Do Inhaled Corticosteroids have a Long- Term Effect on Growth and Bone Density in Children ?

According to a report from the American Academy of Pediatrics, "About 15 million people in the United States are estimated to have asthma, asthma is the most common chronic disease in children" (Schlienger 2004). Although inhaled corticosteroids have been identified as preferred prophylactic treatments, few studies have evaluated the risk of inhaled corticosteroid therapy. Although inhaled corticosteroids are absorbed by the systemic circulation, the extent to which they adversely affect bone density and growth is unknown.

People are often worried that long-term adverse effects can occur even if corticosteroids are inhaled. Numerous studies have repeatedly demonstrated that even if long-term inhaled corticosteroids are used there is little sustained clinically significant side effects, including childhood growth. However, the goal is always to treat children (and adults) with the least amount of effective medication. Asthma medications can be administered in nebulized solutions, which does not require technology and is extremely useful for infants (usually under 5 years of age). Approximately 5 years old, the child can move to the inhaler with or without a flight case or mask. It is important to note that the amount of drug deposited in the lung is not different from the amount of aerosolization solution used, if the individual has the appropriate technique for the inhaler. When prescribing an asthma medicine, it is necessary to provide appropriate delivery techniques

Inhaled corticosteroids are the mainstay of daily controlled medication for children and toddlers. The selection of which inhaled corticosteroid is usually due to which drug delivery device is the first choice for the caregiver. Infants can use metered dose inhalers with spacers and masks as long as the caregivers are trained and comfortable with proper skill. Budesonide is available via a nebulizer. This is easier for infants and young children. Some children may also be accustomed to dry powder inhalers. If properly used, all drug delivery devices are effective, and therefore are usually personalized based on caregivers and child preferences. Combination inhalers are also used for children and medical professionals who treat children with asthma can choose children for moderate to severe asthma.