I just came off of a pulmonary rotation and our pulmonologists are using
Singulair (actually, they even had a 2 year old on it) in several scenarios:
1. Mild asthmatic: those with some attacks despite compliance with
Tylade or Intal, used before going to steroid MDI.
2. Mild asthmatic: Non-compliant with Intal/Tylade. They have a few
patients on Singulair alone with PRN Ventolin for wheezing.
3. Moderate asthmatic: Reduce or eliminate need for steroid MDI.
4. Severe asthmatic: Reduce or eliminate need for oral coritcosteroids.
Still, I would shy away from prescribing it in the ED. I believe such things
are long-term care issues best dealt with by the primary MD or
pulmonologist. Technically approved for children 6 and over...but is used
younger at times.
Children's of Akron
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