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安安的媽   留話於:2011/12/19

請問支氣管擴張劑用藥

小女8歲 體重24公斤
以前有過敏性鼻炎和氣管敏感
去年冬天有使用過敏藥保養
驅特異+克鼻敏+欣流+使肺泰100
後來很穩定 夏天後停藥
今年冬天我想試試不用藥
也都很好 從開學9月到現在感冒過2次
中間也無過敏 只是有時打個喷涕
我想詢問因為這2次感冒有咳嗽 但比以前好
比較像一般感冒咳嗽 不會像以前一直咳
不過看診醫生可能想說以前的病例
這兩次感冒都有加支氣管擴張劑
BROTHINE TABLETS 2.5MG
一天3次 7.50 TIDX
我也擔心她會像以前一樣一直咳
但又擔心如果每次感冒都加支氣管擴張劑
會不會產生依賴性
以後藥越用越大或氣管會變更弱

記得以前去台大看過敏
江醫師有說藥能不噴就不噴
可以用吃的就用吃
但又想吃的藥聽說劑量比噴的強很多
我有點不懂




洪千惠醫師  回應於:2011/12/20

安安的媽您好

針對支氣管擴張的藥物,若是短期使用不會造成依賴性。
若小朋友本身是氣喘病患,氣管較敏感,易因過敏原或其他因素,如感冒,引起發作,所以醫師會加開氣管擴張的口服藥物
因為您的小孩剛停藥不久,氣管敏感性還不是很穩定,建議還是照醫師的建議服用,等年齡大一些,停藥久一些再考慮完全不用器管擴張的藥物


安安的媽  回應於:2011/12/21

再請教醫生

謝謝洪醫師詳細的說明
我比較懂了
那再請教
如感冒可是咳嗽很輕微
偶而聽她咳個幾聲
那要吃支氣管擴張劑嗎
還是感冒如比較咳才吃

另外BROTHINE TABLETS 2.5MG
一天3次 7.50 TIDX
這藥會不會太強還是還好
您比較建議一天2次還是一天3次


翔翔媽咪  回應於:2011/12/21

每天都要噴藥和吃藥劑量

我的小朋友現在只有二歲而常因氣喘住院,去年冬天幾乎每個月因氣喘住院,上個月又因氣喘住院,所以從上個月出院到現在醫生開噴藥(帝舒滿)早晚噴一下.加上吃的藥(Defen(Zaditen)呿喘膠囊)晚上睡半顆.醫生說是平日保養,可以請問一下這樣每天用藥會不會有什麼副作用或是對他的之後用藥會不會越來越重呢?


洪千惠醫師  回應於:2011/12/23

安安的媽

如果感冒症狀輕微,咳嗽或喘的現象不明顯,可以考慮暫時不吃支氣管擴張劑
BROTHINE TABLETS的藥物持續時間為8小時,所以標準治療還是8小時吃一次,但是如果想要漸漸減少藥物使用,可以考慮一天兩次


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