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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Running Nose, Difficulty Breathing. PFT Shows Clear Lungs. Advised Deriphylin, Prednisolon. Which's Better ?

In seasonal change first i got running nose then after two three days later i fell not free beathing, but there is no cough its only think saliva kind of things.How can i confirm that i am asthmatic patent ? PFT is showing clear lung, some doc are saying bronchial allergy. Some doc are saying that its bronchial asthma , they are getting spasm in lungs by stethoscope . last year i took deriphyllin and montair for 2 weeks and then there was no problem. so i discontinue this medicine. Now i am getting the same problem, i visited another doctor he prescribied me monatir, prednisolon tab and salmeterol & fluticasone proprionate inhalation. Now i want to know which is better medication for longer treatmeant, Deriphylin or Prednisolon?
posted on Sat, 6 Oct 2012
Twitter Sun, 7 Oct 2012 Answered on
Twitter Wed, 10 Oct 2012 Last reviewed on
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Pulmonologist,  's  Response
Hi
Thanks for your query.
Normal PFT doesnot mean that you dont have asthma
The diagnosis of asthma is more of clinical than PFT finding
As your doctor found spasm and your symptom has a seasonal variation brochial asthma is most likely
On long term basis neither deriphyllin nor prednisolone is appropriate
systemic steroid is hardly used in asthma unless there is exacerbation.
The drug deriphyllin also has many side effects
main drug is inhalational corticosteroids like fluticasone
on long term basis salmeterol-fluticasone is appropriate
then if not controlled with these two then montelukast or deriphyllin may be added
Thank you.
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Running Nose, Difficulty Breathing. PFT Shows Clear Lungs. Advised Deriphylin, Prednisolon. Which's Better ?

Hi Thanks for your query. Normal PFT doesnot mean that you dont have asthma The diagnosis of asthma is more of clinical than PFT finding As your doctor found spasm and your symptom has a seasonal variation brochial asthma is most likely On long term basis neither deriphyllin nor prednisolone is appropriate systemic steroid is hardly used in asthma unless there is exacerbation. The drug deriphyllin also has many side effects main drug is inhalational corticosteroids like fluticasone on long term basis salmeterol-fluticasone is appropriate then if not controlled with these two then montelukast or deriphyllin may be added Thank you.