[Problems of inhaled steroid therapy in children with asthma]

Inhaled steroid therapy has become a most popular anti-inflammatory medication in asthmatic children. However, overreliance on inhaled steroids should not mislead the treatment of asthma because the best way to prevent asthmatic symptoms is the identification and control of triggers such as allergens and non-specific irritants. We should weigh the merits against adverse effects and make a correct decision to use inhaled steroids in each asthmatic child. Since the effectiveness of inhaled steroids mainly depends on the correct performance of inhalation therapy, we must educate patients and their family to develop a good partnership in asthma management as emphasized in every guideline.