Are inhaled steroids and inhaled LAB s safe to use in children?
Inhaled steroids are safe to use in even pre-school children. Barring fluticasone (which is currently recommended only over the age of 4 years), beclomethasone and budesonide can be safely used even in young pre-school children. In recommended doses, inhaled steroids rarely cause growth retardation. In fact, uncontrolled asthma in a child is a far greater risk for growth retardation than that due to steroids. Inhaled salmeterol and formoterol can both be used in children over the age of 4 and 5 years respectively. Exercise-induced asthma, nocturnal asthma and as add-on to inhaled steroid therapy are the main indications.