Antihistamines, especially sedating ones, have the ability to cross the blood-brain barrier and tend to cause more adverse reactions than ‘second generation’ or ‘non-sedating’ antihistamines.
The most common adverse effects with sedating antihistamines are sedation, dizziness and incoordination. However, paradoxical stimulation ranging from excitation through to tremors, hallucinations and convulsions may occur. Excessive doses in children have led to respiratory depression and very critical condition.
With winter approaching, it is important to note that coughs and colds are often self-limiting conditions and may not require pharmacological intervention. Antihistamines (especially in less than 2 year olds) may lead to dryness of secretions which can lead to extreme discomfort and respiratory difficulty. It can lead to worsening of symptoms.
Symptomatic measures, such as increasing fluids, making sure children get enough rest and reducing the spread of the virus (including regular hand washing) should be practiced.
Inhaler therapy can be an effective treatment option for children with allergic cough. Allergic cough, also known as cough-variant asthma, is a condition where coughing is the primary symptom triggered by an allergic reaction. Inhalers deliver medication directly to the airways, providing quick relief and long-term control of respiratory symptoms.
There are two main types of inhalers commonly used in the treatment of allergic cough in children:
It is important to note that the use of inhaler therapy in children should be done under the guidance and supervision of a healthcare professional, such as a pediatrician or an allergist. They can assess the child’s condition, prescribe the appropriate inhaler, determine the correct dosage, and provide instructions on how to use the inhaler correctly.
Proper inhaler technique is crucial to ensure the medication reaches the lungs effectively. Parents or caregivers should be trained on how to use the inhaler correctly and teach their child to use it properly. It may involve coordinating the inhaler with a spacer device, especially for younger children, to ensure optimal drug delivery.
Your pediatrician might advice you to use a mask or without mask, which ever is best possible method for your child.
Regular follow-up visits with the pediatrician are important to assess the child’s response to inhaler therapy, adjust medication dosages if necessary, and monitor overall respiratory health.
In addition to inhaler therapy, it is also essential to identify and avoid triggers that can worsen allergic cough in children. Common triggers include environmental allergens such as pollen, dust mites, pet dander, and certain irritants like smoke or strong odors. Taking steps to reduce exposure to these triggers can help minimize coughing episodes and improve overall respiratory health.
Overall, inhaler therapy can be an effective treatment option for children with allergic cough when used correctly and under medical supervision. It helps provide immediate relief during coughing episodes and long-term control to prevent future symptoms.