Asthma, Asthma medicines, Inhaled corticosteroids, Pressurised metered dose inhaler, Spacer
This review pooled data from studies of people with mild asthma, aged 12 and over. The studies lasted at least 12 weeks and were carried out all over the world. They explored the use of a combination inhaler, used as needed.
- Propellants used in inhalers contain greenhouse gases and can add to global warming.
- If you use your inhaler as recommended by your doctor, nurse or pharmacist you’re unlikely to get any lasting side effects.
- Inhaled corticosteroids for stable chronic obstructive pulmonary disease (Review).
- The other contains steroids to make the airways less sensitive.
When you stop your treatment, you usually need to reduce your dose gradually. Do not stop using your inhaler unless you’re advised buying real steroids online to by a doctor. The Drug Safety Update also includes a reminder on the appropriate use of long-acting beta agonists.
Inhaled and intranasal corticosteroids
The guidelines have moved away from recommending relievers as the first step in asthma management. Inhaled steroids (either in combination with reliever medication, or in separate inhalers) are convincingly superior to reliever medication alone.  Kew KM & Seniukovich A. Do inhaled steroids increase the risk of pneumonia in people with chronic obstructive pulmonary disease (COPD)?
They’re mainly used to treat asthma and chronic obstructive pulmonary disease (COPD). Before increasing dose of ICS, a patient’s adherence to treatment, inhaler technique and inhaler device (MDI + spacer) should be considered. Researchers explored whether it is safe and effective for mild asthma. You may have regular checks and tests for conditions such as diabetes, high blood pressure and glaucoma if you need to take steroid tablets on a long-term basis.
So these are listed as common side effects in the patient information leaflet. Your GP or healthcare professional should give you a steroid card if you’re taking high doses of steroid medicine, either in your inhaler, or as tablets. If you’re on high doses of steroid medicine for a long time, one of the possible side effects is an increase in appetite, which could mean you put on weight. Your GP or asthma nurse will always aim for the lowest possible dose of steroid medicine to keep you well with your asthma.
If a patient is stable i.e. good asthma control with no exacerbations for 3 months, the dose of ICS can be reduced by 25-50%. This work shows that simplifying the treatments and empowering patients to decide for themselves when they need to use their inhaler will improve their condition. Researchers pooled the results from 6 studies that compared separate inhalers with a combination inhaler. They found that the combination inhaler was an effective treatment for mild asthma.
Central Medical Centre
All patients with COPD should be offered a pneumococcal vaccination and the annual influenza vaccination. A high dose of ICS is defined as ≥1,000mcg beclometasone dipropionate (BDP) equivalent per day. Fluticasone propionate, mometasone and the newer ultrafine particle BDP hydrofluoroalkane (HFA) inhalers (i.e. QVAR and Fostair) are considered twice as potent as standard BDP inhalers.
Common concerns about asthma medicines
This relaxes the muscles of the airways and is used as needed when symptoms occur. It should be taken regularly to reduce inflammation in the airways. This helps control the disease and reduces the risk of asthma attacks and of dying. There is also some evidence that steroid inhalers used by people with chronic obstructive pulmonary disease (COPD) can increase the risk of chest infections such as pneumonia.
The recommended course of treatment largely depends on weighing up the benefits of corticosteroids against the side effects. If a woman needs to take steroid tablets whilst she is breastfeeding, prednisolone is usually recommended. Steroid injections, inhalers and sprays aren’t thought to pose a risk to babies being breastfed.
However, adherence to inhaled therapy can be poor and many patients only take their treatment when they are symptomatic. Therefore all patients taking an oral corticosteroid for more than three weeks or ‘prolonged high dose inhaled steroids’ should have the dose tapered gradually. Every time you go for an asthma review ask your GP or asthma nurse to check your inhaler technique. Talk to your GP or asthma nurse about your concerns, and go to regular asthma reviews to make sure you’re on the lowest dose of steroid medicine to keep you well with your asthma.
Steroid inhalers and sprays
It contained reliever medicine (formoterol) and steroid (dry-powder budesonide). But fear of side effects can put people off taking them, especially if they rarely have symptoms. However, not taking this medication regularly can lead to worsening asthma and an increased chance of a serious asthma attack. Treatment with high-dose ICS can result in clinically significant suppression of endogenous cortisol.
Ask your doctor if you need to carry a steroid emergency card. Steroid inhalers are different to the anabolic steroids that some people use illegally to increase their muscle mass. Tell a doctor if you take any other medicines, including herbal remedies and supplements, before starting to use a steroid inhaler. It reinforces the use of inhaled steroids as soon as the diagnosis of asthma is made, even in patients who are typically classified as having ‘mild’ asthma.