the point that she needs to use prednisone. She has used it 3 separate times in the past 2 months, each of which she used it for 1/2 tsp a day for 3-5 days. My question is: What is the maximum amount of times per year is it safe for her to take it without having long term side effects. I am worried that if she continues in this route, she will have alot of problems when she is older. Last year, she took it atleast 7-10 separate times as well. Thank you so much for you help.
Rosa

PediatricMD :

Hello & welcome to Just Answer!

If you have any questions after reading my answer, be sure to let me know.

PediatricMD :

Dear Rosam

PediatricMD :

Rosa

PediatricMD :

Your concerns are quite understandable, given that oral steroids are likely to affect long term growth & immunity if used on a regular basis in a child

PediatricMD :

While the effects of oral steroids (Prednisolone) are incremental, generally speaking oral steroids of 2 mg/kg/day for around 20 days in a year would be not likely to cause any significant effects

PediatricMD :

If used for longer periods, especially in high doses, then certainly it can have some effect on growth

PediatricMD :

HOWEVER, it is very important to remember that severe asthma is far more likely to impact growth if it remains untreated

PediatricMD :

I would urge you to consider interacting with an allergist to test your daughter for the common allergens, so that the use of steroid can be curtailed in this situation

PediatricMD :

Is there anything else that I can help you with .....

Customer:

I am worried cause she has been on it since 2 months old

Customer:

Also, is quvar also bad for her long term?

PediatricMD :

I understand

PediatricMD :

Inhaled steroids are far less likely to cause any long term problems,

PediatricMD :

and even my daughter is taking the same (she has just turned 3) !

PediatricMD :

For the last 6 months regularly now :)

Customer:

ok thanks

PediatricMD :

Please remember to leave a positive feedback if the answer was helpful

Customer:

is there anything else she can take that can substitute the prenisone

Customer:

with less long term side effects

PediatricMD :

She should be on higher doses of Qvar and see if that helps in reducing the need for oral prednisolone

PediatricMD :

Monteleukast is another oral medicine that may make a difference

PediatricMD :

Talk to an asthma specialist for the same (Pulmonologist)

PediatricMD :

if possible

PediatricMD :

and get an allergy consultation too

PediatricMD :

Is there anything else that I can help you with .....

Customer:

does monteleukast have less side effects?

PediatricMD :

Certainly, but it is milder and less effective than oral steroids

Customer:

ok i see

Customer:

thanks

PediatricMD :

You are welcome,

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