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With Qwilleran every time he gets sick I start his nebs up his pediatrician actually told me to do it that way but I always make sure the meds aren't expired. My son is actually old enough now to where he will tell me he needs a neb because he can't breathe well.
We got instructions from our dr when to start it. So our dr told us when to start and when to just come in. When he starts coughing we start treatments and we just get refills as needed. She checks on him at all well child checks. We go in if I can't get it under control or if its been a couple days and he isn't improving.
It looks like you got your answer. I agree with all the others. After he has used them for a while you will get the routine down of when he needs one or the other or both. It took a while for us but now the allergist/asthma doc just says to call when we need refills, come in if he doesn't start to get better within 48 hours, or if he gets worse at all within the first 24 hours.