Allergy, immunology, and related disordersSafety of inhaled corticosteroids in children with asthmaBazzy-Asaad, Alia MDAuthor Information Department of Pediatrics Section of Respiratory Medicine, Yale University School of Medicine New Haven, Connecticut, USA. Correspondence to Alia Bazzy-Asaad, MD, Department of Pediatrics Section of Respiratory Medicine, Yale University School of Medicine, 333 Cedar Street, Fitkin Room 509, New Haven, CT 06510, USA; e-mail: [email protected] Current Opinion in Pediatrics: December 2001 - Volume 13 - Issue 6 - p 523-527 Buy Abstract Inhaled corticosteroids (ICS) have become the mainstay of therapy in chronic childhood asthma. Despite the long history and the documented efficacy of these drugs in controlling asthma, concerns still abound regarding the safety of these drugs in children, most specifically related to the potential for adrenal suppression and growth retardation. Recently published studies suggest that adrenal function remains intact when low and moderate doses of these drugs are used. Long-term studies of growth in children suggest that despite an initial decrease in growth velocity, ultimate adult height is not affected significantly by the use of ICS. Other complications of glucocorticoids are not usually seen with low and moderate doses. With proper monitoring and follow-up observation, asthma control can be achieved with these drugs in a safe and effective manner. © 2001 Lippincott Williams & Wilkins, Inc.