Combination inhaled asthma medications containing corticosteroids and long‐acting beta‐adrenergic (LABA) agents are generally well tolerated, although a small minority of children receiving them may develop side‐effects. Herein is reported a case of a 9‐year‐old boy who developed insomnia, pressured speech, agitation, and suicidal ideation within the 1st month after initiating formoterol + budesonide. He had not received oral glucocorticoids for >90 days. All symptoms resolved within 48 hr upon discontinuing formoterol while continuing budesonide. To our knowledge, this is the first report of childhood suicidal ideation strongly associated with use of a combination inhaled corticosteroid/LABA. Pediatr Pulmonol. 2013; 48:102–103. © 2012 Wiley Periodicals, Inc.