Pulmicort plus Singulair - too much for a 4 year old?

Hello -

My four year old, allergic to cats, dogs, peanuts and eggs, also has eczema and asthma.  He takes 4mg chewable Singulair bid (pm) and .5mg Pulmicort respules via a nebulizer, also bid (am).

Can I use the Pulmicort only?  He has been on the Singulair for 6 months now, and his eczema is getting progrssively worse.  I use pure, raw Shea butter as needed and Atopiclair (which contains butyrospermum parkii anyway) or Triamcinolone for three days, three times a day, as needed.

I am concerned the Singulair is worsening his eczema.

[National Jewish Health]

It is unlikely that Singulair® (montelukast sodium) is responsible for worsening of your son's eczema.  There are few reports but they suggest that Singulair® (montelukast sodium) may actually relieve eczema.  In any event, we would advise you not to discontinue the Singulair® (montelukast sodium) until you are able to discuss it with his doctor.

You may want to seek a second opinion at a center that specializes in the diagnosis, treatment and research of eczema, such as the National Jewish Medical and Research Center in Denver, Colorado.