What medication might contribute to growth suppression in a child with asthma?

Glucocorticoids, particularly when used in high doses over extended periods, are known to have potential side effects, one of which is growth suppression in children. These medications are often prescribed to manage inflammation associated with asthma, and while they are effective in controlling symptoms and reducing exacerbations, there is a concern regarding their impact on growth.

The mechanism behind growth suppression is thought to be related to glucocorticoids' effects on the hypothalamic-pituitary-adrenal (HPA) axis and their ability to interfere with growth hormone secretion and action. Chronic use can lead to decreased plasma concentrations of growth hormone, affecting overall growth in children.

In contrast, inhaled bronchodilators, antihistamines, and leukotriene receptor antagonists do not typically carry the same risks for growth suppression. While these medications can play important roles in asthma management by alleviating symptoms and improving airflow, they do not have the same systemic effects on growth as glucocorticoids do.