Asthma beclometasone inhaler query

[abra1d]

Both my two have asthma inhalers (beclometasone). One child's has 50mg/actuation and the other 100mg.

The one with the worse asthma seems to have the lower level.

What, if anything, does this mean and should I query it?

Depends on the age of the child, how many puffs per day etc. The child with worse asthma should have a higher dose FOR THEIR BODYWEIGHT.

Multiply the mg/actuation with the number of puffs a day to get the total dosage per day for each child.

Unless they are wildly different in ages, their dosages should be roughly the same, with maybe the 'worse' child having a little more. If this isn't the case, you should bring it up with your doctor at the next checkup - one or the other of the dosages probably need adjusting.

Did the same doctor see both your DCs? Different doctors have different ideas on how to treat asthma, and there's no hard and fast "right or wrong".

BTW, I've had asthma since I was 7, so thats - er - thirtymumble years, I'm not medically qualified so don't take the above as gospel!

Not that much difference in weight between the 'worse' child who's getting the smaller dose and the 'better' child, but as you suggested, a different doc. did originally diagnose the asthma.

Thanks for that--it's really helpful.

Possibly. She is also younger and improving little by little. But I shall raise this next time we have an asthma review. Thanks, Pixie!

it depends on if they are also using salbutamol aswell. there are stage 1,2,3 treatments

The weight isn't really relevant to inhaler dosage as the drug is delivered directly to the lungs not systemically iyswim. What other meds are they on?

They both have ventolin inhalers which aren't used very often: in cross-country once or twice a week, for instance.

Both have good peak flows when they're not actually having an attack. Generally, their asthma is under control.

if ventolin is having to be used ore than 2 puffs 4 times a day...then they add a steroid in. If it needs to be monitored more carefully or its difficult at school sometimes the give an inhaler with both salbutamol and the steroid in them like seretide.It just depends on the individual and getting a balance between salbutamol and steroid. Then if those dont work ,things like serevent and montelukast tablets are discussed

The regimes we're on certainly seem to work: it was just the difference that was interesting. But obviously nothing to worry about and we'll raise it with them at the next asthma check.