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A 26-year-old male asked:

which one is better for long term asthma prevention, steroid inhaler or oral controlling tablets?

4 doctor answers11 doctors weighed in
Dr. (Liz)Phuong Tran
Family Medicine 35 years experience
Inhaler: Steroid inhaler is more prefer for long term asthma prevention because of the systemic effect with oral tablets-increase risk for diabetes and depression as well. Your doctor can instruct you for proper usage with oral when need with acute situation.
Dr. Barbara Stark Baxter
Allergy and Immunology 42 years experience
Asthma controllers: Inhaled steroids are the number one choice for longterm control of chronic inflammation in asthma. The tablet medications, montelukast, zafirlukast and zileuton are also good for long-term control, if they work well for you. Many patients are on both. You don't want to take oral steroids for long, though. They have too many side effects that are dangerous, over time. Short term theysave lives tho.
Dr. Phil Chen
Dr. Phil Chen answered
Family Medicine 26 years experience
Depends: It all depends which one you respond well and severity of the symptom. Usually steroid inhaler is good enough. Oral one is usually use when patient not responding to steroid inhaler. Long term use oral steroid can cause osteoporosis, depress your immune system cause susceptible to infection. People with asthma also use albuterol inhaler, not just use steroid inhaler.
Dr. Steven Machtinger
Allergy and Immunology 44 years experience
Steroid? Singulair (montelukast)?: Montelukast (singulair), Accolate & zyflo (zileuton) are nonsteroidal tablets that have limited anti-inflammatory effects when compared to inhaled corticosteroids. For mild persistent asthma both types of controller medications are effective. For more severe asthma inhaled steroids work better. You can take both for added effect. Both types of medications treat but neither prevents asthma.

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Last updated Feb 2, 2017

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