A 10-year-old child has severe asthma and was hospitalized five times between the ages of 7 and 9. He is now receiving outpatient medications that have greatly reduced the frequency of severe attacks. Which of the following is most likely to have adverse effects when used daily over long periods for severe asthma? (LQ)
|A||Albuterol by aerosol|
|B||Beclomethasone by aerosol|
|C||Cromolyn by inhaler|
|D||Prednisone by mouth|
|E||Theophylline in long-acting oral form|
Systemic use of corticosteroids causes growth retardation. If oral corticosteroids is to be used, alternate-day therapy can be tried.