They are generally only prescribed for those with severe asthma symptoms. Such problems can be minimized by mouth-rinsing and using a spacer device, which can reduce the amount of medication residue in the mouth and throat. Although there are conflicting studies, long-term use of inhaled corticosteroids may result in reduced growth velocity in children. However, control of asthma symptoms may be of greater importance. If you are concerned about your child using these medications on a long-term basis, see your physician for more information.
Oral corticosteroids can have more side effects than inhaled corticosteroids.
Long-term use of oral corticosteroids is not recommended, except in cases of uncontrolled, severe asthma. Your doctor will prescribe oral steroids for long durations only when other treatments have failed to restore normal lung function and the risks of uncontrolled asthma are greater than the side effects of the steroids. Prednisone, one of the most commonly prescribed steroid drugs, is available in tablet or liquid form. Possible side effects of short-term prednisone use include slight weight gain, increased appetite, menstrual irregularities and cramps, heartburn, or indigestion. Some patients experience side effects such as loss of energy, poor appetite, and severe muscle aches or joint pains when their dosage of cortisone tablets is decreased.