Facebook Pixel

Asthma: Corticosteroid Treatments Available

By HERWriter
Rate This

Dr. Randy Horwitz fills us in on the different types of corticosteroid treatments now available. There are more options to choose from than there used to be. He describes various corticosteroids and differences between them, e.g., oral corticosteroids, inhaled corticosteroids and prednisone. He also indicates their side effects.

Dr. Horwitz is an integrative medical consultant. His special interest is in complementary and alternative therapies for asthma, immunological and allergic diseases, hepatitis and heart disease.

(Transcribed from video interview)

Dr. Horwitz:
There are different types of corticosteroids and we used to just have oral corticosteroids and we still use that quite a bit. Many people are on prednisone or Solu-Medrol – these are pills that you take that are corticosteroids and patients with severe asthma are often on this for months at a time. There are also inhaled corticosteroids which are the next generation.

The side effects of oral corticosteroids; osteoporosis. You can get immunosuppressed. You can get cataract, so all kinds of issues with long-term use. So they developed inhaled corticosteroids which give the anti-inflammatory action where it’s needed in the lung tissue and most of the time this is not systemically absorbed to a large degree so you can get hoarseness, you can get oral thrush or yeast infections that can be treated as well, but you don’t get the systemic effects and so the important thing to remember is when you are using an oral corticosteroid, press your provider to make sure that you are always in motion.

We were taught in allergy fellowship that you should never have a stagnant dose of a corticosteroid. You should either be bursting to treat an exacerbation or you should be on a taper. You should never be complacent about your corticosteroid dose, and with inhaled corticosteroids you want to be sure that rinse your mouth very well and again, push for the lowest possible dose because if you don’t push, many practitioners will just leave you where you are.

Add a CommentComments

There are no comments yet. Be the first one and get the conversation started!

Enter the characters shown in the image.
By submitting this form, you agree to EmpowHER's terms of service and privacy policy

We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.


Get Email Updates

Related Checklists

Asthma Guide

Have a question? We're here to help. Ask the Community.


Health Newsletter

Receive the latest and greatest in women's health and wellness from EmpowHER - for free!