My 3 year old twins both have asthma and we have been told when they have coughs / colds to use 4 hourly ventolin, 4 puffs. This seems to work really well for them, and has so far resulted in reduced chest infections and better control of their asthma. The problem is i'm not entirely sure when to reduce the ventolin. I don't want to keep them on longer than necessary, but also notice that as soon as I start to reduce, the cough that is associated with the cold starts to increase. I'm pretty sure its not the asthma cough as the sound is different, so am not sure if it is just that the ventolin also improves the viral cough too.
They are both nearing the end of their colds, no more runny noses etc and both have a slight cough, and I mean coughing only a few times each day and not at night. Is it best to wait til the cold / cough etc has gone completely before reducing to say 2 puffs 4 hourly or could we do it near the end of the cold, and is it usual to see a slight increase in the viral cough when reducing the inhaler, even though chests are clear?
We are under the hospital and a very good asthma nurse, plus the gp but this is the question I always forget to ask, and we are now in the situation again.