When you take the normal dose, side effects are usually uncommon and mild. hey usually occur if you take the larger dose by puffing twice rather than four times a day. The most common effects include coughing fits, headache, sore throat, dry mouth and hoarseness. Less common effects include a slight nosebleed, constipation and trouble sleeping. After prolonged use, high blood pressure can sometimes occur in the eyes and potentially trigger glaucoma. If this happens, stop taking your medications and contact your doctor. In children, there's also the possibility of a very slight reduction in growth by about an inch on average, but no other unique side effects exist.
There is some evidence that sun exposure can accelerate steroid-induced skin atrophy, the development of which can be limited by protecting the skin, particularly the face and arms, from the sun. Daily use of a broad-spectrum sunscreen (UVB and UVA block) and appropriate protective clothing is recommended. 10 , 12 - 14 Patients on corticosteroids should also be encouraged to regularly use moisturisers on their arms and legs, as these may reduce bruising and tearing of the skin from minor trauma. 11 Evidence suggests that topical tretinoin can increase the epidermal thickness of sun-damaged atrophic skin, but long-term use may be necessary. 14 In dermatological practice, topical retinoids are used to help reverse skin atrophy caused by sun exposure or corticosteroid use.