Hi Welcome to the HCM I completely understand your concern regarding steroid use for Nephrotic syndrome in your child. But don t worry as this is the best first line treatment for minimal change type of nephrotic syndrome. The side effects are not common during the treatment that your child is receiving at present. Long term therapy with steroids may lead to increased appetite, cushingoid features, impaired growth, behavioural changes, gastritis, salt and water retention, hypertension and bone deminerali-zation. If on prolonged treatment with corticosteroids, the child should be monitored for steroid toxicity. Examination for cushingoid features, monthly record of blood pressure, six-monthly record of height and weight, and yearly evaluation for cataract is recommended. Hopefully this will help you. Take care