How bad does a child's asthma need to be in order to have pulmicort respules used?

Routine for toddlers: I commonly use Budesonide respules with bronchospasm in infants as young as 6m or so.I use it as a preventative agent in infants & toddlers & switch to hand held inhalers by 4-6 depending on the skills of the kid.If a kid needs nebulized bronchodilators in this age range, they can use the budesonide. It is much less total steroid burden on the child's g&d & immune system than pulsed oral steroids.

Asthma: Severity os a significant component. But if you have to ask the question, then you really should see an asthma specialist to make that decision for you. Better to treat and be safe, then pay the price (expense and worry) of a late night visit to the urgent care.