討論專區
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芸 留話於:2009/1/17 |
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氣喘用藥 |
想請問:小孩3歲4個月有過敏性鼻炎有時會咳嗽,在3個月前一次感冒(診斷書寫急性支氣管炎)而引起第一次氣喘,醫生說是感染病毒性感冒引起的氣喘。第二次感冒時又喘一次。在第3次感冒沒喘~
在感冒好期間,醫生開藥,藥名:ketotifen和Meptin-mini
請問:這2種藥可長期吃嗎?醫生開此擴張劑吃久會不會彈性疲乏?此擴張劑是有喘時才能吃還平常當保養藥吃? |
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蔡鵠遠醫師 回應於:2009/1/19 |
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氣喘用藥 |
KETOTIFEN 是一種抗組織胺類的藥物,它的適應症:支氣管氣喘、過敏性支氣管炎與乾草熱有關的氣喘症狀,過敏性鼻炎、過敏性皮膚反應。他也是一種安全有效的控制過敏的藥物,目前文獻也指出它的副作用造成小朋友的器官傷害的機率很低,但是在有效控制氣喘發作之後可以再做調整。
Meptin是長效型支氣管擴張劑,一般適用於急性喘時使用。但是如果要當保養藥,是屬於比較後線的藥物,不建議單獨使用。保養應該先使用第一線的保養藥物如吸入性類固醇,若控制不良時在慢慢調整藥物。 |
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