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Doctor insights on: Bad Effects Of Steroid Inhalers For Asthma Patients

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Dr. Sue Ferranti
3,020 Doctors shared insights

Asthma (Definition)

A disease of the lungs caused by chronic inflammation of the airways most often caused by allergies. This inflammation results in airway swelling and hyperactivity leading to difficulty breathing, shortness of ...Read more


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My Dr prescribe perforomist nebulizer for worsening asthma. Steroid inhaler affects vocal cords. Worried about side effects. Once start can't stop?

My Dr prescribe perforomist nebulizer for worsening asthma. Steroid inhaler affects vocal cords. Worried about side effects. Once start can't stop?

See an asthma: Specialist and an ENT specialist, your doctor is trying to help control your asthma, given that you are reporting vocal cords problems with ICS. Preforomist isn't recommended for long term asthma control

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Will usage of an inhaler containing steroids for asthma for 4 months, cause any side effect for a child?

Will usage of an inhaler containing steroids for asthma for 4 months, cause any side effect for a child?

Unlikely: The most common side effect of inhaled steroids, especially over such a short period of time, would be oral thrush. Make sure your child rinses his mouth after using the inhaler to prevent this.

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What other options will my doc give me if steroid & rescue inhalers aren't helping asthma?

What other options will my doc give me if steroid & rescue inhalers aren't helping asthma?

Oral meds may help: For asthma that is out of control, the addition of nonsteroidal anitinflammatory med like montelukast may help, or a short course of oral steroids. Some people still respond to theophylline orally. Pulmonary function tests can distinguish between the bronchospasm seen with asthma from the laryngospasm and difficulty inhaling often seen with anxiety or panic.

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Why would someone be given an inhaler and steroids for acute bronchitis if they don't have asthma?

Why would someone be given an inhaler and steroids for acute bronchitis if they don't have asthma?

Symptoms: Bronchitis can be from any causes and means inflammation of the bronchial tree. If the symptoms are really bothersome, it may be treated temporarily with anti-asthma drugs to reduce the inflammation. Do note that if you do develop prolonged bronchitis symptoms with each cold, it may well be a manifestation of asthma which is only triggered by an infection particularly a viral one

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If I use a steroid inhaler for my asthma, is it dangerous to nurse my baby?

If I use a steroid inhaler for my asthma, is it dangerous to nurse my baby?

No: Using a steroid inhaler is not a reason to stop nursing a healthy baby. The known benefits of breast milk far outweigh any theoretical risks from the medication. You absorb only a small amount of the steroid from your inhaler into your bloodstream. Only a tiny amount of that small amount would make it into breast milk - perhaps not even a detectable amount at all.

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I can't avoid some of my asthma triggers, is it safe to use my steroid inhaler?

I can't avoid some of my asthma triggers, is it safe to use my steroid inhaler?

Consider alternative: Few people prescribed steroid inhalers get by without them. When they try they have a poorer quality of life, use other asthma medications excessively & have asthma episodes requiring oral steroids to prevent death or hospitalization. Five days of oral Prednisone is the equivalent of 2-4 years of daily inhaled steroids. Inhaled steroids are safe & effective with minor side-effects. Don't be fooled.

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First time ever with oral thrush, I use asthma steroid inhalers clencil modulite. Most likely cause? I recently started using the inhaler.

First time ever with oral thrush, I use asthma steroid inhalers clencil modulite. Most likely cause? I recently started using the inhaler.

Thrush: Steroid inhalers can cause thrush. Try to rinse your mouth and throat after inhaler use may help. See your primary care doctor for treatment of oral thrush if problem persists., .

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Which of the following asthma medications should I reduce if have no symptoms at all 1)controlling tablets 2)quick relief inhaler 3)steroid inhaler?

Which of the following asthma medications should I reduce if have no symptoms at all 1)controlling tablets 2)quick relief inhaler 3)steroid inhaler?

See below: The steroid inhaler is your controller/maintenance for use daily/routinely. The tablet is also assisting with the control/maintenance aspects of your asthma. Your action plan should advise that the quick relief (albuterol) can be decreased/increased in frequency depending on the severity or improvement of your breathing status.

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

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

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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Not sure what a normal range for spo2 are as I just had my oxygen levels checked and it's 94spo2, it was 98/99 few days ago, also had to change to a long lasting steroid inhaler for asthma?

Not sure what a normal range for spo2 are as I just had my oxygen levels checked and it's 94spo2, it was 98/99 few days ago, also had to change to a long lasting steroid inhaler for asthma?

Can vary: It can vary but it s still in the 90s. If you are having shortness of breath or wheezing the number would be lower also cold fingers can cause a change in the meters ability to detect accurately.

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Can steroid asthma inhaler still cause oral thrush when using a spacer?

Can steroid asthma inhaler still cause oral thrush when using a spacer?

Yes: Although a spacer may reduce the deposition of steroid on the throat, it does not eliminate it thus leading to thrush. Try gargling with water or a mouthwash after each use to see if this helps.

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I sometimes wheeze like asthma but antihistamines relieve it very effectively. Should I still be taking steroid inhalers?

I sometimes wheeze like asthma but antihistamines relieve it very effectively. Should I still be taking steroid inhalers?

Yes: Please continue using your steroid inhaler as prescribed, that's why your asthma is controlled, as for the antihistamine relieving wheezing, can't find an explanation, however there's no harm using it, keep your follow up with your doctor, best wishes

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My daughter has an asthma caused by allergy and she is taking singular one per day and steroid inhaler twice per day since 3 months. Is it gd?

My daughter has an asthma caused by allergy and she is taking singular one per day and steroid inhaler twice per day since 3 months. Is it gd?

Yes,: If this treatment regimen is controlling her symptoms and preventing asthma exacerbations. Your pediatrician should be following the asthma guidelines to manage your daughter's asthma. You can look up those guidelines online to get a better understanding of what I'm referring to. Just type in Pediatric Asthma Guidelines in any search engine.

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Recently went to ER having asthma attack. Still feel tightness & pain. Off of steroids now but still using inhaler/4 hrs. How much longer till I feel ok?

Recently went to ER having asthma attack. Still feel tightness & pain. Off of steroids now but still using inhaler/4 hrs. How much longer till I feel ok?

See your own doctor.: You should see your own doctor. You should feel better if you finished the steroid course. If you are still needing your inhaler every 4 hours and feeling tightness and pain, you may need a different kind of inhaler or an x-ray, but first you should be re-examined.

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Pulmicort vs steroids was not referencing anabolic steroids: other steroids (pills, liquid inhalers) for asthma. Dr told me not as damaging 2 body. T/f?

Pulmicort vs steroids was not referencing anabolic steroids: other steroids (pills, liquid inhalers) for asthma. Dr told me not as damaging 2 body. T/f?

True!: Pulmicort is an inhaled form of corticosteroid designed to reduce inflammation in your lungs that make asthma worse. The reason it has less side effects than the pill form is because the liver is able to break down much of the drug before it can affect the rest of your body. Pulmicort is the asthma drug of choice for pregnant patients and is category b.

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Shortness of breath not helped my inhaler or steroids never had asthma doc said acute broncitus but been 8 weeks?

Shortness of breath not helped my inhaler or steroids never had asthma doc said acute broncitus but been 8 weeks?

Be reassessed: It is unusual for you to remain SOB because of asthma after being treated for 8 weeks. You should return to your MD or to an urgent care center to be reviewed for other causes for your SOB. You may require a CXR or further testing.

Dr. Shah Chowdhury
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