Inhaled corticosteroids, such as Pulmicort Turbuhaler® (budesonide inhalation powder), can result in mood changes, sleep disorders and weight gain. However this seldom happens in the dose your son is prescribed 180 mcg, which is a low dose of Pulmicort Turbuhaler® (budesonide inhalation powder). We would be very reluctant to attribute his weight gain and symptoms to this dose of inhaled steroid, even taking into account the additional effect of absorbed Flonase® (fluticasone). You should discuss this with his doctor. If his asthma has been stable for 3 months or longer, ask his doctor if a reduction in Pulmicort Turbuhaler® (budesonide inhalation powder) dose might appropriately be considered.
I did a little research on Singulair a while back and found other people with the same comment about strange dreams & nightmares. Interesting!!