Corticosteroids – Inhaled (Various) – Children who wheeze with a cold (viral wheeze / bronchiolitis)

Drug Name (Brand)	Inhaled corticosteroids *(Various)*
Indication	Children who wheeze with a cold (viral wheeze / bronchiolitis)
Traffic Light Classification	BLACK
NICE TA (plus link)	Overview \| Bronchiolitis in children: diagnosis and management \| Guidance \| NICE
Further Information: NICE recommendations, summary of meeting discussions, links to additional supporting docs etc. No supporting evidence for the common practice of using inhaled steroids in children who wheeze only with a cold. Instead use a short course of oral steroids and multi-dosing of a bronchodilator. Consider anti-cholinergics in younger children. January 2008: The TAG noted NICE Technology Appraisal Guidance 131 – Inhaled corticosteroids for the treatment of chronic asthma in children under the age of 12 years. July 2015: The TAG and the D&TCG noted and acknowledged (NICE) NG 9 (May 2015) – Bronchiolitis in Children. NG 9 recommends that the following treatments should NOT be used to treat this condition in children: * antibiotics * hypertonic saline * adrenaline (nebulised) * salbutamol * montelukast * ipratropium bromide * systemic or inhaled corticosteroids * a combination of systemic corticosteroids and nebulised adrenaline. July 2015: The D&TCG acknowledged NG 9 and agreed that the supporting evidence for this guidance would be considered further by the group.
Date of TAG recommendation / ratification		3/1/2002	Review Date