Needing to use her Levolin (levosalbutamol) and Serflo (fluticasone/salmeterol) inhalers as often as every 3 to 4 hours is a sign that her asthma is not currently well-controlled. Please contact her doctor or visit a healthcare facility promptly to have her treatment adjusted. In the meantime, try to keep her calm, sit her upright, and ensure she is using her inhalers with the correct technique. If she experiences severe chest tightness, difficulty speaking, or blue lips, please seek emergency medical care immediately.

A persistent cough lasting 30 days that worsens at night and has not responded to amoxicillin, ambroxol, or dextromethorphan requires a professional medical evaluation. Since antibiotics did not help, the cause is likely non-bacterial. Common culprits for a night-worsening cough include cough-variant asthma, post-nasal drip, or acid reflux. I highly recommend consulting a physician or pulmonologist who may suggest a chest X-ray or lung function tests. Depending on the diagnosis, effective treatments could include inhaled bronchodilators, corticosteroid inhalers, or antihistamine nasal sprays. Do not worry; chronic coughs are very common and highly treatable once the underlying cause is correctly identified.

This rattling, especially when worsened by dry, cold air conditioning, suggests her airways are highly sensitive. Since she already uses Budecort (budesonide) and Levolin (levosalbutamol) for colds, this may indicate underlying airway hyperreactivity or asthma triggered by environmental changes. Avamys (fluticasone furoate) targets nasal swelling but won't address deeper chest congestion. To help, try using a humidifier in her room and keep the AC at a moderate temperature. Please consult her pediatrician to evaluate if her asthma management plan needs adjustment or if a sleep evaluation is warranted.

Her prescribed medications, Seroflo (fluticasone/salmeterol) and Levolin (levosalbutamol), are excellent for opening her airways, but they can take a few days to show full effect during a lung infection. Her runny nose might be a symptom of the infection itself or a mild reaction. For now, keep her comfortable and ensure she takes the medications exactly as prescribed. However, if her breathing difficulty worsens, she experiences chest tightness, or her oxygen drops, please contact her treating doctor promptly for an in-person evaluation to see if her treatment plan needs adjusting.

Levolin (levalbuterol) is a bronchodilator that helps open up the airways. While it is commonly associated with asthma, doctors also prescribe it for infants experiencing wheezing or chest tightness from viral respiratory infections. However, it does not treat a simple stuffy nose or a typical upper respiratory cough. Since this was prescribed, it is safe to use if your pediatrician detected wheezing during their exam. If you are unsure or if your baby's cough worsens, please check back with their doctor before starting the nebulizer.

It is generally safe to use your nebulizer with Levolin (levosalbutamol) and Budecart (budesonide) alongside steam inhalation to help soothe your cough. However, because you are awaiting COVID-19 test results, please take special care. Nebulizers can release tiny droplets into the air that may spread the virus to others. For safety, please use your nebulizer in a private, well-ventilated room away from family members. You can continue with the steam vaporizer, but space it out from your nebulizer sessions to avoid over-sensitizing your airways.