Doctors Note Logo

Published on: 7/15/2026

Can inhaled steroids for asthma cause the same side effects as oral ones?

Inhaled steroids are a common asthma treatment, and while they can cause side effects, these are typically much milder than those associated with oral steroids. Common side effects may include oral thrush, hoarseness, sore throat, or coughing. Less commonly, long-term use may contribute to reduced bone density or slower growth in children. Rinsing your mouth after each use can help reduce many of these issues.

Because asthma symptoms and medication side effects can overlap with other conditions, it's important to know what you're actually dealing with before adjusting treatment. A free, instant, online symptom check can help you clarify whether what you're experiencing is a medication side effect, a worsening of your asthma, or something else entirely—giving you a clearer path forward when talking to your doctor.

Reviewed for medical accuracy: 07/15/2026

answer background

Explanation

Inhaled steroids are commonly used for asthma because they help reduce inflammation in the airways. While they can cause side effects, these are usually less severe than those from oral steroids. According to the medical literature, inhaled steroids can have systemic effects, but these are often minimized due to their targeted delivery method.

Potential Side Effects of Inhaled Steroids:

  1. Mild Effects: These include sore throat, hoarseness, and oral thrush (a yeast infection in the mouth).
  2. Systemic Effects: Although less common, long-term use of high doses can lead to systemic effects like decreased bone density.

Comparison with Oral Steroids:

  • Oral steroids are more likely to cause systemic side effects because they travel throughout the body. These can include weight gain, high blood pressure, and bone thinning.
  • Inhaled steroids, by contrast, are designed to work directly in the lungs, reducing the risk of widespread side effects.

In conclusion, while inhaled steroids can cause some side effects, they are generally safer and more targeted than oral steroids for managing asthma. If you're experiencing unusual symptoms or have concerns about your medication, consider taking a free symptom checker test to better understand your condition.

(References)

  • Pandya D, Puttanna A, & Balagopal V. (2014). Systemic effects of inhaled corticosteroids: an overview. The open respiratory medicine journal, 25674175.

  • Hanania NA, Chapman KR, Sturtridge WC, Szalai JP, & Kesten S. (1995). Dose-related decrease in bone density among asthmatic .... The Journal of allergy and clinical immunology, 7499672.

  • Kuna P. (1998). [Longterm effects of steroid therapy]. Wiadomosci lekarskie (Warsaw, Poland : 1960), 9610231.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.