After a year asthma free DS has started getting a bit of a wheeze and the night time cough again He's had a cold for ages and I think the asthma is related to that rather than a longterm thing as he was fine last winter.

I saw a Dr yesterday and he said we could do 1 puff of flixotide morning and night for around a week and then wean him off it. I always thought flixotide took a while to work?

We're also doing ventolin morning and night.

Yes you're right, my understanding is also that it's for longer term use. If you're using ventolin morning and night then my understanding is that flixotide could help. When my DS starts to get a bit wheezy we start the flixotide (along with ventolin if necessary) even if we aren't using it regularly at the time and it still seems to make a difference. It does take three weeks to get up to it's "full strength" though. Perhaps your doc meant you could cut down the dose because ideally, I've been told, they should be on the lowest dose... ...I'd probably go back and ask for some clarification on that.

What's a standard flixotide dosage - is 2 puffs a day normal or is it usually just 1? He's on the pale orange 50mcg gram one that he's had since he was about 1 year old and he's having 1 puff morning and night. He's about 14.5 kg so a pretty small almost 4 year old.

It seems to be doing the trick, he's coughing a lot less and seems not to be as tight in the chest as he was.

Thats a pretty standard dose My son was on 2 puffs twice daily from 2 - of the higher strength - dark orange. He did however need to switch as this wasnt holding him either

It normally takes a while to *build* up for full effect - Id be inclined to continue it throughout the winter (when bugs often make asthma worse) - and then wean come the warmer spring weather

Because your in oz - I would seriously consider speaking to the Dr about "singulair" for your child ... its fully funded over there (costs us $100 a month here) ... its a brilliant drug - and has helped keep Kal out of hosp for lengthy stays. Its a salicilate blocker - and brilliant for asthmatics !!! It works straight away - and is just a chewable tablet. You can start when they get wheezy and drop off again when under control.

Flixotide usually takes about 3 weeks to have it's full effect. But you might see improvements earlier than that.

I am not sure if there is a 'standard dose' as such for Flixotide, it depends on the strength of the Flixotide and the patients history (severity, regularity of asthma etc).

I hope it continues to do the trick for you.

I think I'll take him to our normal GP, our one was booked up on Monday and I didn't want to wait so I took him to a walk in clinic. I think I need an up to date plan because I'm going off my knowledge of when he had asthma 1 + years ago and I don't want to be giving too little/too much.