Childhood Diseases

Question
Posted by: R | 2012-11-07

Q.

Croup and aspelone

HI Doc, thank you for responding yesterday. I did take baby (11 months) to the GP yesterday, and she advised using texa allergy at night, 1.5 ml, instead of aspelone.
Howveer she did give me a script for aspelone and an anitbiotic.
I doubt it is necessary to use antibiotic at the moment.
There have been no recurring fevers, but last night at around 11 I gave him some panado as he was very restless. Thereafter he slept well. He got up again at around 3:30 for milk, but I am concerned as his chest seemed more raspy. I did use the ventolin, but it is tricky as he''s a fighter. He slept thereafter again, until after 7, but his chest sounded tight this morning.
The GP said its viral and needs to work out of his system, there is no bacterial infection.
I am concerned - I only gave him the aspelone on Monday night. What are the risks should I stop this completely? Should I continue to give him 2.5ml for 5 days as you advised? I am terribly afraid of the side-effects of aspelone.
I have now request doctor to send me a script for Pulmicort to nebulise him.
I am very worried doc, even though he was happier this morning and is at creche. they are aware of his condition.
Thanks in advance.

Expert's Reply

A.

Paediatrician

Texa is an antihistamine medicine and is not used to treat croup, so do not give this to your baby. It is also certainly no substitute for Aspelone.You should not give an antibiotic either as croup is almost always caused by a virus infection.Virus infections are not treated by antibiotics. You should complete the Aspelone course.The dose is low and this is the safest short acting cortisone that can be used to treat croup.A short 5 day course will not cause side effects.
It will certainly help to treat any future croup episodes with nebulised Pulmicort.

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10
user comments

C.

Posted by: Nnono moholonyane | 2016-04-20

Hi, my daughter was 1year six mnth, can i get aspelone frm chemist

Reply to Nnono moholonyane
Posted by: Dominique | 2015-11-20

Hi there My lil one has just been released from hospital . He has bronchial pneumonia i have to give aspelone to him. 2.5ml. By every time he had it in hospital he turns snow white. He is on anti biotic called Zannet. (4ml). He is nearly 5months old. Is aspelone so safe for him? Im so worried about my lil one.

Reply to Dominique
Posted by: Dominique | 2015-11-20

Hi there My lil one has just been released from hospital . He has bronchial pneumonia i have to give aspelone to him. 2.5ml. By every time he had it in hospital he turns snow white. He is on anti biotic called Zannet. (4ml). He is nearly 5months old. Is aspelone so safe for him? Im so worried about my lil one.

Reply to Dominique
Posted by: Anonymous | 2015-09-09

Aspelone is very good, it helps my little one.

Reply to Anonymous
Posted by: Tshego | 2014-08-31

Hey!my son is 10mnth old had been experiencing a terrible cough lately and was diagnosed with bronchiolitis.he got admitted twice for the same thing,he has started coughing again and he always hold his chest after coughing as if he feels the pain.he was given aspelone last month and the Dr said if he suffer this again i must give 5ml dly for 2 weeks,are the any risks?

Reply to Tshego
Posted by: Clare | 2013-09-27

Hi would like to know what to usefor a women of 33 that doesnt sex very often.

Reply to Clare
Posted by: Anonymous | 2013-09-26

Would like to know what to use for marks for a 3yr old and 6

Reply to Anonymous
Posted by: Anonymous | 2013-09-26

Hi I have a 6yr old daughter who has had this cough for yrs on and off been admitted twice sayin it is her adenoids, had it removed, cough came back, admitted again had allergy test done, said she is allergic to house dust, she then at one night she coughed so bad she couldn't breathe i rushed her to trauma they then said she has a croup cough, not so long ago she started coughing which nothing was helping, took her to doctor they say she has bronchitis, had sores in her mouth to so the doctor gave her aspelone, telfast and a antibiotic zithromax, need ur advice, when havin this cough its dry, no fever but when it gets bad she doed get sores or ulcers in her mouth and her throat gets very sore.would like to here your response.

Reply to Anonymous
Posted by: Yolande Pretorius | 2013-02-20

My almost 3 year old, weighing 13kg, has been diagnosed with bronchitis and prescribed a dose of 10ml Aspelone daily. I''m scared this is too much?

Reply to Yolande Pretorius
Posted by: Racoon | 2012-11-13

I can also suggest to keep a vial of adrenalin handy - the swelling of the airways in the throat only reacts to adrenalin, so if you have a crisis where your son get very croupy and had noisy breathing upon inhalation, then its time to give the adrenalin. Unless you are 5 minutes away from an emergency unit. My son had a severe croup attack a year ago and he went blue which was a horrible experience. He had croup again this weekend and again went to the emergency unit at our Medi-Clinic, but the doc said to keep adrenalin handy and not be afraid to use it. Also, as a tip, if you son is agitated during the croup attack, you should not do anything that upsets him as his airway could close suddenly. If he resists nebulization then remove the mask and keep the tube with the fluid container by his nose and mouth. Trick learnt in hospital. Hope he recovers soonest!

Reply to Racoon

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