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Unexpected effects of inhaled fluticasone in an HIV patient with asthma
C Nocent1, C Raherison, M Dupon
1Service des Maladies Respiratoires, Hôpital Haut Lévèque, Pessac Cedex, France. cejnaini@9online.fr
Abstract:
International guidelines recommend prescription of inhaled corticosteroids to improve asthma control. Chronic secondary adrenal suppression due to inhaled corticosteroids has been described. We report a case of acute adrenal suppression due to drug interaction between Fluticasone and antiretroviral therapy in a HIV patient. Seeing an increased prevalence of hyperresponsiveness among HIV-infected men, we conclude that coprescription of Fluticasone and highly active antiretroviral therapy must be carefully controlled.
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