steroids for asthma in toddlers

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Steroids for asthma in toddlers organon scientific

Steroids for asthma in toddlers

If you forget to give a dose If you forget to give a dose of this medicine, give it as soon as possible. Medicine storage Store all medicine out of the reach of children. Keep the bottle tightly closed and store it in a dark, dry place not in the bathroom or above the kitchen sink.

This medicine does not work as well when kept in a light or humid place. Do not keep this medicine in the refrigerator. Store it at room temperature. Keep this medicine away from heat or direct sunlight. Do not use this medicine after the expiration date printed on the container. Each medicine container has directions to throw it away after being open for 30 to 60 days, even if the medicine is not gone. Drug interactions This medicine should not be taken with these foods, products or medicines: Tobacco products — your child should not smoke.

Smoking irritates the lungs and makes the asthma worse. No one should smoke around your child because of the dangers of second-hand smoke. If your child is taking any other medicine or herbal supplements, tell the doctor and pharmacist. Warnings If your child is allergic to the ingredients in these medicines, he or she should not take the medicine. Call the doctor right away. Asthma is a disease that always changes.

If asthma symptoms seem to be getting worse, call the doctor. Special note for female patients If a patient thinks she might be pregnant, she should tell the doctor before she begins taking this or any other medicine. If a patient is breast-feeding her baby, she should tell her doctor before she begins taking this or any other medicine. Possible side effects Sore throat Thrush white spots in the mouth Dry mouth Hoarse voice What to do about side effects If a skin rash occurs, call your child's doctor.

When to call for emergency help Call for emergency help if: Your child has any of these signs of an allergic reaction: trouble breathing, swelling of the tongue, swelling of hands, feet or ankles. When to call the doctor Call your child's doctor if: He is having a severe asthma attack.

He is exposed to chickenpox or shingles. He is having any side effects that continue or are very bothersome. Other advice about the medicine Tell the doctor and pharmacist if your child has an allergic reaction to any medicine. If you carry any medicine in your purse, keep it in its childproof bottle.

Keep your purse out of the reach of children. Take all your child's medicines with you in the original bottles whenever he sees a doctor, goes to an emergency room or is admitted to the hospital. This helps doctors who may not know your child. Learn the name, spelling and dose of this medicine. Also, teach your child if he is old enough. If your child takes too much of this medicine, or if someone else takes this medicine, first call the Central Ohio Poison Center at TTY They will tell you what to do.

Do not stop giving this medicine or change the amount given without first talking with your child's doctor or pharmacist. The doctor has prescribed this medicine for your child only. Do not give it to anyone else. Asthma is ongoing chronic inflammation of airways in the lungs. This inflammation makes the airways vulnerable to episodes of difficult breathing asthma attacks. Common triggers include allergies, colds and exercise. Asthma is managed by controlling inflammation with drugs, avoiding triggers when possible and using medications to treat asthma attacks.

Diagnosing and managing asthma in children under age 5 can be difficult. In infants and young children, the primary symptoms of asthma — wheezing and coughing — may be caused by other conditions. Also, standard diagnostic tests used to measure how well someone is breathing cannot be used easily or accurately with children under age 5. Some treatments available to older children for managing asthma are not recommended for infants and preschool children.

For these reasons, the management of asthma in children under 5 requires careful and relatively frequent monitoring. You can help minimize asthma symptoms by following a written asthma action plan you develop with your child's doctor to monitor symptoms and adjust treatment as necessary. Severe asthma attacks can be life-threatening and require emergency room treatment. Signs and symptoms of an asthma emergency in children under age 5 include:.

Diagnosis of asthma in children under age 5 can be challenging. The primary symptoms may indicate other conditions. With older children a doctor can use a breathing test that measures how well the lungs work, but these tests are not useful with younger children, who may have trouble following instructions and breathing exactly as directed. If your child under age 5 has symptoms that might indicate asthma, your doctor or asthma specialist will likely use several pieces of information to make a diagnosis.

If your doctor suspects your child has asthma, he or she will likely prescribe a trial treatment. If your child has relatively mild and infrequent symptoms, he or she may take a short-acting drug. If breathing improves in the time and manner expected for that treatment, the improved breathing would support a diagnosis of asthma.

If the symptoms are more regular or severe, your doctor will likely begin a drug for long-term management. Improvement during the next four to six weeks would support a diagnosis and lay the groundwork for an ongoing treatment plan. It's important for you to keep track of your child's symptoms during a treatment trial and to follow instructions carefully. If you have followed the instructions and there is no improvement within the trial period, your doctor will likely consider another diagnosis.

Your doctor will use a stepwise approach for treating your child's asthma. The goal is overall management with a minimum number of asthma attacks that require short-term treatment. This means that initially the type or dosage of treatment may be increased until the asthma is stable. When it is stable for a period of time, your doctor may then step down the treatment, so that your child takes the minimum drug treatment needed to remain stable.

If your doctor determines at some point that your child is using a short-acting drug too often, then the long-term treatment will be stepped up to a higher dose or additional medication. This stepwise approach may result in changes up or down over time, depending on each child's response to treatment and overall growth and development, as well as on seasonal changes or changes in activity levels. Long-term control, or maintenance, medications are usually taken daily. Types of long-term control medications include the following:.

These medications — called short-acting bronchodilators — provide immediate relief of asthma symptoms, and effects last four to six hours. For children with mild, intermittent asthma symptoms, the short-acting medication may be the only treatment needed. For young children who have persistent asthma and use long-term control drugs, the short-acting drug is used as a quick-relief, or rescue, medication to treat asthma attacks.

It may also be used to prevent asthma symptoms triggered by exercise. Overuse of short-acting medications usually indicates that the long-term control treatment plan needs to be revised. Most asthma medications are given with a device called a metered dose inhaler that requires a correctly timed deep breath to get medications to the lungs.

Attachments for metered dose inhalers and other devices can make it easier for children under age 5 to get an appropriate dose. These devices include:. Your doctor can help you create a written action plan that you can use at home and share with other family members, friends, preschool teachers and sitters. A thorough plan includes such things as the following:.

TOPICAL STEROIDS FOR LIPS

Use of high doses of inhaled steroids, use of oral steroids and being a post-menopausal female pose the highest risk. Exercise and adequate doses of calcium and vitamin D can help decrease the risk of osteoporosis.

There are also simple, noninvasive tests to monitor bone density in children when indicated. Oral steroids enter the bloodstream to get to the lungs, so they can cause these and other systemic effects, particularly if used frequently or for long periods of time. Other effects include cataracts, increased blood sugar, lack of blood supply to some bones and suppression of the body's own production of steroids needed during stress.

Since inhaled steroids reduce the amount of oral steroids that may be needed for asthma, they may be safer than just using as needed mediation in all but the mildest forms of asthma. If your child is given many courses of oral steroids, careful monitoring for some of these side effects may be necessary. Remember, even children with mild asthma may be hospitalized.

And children with any level of asthma severity can still be at risk for death from asthma. The risk of both inhaled and oral steroids must be weighed against the risk of the asthma itself. Careful evaluation and follow-up with your asthma caregiver will help keep your child safe. Contact Us. The following possible side-effects need to be weighed against the risk of untreated asthma. Local side-effects Local irritation in the mouth and throat are the most common side-effects. Growth suppression Studies on growth in children on inhaled steroids have been contradictory.

Some studies have shown a growth delay in children treated with moderate to high doses of inhaled steroids. This appears to occur only during the first year of treatment. Long-term studies suggest that this is merely a delay in growth, and final adult height is not changed.

This suggests that during a growth spurt children can "catch up. Osteoporosis Studies on the effect of inhaled steroids and bone mineral density is even more contradictory. This stepwise approach may result in changes up or down over time, depending on each child's response to treatment and overall growth and development, as well as on seasonal changes or changes in activity levels. Long-term control, or maintenance, medications are usually taken daily. Types of long-term control medications include the following:.

These medications — called short-acting bronchodilators — provide immediate relief of asthma symptoms, and effects last four to six hours. For children with mild, intermittent asthma symptoms, the short-acting medication may be the only treatment needed. For young children who have persistent asthma and use long-term control drugs, the short-acting drug is used as a quick-relief, or rescue, medication to treat asthma attacks.

It may also be used to prevent asthma symptoms triggered by exercise. Overuse of short-acting medications usually indicates that the long-term control treatment plan needs to be revised. Most asthma medications are given with a device called a metered dose inhaler that requires a correctly timed deep breath to get medications to the lungs.

Attachments for metered dose inhalers and other devices can make it easier for children under age 5 to get an appropriate dose. These devices include:. Your doctor can help you create a written action plan that you can use at home and share with other family members, friends, preschool teachers and sitters. A thorough plan includes such things as the following:. Keep a record of your child's symptoms and treatment schedule to share with your child's doctor.

These records can help your doctor determine if the long-term control treatment plan is effective and make adjustments to the plan. Keep appointments as recommend by your doctor to review records and adjust your action plan as necessary. Information you record should include:. Depending on the triggers for your child's asthma, make adjustments at home, as well as in child care facilities and other environments, to minimize your child's exposure to triggers.

These may include:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.

Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not endorse any of the third party products and services advertised. A single copy of these materials may be reprinted for noncommercial personal use only. This content does not have an English version.

This content does not have an Arabic version. See more conditions. Request Appointment. Treating asthma in children under 5. Products and services. Free E-newsletter Subscribe to Housecall Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Sign up now. Treating asthma in children under 5 Asthma in children under 5: Understand symptoms, medications and treatment plans. By Mayo Clinic Staff. Show references Sawicki G, et al. Asthma in children younger than 12 years: Initial evaluation and diagnosis.

Accessed Sept. Sawicki G, et al. Asthma in children younger than 12 years: Initiating therapy and monitoring control. Hay WW, et al.

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