Use of QVAR with a spacer device in children less than 5 years of age is not recommended. In vitro dose characterization studies were performed with QVAR 40 mcg/actuation with the OptiChamber and AeroChamber Plus ® spacer utilizing inspiratory flows representative of children under 5 years old. These studies indicated that the amount of medication delivered through the spacing device decreased rapidly with increasing wait times of 5 to 10 seconds as shown in Table 2. If QVAR is used with a spacer device, it is important to inhale immediately.
Another common fear about corticosteroids is that they will cause growth suppression in children. To date, many studies have been done that prove that corticosteroids do not stunt a child's growth. Six years of ongoing studies in children and adolescents who used inhaled corticosteroids show that the speed of growth may be slowed by about 1 cm. over one year in children. However, these children catch up and do attain their full adult height. In some studies, these children grew even taller than their siblings. Interestingly, poorly controlled asthma can actually contribute to growth suppression.
Feeling Fine – I had a young track runner tell me “I feel fine, I don’t wan’t to take medicines unnecessarily”. I asked him how often he took his albuterol rescue inhaler. His reply was that he took two puffs before every practice or competition. This is poorly managed asthma. This young man is walking around with inflamed lungs every day, and only providing himself short-term relief without addressing the cause. If he would adhere to his doctor’s prescription of inhaled corticosteroids, his lungs would function normally with little or no need for the rescue inhaler. Inhaled corticosteroids are a safe and effective class of medication that are the cornerstone of most asthma treatment plans. Their use has benefitted millions of asthmatics and has prevented many millions of emergency room visits and hospitalizations. If your doctor has recommended an inhaled corticosteroid for you, please adhere to the plan as prescribed. It will improve your life as it did mine.