The purple spacer you mention is an ineffective device for young children as they cannot inhale any of the medicine. So effectively your little girl has never been able to inhale any of the Seretide Inhaler to date and it has all been wasted. No wonder she is not improving.She must get an Aerochamber yellow spacer with a facemask and the doctor must sshow your little girl and you how to use the spacer.I would also prefer her to be on the Singulair chewable tablets by now. They have a cherry taste and most children really like the taste and have no trouble taking them. The Singulair must be given at night to be effective, never during the day.Remeber to keep her nose clear.
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