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[Inhaled corticosteroids and behavioural changes in children]

Nancy Broos1, Tjalling W de Vries, Eric J Duiverman

  • 1Universitair Medisch Centrum, afd. Klinische Farmacie, Utrecht, the Netherlands. nancybroos@hotmail.com

Nederlands Tijdschrift Voor Geneeskunde
|July 4, 2012
PubMed

Insights

Inhaled corticosteroids can cause behavioral changes like aggression and mood swings in children. Early recognition of these side effects is crucial for proper management and to avoid unnecessary medical tests.

Area of Science:

  • Pediatric medicine
  • Pharmacology

Background:

  • Inhaled corticosteroids (ICS) are a common treatment for pediatric respiratory conditions.
  • Adverse drug reactions, including behavioral changes, can occur with ICS use.

Observation:

  • Two pediatric patients, a 7-year-old boy and a 9-year-old girl, exhibited behavioral changes.
  • These changes included hyperactivity, aggression, mood swings, and agitation.

Findings:

  • The observed behavioral changes were linked to the use of inhaled corticosteroids.
  • These side effects are reversible upon recognition and potential adjustment of treatment.

Implications:

  • Timely recognition of ICS-induced behavioral changes is essential in pediatric care.
  • Awareness can prevent misdiagnosis, unnecessary investigations, and psychosocial problems for children.
  • Healthcare providers should consider behavioral side effects when prescribing inhaled corticosteroids to children.

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