### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I am asthmatic and cough continuously. I have been talking mucinex 1200mg along with my albuterol inhaler and nebulizer and space it out q4hrs and advair am and hs. with some relief. Seems like if I eat or go into the cold I am non stop coughing and gauging. (esp after eating find my self gauging enough that I vomit and its mostly mucus large amount ex. 1/2 cup size or more) My husband read online that I could be allergic to the cold and said take 10mg of cetirizine try it and see if it helps....I did last night lasted about 7 hrs. less coughing. Could this be an answer for me and how much can I take in a 24 hour period. I am also on adipex-p to help increase my metabolism (2nd month) is this ok to take with this med. not on any other medication besides asthma and the adipex. Thank you Dawn Alpine

### output:

HI, thanks for using Chat Doctor Cold temperatures can cause symptoms of rhinosinusitis and also provoke an asthma attack. This can occur in any persons with a history of these conditions due to effect of the cold on the respiratory tract. It would not be called an allergic reaction but one of the triggers of an attack, in the same way that the common cold is a trigger for an asthmatic attack. Normally trigger responses are treated by avoiding the trigger and/or altering the dose of the preventer if possible. Your doctor would determine if this is a possibility. The response to the cetirizine may indicate that rhinosinusitis is also trigger for your asthma. This can only be taken once daily. The use of a nasal spray may also help. I hope this helps