Inhaled corticosteroids comparison

Unfamiliarity with these newer inhalers has been the source of some recently reported errors. A patient discharged from the hospital on Spiriva HandiHaler was readmitted 3 days later after taking 3 Spiriva capsules by mouth each day. He was unaware that the capsule was to be placed in the device so its contents could be inhaled. A color-blind patient was unable to tell if the indicator window on a Tudorza Pressair inhaler was red or green. The window turns green when the inhaler is loaded with a dose and ready to use, and red when the dose has been completely inhaled. Errors have happened to healthcare providers, too. In the pharmacy, an order for Incruse Ellipta was mistaken as “Increase Ellipta,” and the pharmacist dispensed Breo Ellipta, the only “Ellipta” inhaler with which he was familiar.

There is some evidence that sun exposure can accelerate steroid-induced skin atrophy, the development of which can be limited by protecting the skin, particularly the face and arms, from the sun.  Daily use of a broad-spectrum sunscreen (UVB and UVA block) and appropriate protective clothing is recommended. 10 , 12 - 14   Patients on corticosteroids should also be encouraged to regularly use moisturisers on their arms and legs, as these may reduce bruising and tearing of the skin from minor trauma. 11   Evidence suggests that topical tretinoin can increase the epidermal thickness of sun-damaged atrophic skin, but long-term use may be necessary. 14   In dermatological practice, topical retinoids are used to help reverse skin atrophy caused by sun exposure or corticosteroid use.

"Rick’s growth and bone development have been affected by his high steroid use.   He was evaluated completely in the Pediatric Endocrinology clinic at the children’s hospital.   Their findings indicate Rick is constitutionally delayed in growth and his severe asthma and requirements for high-dose steroids over the past several years have contributed to this delay.   Based on their information, Rick has an estimated adult height of 5 feet 6 inches. Rick also has steroid induced osteoporosis that needs to be dealt with.  "

Feeling Fine – I had a young track runner tell me “I feel fine, I don’t wan’t to take medicines unnecessarily”.  I asked him how often he took his albuterol rescue inhaler.  His reply was that he took two puffs before every practice or competition.  This is poorly managed asthma.  This young man is walking around with inflamed lungs every day, and only providing himself short-term relief without addressing the cause.  If he would adhere to his doctor’s prescription of inhaled corticosteroids, his lungs would function normally with little or no need for the rescue inhaler. Inhaled corticosteroids are a safe and effective class of medication that are the cornerstone of most asthma treatment plans.  Their use has benefitted millions of asthmatics and has prevented many millions of emergency room visits and hospitalizations.  If your doctor has recommended an inhaled corticosteroid for you, please adhere to the plan as prescribed.  It will improve your life as it did mine.

Inhaled corticosteroids comparison

inhaled corticosteroids comparison

Feeling Fine – I had a young track runner tell me “I feel fine, I don’t wan’t to take medicines unnecessarily”.  I asked him how often he took his albuterol rescue inhaler.  His reply was that he took two puffs before every practice or competition.  This is poorly managed asthma.  This young man is walking around with inflamed lungs every day, and only providing himself short-term relief without addressing the cause.  If he would adhere to his doctor’s prescription of inhaled corticosteroids, his lungs would function normally with little or no need for the rescue inhaler. Inhaled corticosteroids are a safe and effective class of medication that are the cornerstone of most asthma treatment plans.  Their use has benefitted millions of asthmatics and has prevented many millions of emergency room visits and hospitalizations.  If your doctor has recommended an inhaled corticosteroid for you, please adhere to the plan as prescribed.  It will improve your life as it did mine.

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