It is good to use a spacer with a MDI to better deliver the medicine to the lungs. This is a dry powder device that does not need a spacer. The usual dose depends on the type of medication and whether you are taking a low, medium, or high dose. Doses of inhaled steroids are given from 2 to 4 times a day. Your child's doctor will tell you what dosage your child needs.
Side effects are more common in children taking high doses of inhaled steroids.
Large doses over extended periods of time may cause other side effects involving the bones, eyes, and muscles. Rinse the mouth and spit after each treatment and use a spacer device to decrease the chance of side effects. Inhaled steroids should not be stopped abruptly without your physician's approval. Written by the Asthma Task Force at The Children's Hospital, Denver. All Rights Reserved.