Brethine, Bricanyl (Terbutaline Sulphate)

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TREATMENT OF MILD ASTHMA ATTACK IN CHILDREN: USING INHALERS
One of the potential difficulties of a steroid inhaler is that it is most needed when the linings of the airways are already swollen. When this occurs much more phlegm than normal is produced. This is usually quickly dried up by the inhaled steroid but occasionally there is so much phlegm that the steroid spray is unable to penetrate through it, and instead of quickly clearing the attack there seems to be very little effect. One answer, as in the case of 9 year-old Alison, was simply to increase the strength of the inhaler. She was already using an inhaler called Becotide 50 which released 50 micrograms of steroid at each puff. By changing her to Becotide 100, in which 100 micrograms are released, there was enough penetrative power to dry up the phlegm and restore the airway linings to normal.
In adults it is possible to increase even further the strength of inhaler, to one called Becloforte. I would not recommend this in children, as recent studies have shown that at this high dosage there is significant absorption into the rest of the body, and so there is potential for troublesome side-effects.
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