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關於喘停欣 與欣流 有什麼不同 及最初期的氣喘用藥 |
您好
小犬剛滿4歲以服用喘停欣4mg 劑量有兩次3個月,就是說一次療程3個多月後有發現些許噪動(情緒上比較急躁現象),爾停藥約5-6個月,幾次感冒後,醫師建議要服用,這次也是差不多療程3個多月
再次發生這些急躁現象,這段期間仍有中醫藥調整體質,
過年前後幾次的感冒,有告知這些現象,醫生已經建議使用吸入性類固醇(史肺泰125) 但是我看小犬平日都很溫遜正常,偶有像是學大人的清喉嚨現象,現在我比較擔心這算是藥物治療,
但是醫生怎都說是保養藥物,是說給家長安心的嗎?
看完醫生我到現在還不敢讓他用藥,因為他看起來就很正常
然後這藥物是噴入口中 還是像大人用噴入鼻腔治療鼻塞的用法?
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胡醫師 回應於：2013/3/15 |
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關於喘停欣 與欣流 有什麼不同 及最初期的氣喘用藥 |
喘停欣與欣流的成分一樣，只是製造廠商不同，另外劑量也有些微不同。關於應使用劑量，建議洽詢原就診醫師。
保養藥物也算是藥物治療，兒童氣喘的保養工作，並不是等到有症狀才開始，而是平時就應該做好。家長常擔憂吸入性類固醇的副作用，而自行停藥或不遵醫囑，導致氣管反覆發炎、最後發生纖維化(airway remodeling)，最終變成不可逆的氣喘、而需一輩子服藥。兒童時期做好保養，就是不希望這些不可逆的變化發生，否則到時候一切都來不及了。況且，如果不使用保養藥物，而導致氣喘急性發作、必須倚賴口服類固醇，精算起來，一天口服類固醇的全身吸收藥量、比吸十年的吸入性類固醇還高。兩者權衡之下，建議家長還是遵循醫師醫囑，規律使用保養藥物。 |
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