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Beware the inhaled steroids or corticophobia?
Dimos K Gidaris1, Stella Stabouli2, Andrew Bush3
1University of Nicosia Medical School, Cyprus / Aristotle University of Thessaloniki, Thessaloniki, Greece.
Swiss Medical Weekly
|February 13, 2021
Summary
Inhaled corticosteroids are vital for asthma control, offering significant benefits despite potential side effects. Addressing parental fears, or "corticophobia," is crucial for effective asthma management and patient well-being.
Area of Science:
- Pulmonology
- Allergy and Immunology
- Pharmacology
Background:
- Inhaled corticosteroids (ICS) are foundational treatments for allergic and atopic asthma.
- Despite their efficacy and safety, parental concerns about ICS side effects persist globally.
- These concerns, termed "corticophobia," can impede optimal asthma management.
Purpose of the Study:
- To review the local and systemic side effects associated with inhaled corticosteroids.
- To investigate the prevalence and characteristics of parental "corticophobia" worldwide.
- To emphasize the importance of physician communication in addressing these fears.
Main Methods:
- Literature review of inhaled corticosteroid side effects.
- Analysis of studies reporting parental fears regarding ICS use.
- Synthesis of data on the impact of corticophobia on asthma management.
Main Results:
- Inhaled corticosteroids have a well-established safety profile with manageable side effects.
- Parental fears regarding ICS are prevalent across diverse geographical regions.
- Misconceptions about ICS contribute significantly to treatment adherence challenges.
Conclusions:
- Physicians must actively address parental "corticophobia" by providing clear, evidence-based information.
- Emphasizing the benefits and safety of ICS is essential for improving asthma control.
- Overcoming parental fears can lead to better therapeutic outcomes in asthma patients.
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