syptoms with advair

[rabs]

Daughter recently diagnosed with moderate asthma 6 years old. Started on Advair 100/50 twice daily.  In Dec two weeks later coughing started. Given predisone. It cleared up. Now almost two months later her syptoms (symptoms) are back runny or stuffy nose, coughing, sneezing, watery eyes, 101 temp. Took to family doctor he said upper respitory infection, perscribed amoxicillan 400 mg twice daily. She seems a little better next day but still constantly coughs. Called asthma specialist and she said give antibiotic a chance. She is also on Zyrtec liquid, singulair 5 mg, and rhinocort aqua at night.I don't understand this she seems worse now that she is on Advair then when she started. She gained 4 lbs already. Any information would be appreciated.

[National Jewish]

The Advair™ Diskus® (fluticasone/salmeterol) is not likely to be the cause of the coughing, but might be related to the weight gain.  This is a pretty good dose for a 6-year-old.  The cause of the cough might be a sinus infection, which, indeed, might take a while on antibiotics to clear up.  If the cough is not getting better, I would suggest getting back to the specialist who might start the prednisone again and also check to see if a sinus infection is the cause.

If the symptoms do clear up, you might discuss the weight gain with her doctor.

[Jane1]

I too take advair ( Seretide 250mgs) the only main problem I found was with weight gain which is unusual for an inhaled steriod, and perhaps it is just me. I do cough more sputum but I thought that was down to the asthma more than the treatment.
I was on Singulair - but I stopped it after two years because I was getting pains in my jaw and an unusual feeling of being ill.

Maybe you could see a respiratory nurse, her condition may not be specifically suited to her treatment, there are other drugs out there that maybe would suit her better. Advair is a combination drug maybe she doesn't need that at 6 years of age?

I would ask for her condition to be more closely monitored.  
A series of PFT's would show whether the drug was helping or not.

J