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A 36-year-old female asked:

My son is on advair, singulair and nasonex (mometasone). he's been on several steroid treatments due to asthma attacks but nothing besides the steroids will work!?

5 doctor answers8 doctors weighed in
Dr. Ashu Syal
Pediatrics - Nephrology & Dialysis 32 years experience
Asthma: Sounds like your son has moderate to severe case of asthma. Recognizing and treating co- morbid conditions, like allergies ( could be environmental and/ or food), gastritis or gastric reflux etc. ---- will help have better control of his asthma.
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Dr. Rada Ivanov
Pulmonary Critical Care 33 years experience
Avoid exposures: You need to take a detailed history on what triggers his asthma and avoid these exposures. May be very common things like pets at home, carpeting, drapes, molds, smoke etc. Or something at school. Talk to your doctor. If not, depending on his age, there are various other medications that may be used to avoid steroids.
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Dr. Josephine Ruiz-healy
Pediatrics 41 years experience
No rescue inhaler?: Do you have an action plan? Have you had pft's done assuming he is old enough? You also do not mention what his rescue inhaler is. Advair and singular do not help acute events, nor does nasonex (mometasone). Frequent use of steroids indicate poorly controlled asthma. I suggest you consult with a pulmonologist and / or an allergist.
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Dr. Farhad Sigari
Otolaryngology/Head and Neck Surgery 22 years experience
Complicated: Yourcsins history seems too comicated for this forum by best advice is to see an experienced allergist as well as an ENT and get a good evaluation from both. Has he tried nasal anti-histamines? (patanase or astelin).
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Dr. Steven Machtinger
Allergy and Immunology 46 years experience
Immunotherapy: Work with a board-certified allergist. If your son is at least 12 years of age xolair could be a very effective intervention. If over 5 years of age allergen immunotherapy could be very useful. I have some patients on both therapies simultaneously with very satisfactory results. Don't be discouraged.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Dec 30, 2022

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