Do not substitute your Asthalin with Maxiflo 250. Asthalin (salbutamol) is a quick-relief rescue inhaler designed to open your airways immediately during sudden asthma symptoms. In contrast, Maxiflo 250 (fluticasone and formoterol) is a daily controller medication meant for long-term management, not quick relief. Using it as a substitute may not effectively relieve sudden symptoms and delivers medication you may not currently need. Please visit a pharmacy or contact your doctor right away to replace your Asthalin.

Given his history of tobacco use and the quick relief from bronchodilators like Asthalin (salbutamol) and Deriphyllin (etofylline/theophylline), COPD is a strong possibility. It is very important to consult a doctor in person for a proper diagnosis, including a spirometry lung test. Additionally, the reported heart rate of 20 is exceptionally low and needs urgent medical evaluation to ensure his safety. Please do not delay seeking care; clinics have strict COVID-19 safety measures in place to keep patients safe.

Using your Asthalin (salbutamol) inhaler seven to eight times a day indicates your asthma is currently uncontrolled. The weakness and fast heartbeat you are feeling are common side effects of using this reliever medication so frequently. Please consult your doctor or visit an urgent care clinic as soon as possible. You likely need a daily controller medication, such as an inhaled corticosteroid, to prevent these flare-ups so you do not have to rely so heavily on your rescue inhaler. Please seek medical care promptly to safely adjust your treatment.

Asthalin contains salbutamol, which helps open up the airways. While it provided temporary relief, using a nebulizer without a doctor's prescription is not recommended, especially for a persistent five-day cough. A severe cough can stem from various underlying causes, such as a respiratory infection, which require specific medical treatment. Please consult a healthcare professional promptly so they can listen to her lungs and guide you on the safest, most effective treatment plan. For now, ensure she stays well-hydrated and comfortable.

However, inhalers like Asthalin (salbutamol) and Budecot (budesonide) act directly in the lungs, making them very safe and highly effective. To help reduce his symptoms naturally, try identifying environmental triggers like dust, pollen, or pet dander. Using saline nasal drops, keeping his room dust-free, and using a cool-mist humidifier can provide great relief. Please discuss these lifestyle adjustments with his pediatrician before stopping his inhalers, as managing airway inflammation is crucial for his long-term health.

Since your symptoms are not fully controlled, you may benefit from oral medications. A leukotriene receptor antagonist like montelukast is highly effective as it treats both asthma (wheezing) and allergic rhinitis (sneezing). Daily oral antihistamines, such as cetirizine or loratadine, can also help control your sneezing. However, using your Salbutamol inhaler three times a day indicates your asthma is currently uncontrolled. While oral pills can assist, you likely need a daily preventive inhaler rather than just quick-relief medication. Please consult your doctor or an allergist so they can safely evaluate your lungs and prescribe the most effective, personalized controller treatment.