There are concerns about the safety of some steroid medications for children. Typically, maintenance steroids are inhaled using a nebulizer or inhaler. Inhaled steroids are the safest form. The medication is taken directly into the lungs, so it can be given in a very low dose and not as much of it gets absorbed into the rest of the body. This causes actually very few side effects. Less frequently, doctors will recommend short term oral steroid therapy which also carries few risks. Some patients with severe asthma must take steroids by liquid or pill form, over months or years. This long-term use of steroid pills causes the most concern. The dose given in a pill is much higher than the dose delivered through an inhaler. The drug also must go through your bloodstream to get to your lungs, so it has a greater effect on all the other parts of your body that it travels through.
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