A pediatrician calls asking for your advice. She has a 9-yea…
A pediatrician calls asking for your advice. She has a 9-year-old male patient with asthma , currently using fluticasone HFA 110mcg – 2 puffs BID (oral inhaler). The patient has had mild/intermittent season allergies in the past and is taking cetirizine 5mg daily. This spring allergies have become worse and are now very bothersome for the patient, and she would like to add a nasal steroid but is worried about possible effects on his growth. Which of the following is the most appropriate advice?
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