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Related Concept Videos

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Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
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Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
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Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
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Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Side effects of inhaled corticosteroids

J H Toogood1

  • 1London Health Sciences Centre, University Of Western Ontario, London, Ontario, Canada N6A 4G5.

The Journal of Allergy and Clinical Immunology
|November 18, 1998
PubMed
Summary

Inhaled corticosteroid (ICS) therapy is safer than other asthma drugs, but high doses can cause side effects. Use the lowest effective dose to minimize risks like eye problems and bone density loss.

Area of Science:

  • Pulmonology
  • Pharmacology

Background:

  • Inhaled corticosteroids (ICS) are a cornerstone of asthma management.
  • Comparing ICS risks to other antiasthmatic medications is crucial for patient safety.

Purpose of the Study:

  • To evaluate the safety profile of inhaled corticosteroid (ICS) therapy in asthma patients.
  • To identify potential risks associated with different doses of ICS and other asthma medications.

Main Methods:

  • Review of existing literature and clinical data on ICS and alternative asthma treatments.
  • Analysis of reported side effects, including ocular, growth, and bone metabolism changes.

Main Results:

  • ICS therapy demonstrates a lower risk of morbidity and mortality compared to prednisone, theophylline, and beta2-agonist bronchodilators.

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  • Serious side effects from ICS are rare but increase with higher daily doses.
  • Ocular symptoms, reduced growth velocity, and potential bone metabolism changes (especially with high doses) require monitoring.
  • Conclusions:

    • Minimizing ICS risk involves using the lowest effective daily dose for optimal asthma control.
    • Prompt evaluation by an eye specialist is recommended for ocular symptoms during ICS therapy.
    • Further research is needed to understand the long-term impact of ICS on pediatric growth and bone density, and to develop specific guidelines for preventing bone loss.