Short courses are generally well tolerated; longer use requires monitoring of growth, blood sugar and infection risk. Avoid contact with chickenpox, shingles or measles during treatment if your child is not immune, and report exposure to the doctor. May cause increased appetite, mood changes or sleep disturbance. Tell the doctor about diabetes, infections or recent vaccinations. Live vaccines are avoided during significant courses. This product information is for general guidance only and does not replace professional medical advice. Always consult a qualified healthcare provider before starting any new medication or supplement. Keep all medicines out of reach of children.