What is the best asthma treatment for children under 3?

1. Montelukast (Singulair). Montelukast is a leukotriene modifier, which means it blocks the action of leukotrienes, chemicals that cause inflammation in the airways. It is taken once a day as a chewable tablet or granule.

2. Inhaled corticosteroids (ICSs) such as budesonide (Pulmicort), fluticasone propionate (Flovent), and mometasone furoate (Asmanex). ICSs reduce inflammation in the airways and can be used daily to control asthma. They are typically given through a metered-dose inhaler (MDI) or a dry powder inhaler (DPI).

3. Combination inhalers that contain an ICS and a long-acting beta-agonist (LABA) such as salmeterol (Advair), formoterol (Symbicort), or vilanterol (Breo). Combination inhalers can be more effective than using an ICS alone in children under 3 with moderate to severe asthma.

4. Oral corticosteroids. Oral corticosteroids such as prednisone may be used to treat acute asthma attacks or severe exacerbations.

5. Bronchodilators. Bronchodilators, such as albuterol (ProAir, Proventil, Ventolin) and levalbuterol (Xopenex), can be used to quickly relieve asthma symptoms by relaxing the muscles around the airways.

6. Environmental control measures can also help to reduce asthma symptoms in children under 3. These measures include avoiding allergens and irritants, keeping the home clean and free of dust and pet dander, and using a humidifier.

It is important to talk to your doctor about the best asthma treatment for your child under 3. The treatment plan will depend on the severity of your child's asthma and their individual needs.