Many allergists avoid giving inhaled steroids. People temporize about adult asthma because it is less dramatic. But it is just as bad. "Life without breathlessness" is worth monitoring other risks.

I am so glad to see this long term usage of these drugs and side effects being addressed.  I have a good response to steroids and little else with severe allergies to a good number of environmental and chemical factors.   Have had two trials of allergy shots with little or no relief.  If I do not use the steroids I can lose my voice (I sing for enjoyment and in public for church.) and have had my throat close until I pass out (car exhause, ammonia nitrate fertilizer, the pollinator chemicals used on apple orchards).  So I use them.  But I do notice I get colds, flu more easily and of course with asthma, more severely, with repeated pneumonitis. I have had a bone density test done.  And am fine there. But for years the issue of long term usage has just been ignored.  I can't say I would not use the drug because of the benefits.  I am just glad to see all issues with its use being brought out for consideration.