Conversation: The conversation between human and AI assistant.
[|Human|] My daughter is 18 months old. She developed asthama at 12 months age. Before that she never had any complaints. Doctor has advised budecort inhaler 100 mcg (pink coloured) to be given twice 1 day for 6 months and montair granules 4mg (oral) once in a day for 2.5 months. Also, doctor has advised nebulisation with budecort / duolin / budesal / asthalin repsules whenever she feels uneasy / breathe fast. I would like to know what are the side effects of all these steriod being taken by my daugther at so early age? What are the other options available? We are really worried? Please advise. Thanks
[|AI|]  Hello Inhalation steroid has minimal systemic side effects because it mainly acts locally. You have mentioned that your doctor has advised nebulization with decor, Dublin, deal and Stalin. Decor contains budesonide and deal contains both decor and albuterol, while Dublin contains albuterol and ipratropium and Stalin contains albuterol. During acute exacerbation only albuterol inhalation is prescribed. Some physician also uses ipratropium and budesonide during acute attack. But using all these four Chat Doctor.  According to guidelines there is no substitute of steroid if asthma is diagnosed. You need not worry as side effects are minimal. Wash her mouth each time after use of steroid inhalation as this decreases the side effects further. Consult your doctor to be clear about the