Paolo Pianosi, MD, an asthma specialist at the Mayo Clinic, weighs the risks and benefits of inhaled steroids for asthmatic children at ABC Health News.
Dr. Pianosi references the new ads from Partnership for a Drug Free America which warn people to not take steroids. However, Dr. Pianosi goes on to explain that steroids are not all alike, and they can have good and bad effects depending on how they're used.
‘The body manufactures many different kinds of steroid hormones: sex steroids, anabolic steroids (used by athletes of notoriety), steroids that maintain salt and water balance in the body, and steroids that help regulate the body's immune system,’ says Dr. Pianosi.
Steroids used to treat asthma help regulate the body's immune system and reduce inflammation in airways.
Dr. Pianosi says, ‘The best part is that very low doses of steroids bring great benefit. There is no question that some patients with asthma require higher doses to control symptoms, but this is the exception rather than the rule.’
High doses of inhaled steroids can be harmful. For instance, a high dose may cause the body's adrenal glands to stop producing necessary steroids, which could lead to dehydration, a drop in blood pressure, and low blood sugar.
Inhaled steroids can sometimes affect growth in children as well. Studies show that when children start taking steroids, their growth velocity drops just a bit. Steroids may knock off a half inch of final height. But poorly controlled asthma may negatively affect growth as well.
Pianosi concludes that steroids are arguably the most effective medication available to control asthma:
‘Ultimately, the decision