Lips or fingernails are gray or blue. They begin to work within 5 minutes and have fewer side effects and can be used by children as young as 5 years old. These side effects tend to subside as the body becomes accustomed to the medication. Inhaled anti-inflammatory medications are recommended by the National Heart, Lung and Blood Institute for children with moderate and severe asthma. They are considered safe and effective for long term use and have few side effects.
Inhaled corticosteroids are very effective.
They should be given with a spacer device as recommended by the child's physician or healthcare provider. This group of medication is not used for treatment of an asthma attack in progress. They can be administered up to one hour before the student will come in contact with a known irritant such as animals. Peak effectiveness comes with consistent use over a period of several weeks. Inhaled bronchodilators should be given first when children are using multiple treatments.