instruction: hello doctor my daughter years old and having allergic cold symptoms sneezing irritation of eyes nose and wheezing in some occasions our pediatrician prescribed montair la kid syearup my daily given for three months I want to stop the medicine but the doctor suggested to give it on alternate days if the medicine is stopped even for a day she gets back the symptoms severely is there any alternative how to taper the medicine
output: hi as your child might have airway reactive disease it suggests she is having airway reactive problems or allergy to some substance the best plan of action will be to give montelukast sodium my tablet in the night time give salbutamol syearup 5 my once daily for five days buy a nebulizer and give nebulization with normal saline to asthalin solution in a concentration of one to one ratio rest medication will be gradually tapered off stop all syearups and rest of the medications gradually medicines will be reduced according to the symptoms allergy complete blood count asthma reactive airway disease asthma allergens to be avoided like dust pollen extreme hot and cold weather should be avoided