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Other names: Meticorten

CHILDHOOD ASTHMA: HOLIDAYS AND STAYING AWAY FROM HOME
In my surgery and in the asthma clinic one of the factors that causes great concern to parents is whether it is safe to go on holiday. My answer is invariably ‘yes’, as it is important for a child with asthma to lead as normal a life as possible. I have a young teenage patient who is going to Kenya on her third safari this year! The only time I would recommend staying at home is if the asthma is in an unstable condition. If attacks are coming very frequently it is wise to have the treatment reviewed and appropriate action taken in the stable environment of your own home. Usually this does not take long and hopefully only means a postponement of the holiday rather than a total cancellation. For the vast majority of asthmatics it is perfectly safe to go away but as a precaution you must ensure that you have the means to deal with an attack if one should occur.
Most vital is to remember to take the medication with you! This may sound silly but for three years I worked in a hospital in Blackpool and we once calculated that over half our admissions in summer were people who had forgotten to bring their medicine with them. Inhalers are usually the last to be packed so they can be easily reached and it is amazing how often they are left behind on the bedroom table. Also make sure you have one or two spare inhalers with you as they do have an irritating habit of running out or being lost just when needed most. If you are staying in this country then an attack can almost be as easy to treat as at home. It is well worth remembering to check when you arrive at your destination as to where the local doctor is based and how to make contact in an emergency. Everyone in the United Kingdom is entitled to medical treatment wherever they are staying free on the N.H.S. If you are staying in a hotel – and this applies particularly in London – the staff will often call a doctor privately for you, and the visit plus treatment can take up most of your holiday spending money. You are within your rights to ask for an N.H.S. visit and you should always insist on this. A useful tip is to take your own doctor’s phone number away with you and give him or her a ring first for advice. It is not very often necessary to call a doctor out, especially if you follow the treatment plan.
The first night of a holiday is the one when your child is most likely to suffer an asthma attack as the change of environment throws up different kinds of allergens and also there is all the excitement. So be organized and unpack the medication before you retire to bed.
If you are travelling abroad the situation is slightly more complicated, though if you are well prepared you should have little trouble. First, before you go, make sure you have adequate medical insurance just in case you need it. If you are going to the United States also ensure you have a credit card with sufficient reserve funds on it, as often the hospitals over there want the money before they will give the treatment. The last thing you want at that time is to have the stress of ringing insurance companies to obtain a cash advance.
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