📊 Nebulizer vs Syrups for Toddler Cough
| Feature | Nebulizer (Inhaled Medicines) | Syrups (Oral Medicines) |
|---|---|---|
| How It Works | Delivers medicine (e.g., Salbutamol, Levosalbutamol, Budesonide) directly to lungs via fine mist. | Medicine absorbed via stomach → blood → lungs (systemic action). |
| Onset of Action | Fast (within 5–10 minutes). | Slower (30–60 minutes). |
| Effectiveness | High — medicine reaches lungs directly, less dose needed. | Lower — part of drug lost in digestion/metabolism before reaching lungs. |
| Side Effects | Fewer systemic effects, mainly local (mild throat irritation, rare cough). | More systemic side effects (jitteriness, fast heartbeat, drowsiness, stomach upset). |
| Ease of Use | Needs machine, mask/spacer, electricity/power; takes 5–10 min per session. | Easy — just measure and give by spoon or syringe. |
| Compliance | Some toddlers resist wearing the mask; needs parent patience. | Easier to give, but taste may be an issue. |
| When Best Used | Wheezing, asthma, bronchitis, severe chest congestion, acute attacks. | Mild cough, simple chest cold, supportive treatment. |
| Doctor Preference | Often preferred in toddlers with wheeze/bronchitis for rapid relief. | Sometimes used as supportive or alternative when neb not available. |
Nebulizers = More effective, faster, fewer systemic side effects → preferred for wheezing, asthma, bronchitis in toddlers.
Syrups = Easier to give, but slower and more side effects → used in mild cough or when nebulizer not practical.
👉 Simple Rule:
Acute wheeze/bronchitis → Nebulizer
Mild wet/dry cough → Syrup
Sometimes doctors use both (e.g., Ambroxol syrup + Salbutamol neb).
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