Childhood Diseases

Question
Posted by: KC | 2010-09-23

Q.

Cough???

Hi Dr
Firstly thank you, I took my little boy (2 and 1/2) to the Dr about his persistent cough and exactly as you said, my paed suspected that he may have the early symptoms of asthma brought on by allergies. He prescribed Singulair and advised to continue using the Avamys spray daily. He has been using the Singulair for just over a month now. In this time, he has had two colds (congestion/runny nose only - no fever etc) which means he has had a post nasal drip in between which has made distinguishing the dry asthma cough from the post nasal drip cough quite difficult. I have noticed that he is not coughing nearly as much while running/playing but he does still have a night cough. It is not all night but usually just after he has fallen asleep and then maybe once or twice thereafter during the night. Dry/choking sort of cough.
My concern is that since starting the medication, he seems to be more hyper than usual. Slightly restless and not himself. He has also started waking during the night, wide awake and ready to start the day. As well as waking up from what I assume is dreams, he is also waking to use the bathroom and some nights he makes up to four trips to the bathroom. He has slept through dry for the last 6/7 months so I find it strange that he needs to urinate so frequently all of a sudden. I am going to see my paed at the end of the month once we are finished with all the tablets and hopefully by then the cough would have settled. Could the restlessness and night wakings be linked to the tablets. I did hear Singulair can cause night terrors.
And one last thing, is it better to take the tablet in the morning or evening?

Expert's Reply

A.

Paediatrician

Your son's restlessness and bad dreams may be due to the Singulair. These side effects are not very common at all but they can occur in some young children on this medicine. Singulair should always be given at night before bedtime. There are many other treatment options available for asthma and your doctor will advise you what to use.
Unfortunately your son's 2 colds have made things bit difficult,but he is much better from the asthma point of view.

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