However, severe uncontrolled asthma might require corticosteroids on a regular basis for months or even years. In this case, the risks of chronic uncontrolled asthma are greater than the possible side effects of systemic corticosteroids. Corticosteroids may be given every other day in the morning, greatly reducing some of the long-term side effects. Approximately half of asthma patients do not properly use their inhaler and this problem is overcome by the use of a spacer device. This is almost foolproof, thus improving proper use of inhalers from 50 percent to almost 100 percent.
Some authorities recommend spacers for all children.
Nebulizer machines may also be recommended for anyone with asthma with a severe asthma episode to ensure maximal delivery of bronchodilator medication. Proper selection and use of inhaled medication, metered dose inhaler, spacer and nebulizer will be provided by your physician and his or her nursing staff. Be sure to carefully follow their instruction for use and cleaning. These drugs are not indicated for use during an acute asthma attack. Check with your doctor about your child's medicine needs.