Systemic Corticosteroids for Relief During Asthma Attacks
The following medicines can be given as an
The following medicines can be given as pills or
How It Works
Systemic corticosteroids travel throughout the
body before reaching the airway. This results in more side effects and more
serious side effects than with inhaled corticosteroids, which treat
in the airways only.
Why It Is Used
Systemic corticosteroids help
control narrowing and inflammation in the airways of the in
asthma. They are used to:
- Get relief of
moderate or severe
symptoms during a
- Get control of symptoms
when you start long-term treatment of after your initial diagnosis.
Corticosteroids by mouth or injection
may be used as short-term treatment after an or when has not
been under control. "Burst" treatment with corticosteroids may be continued for 3 to
14 days or longer. A person who continues to have while being
treated with inhaled corticosteroids may need to have the dose of medicine increased.
Corticosteroids may make the episode shorter and prevent
early of episodes. The length of treatment with corticosteroids can
be different depending on the person. It your attack wasn't very severe, you
could take corticosteroids for only 3 days. But you may need to take them for
as long as several weeks for a very severe attack.
People who have
severe persistent may need to take corticosteroid pills or liquid by
mouth daily or every other day to control their symptoms.
Different types of medicines are often used together in the
- Children up to
little differently than those 5 to 11 years old.
4 are usually treated a
- The least amount
of medicine that controls the asthma symptoms is used.
- The amount
of medicine and number of medicines are increased in steps. So if is not
controlled at a low dose of one controller medicine, the dose may be increased.
Or another medicine may be added.
- If the
control for several months at a certain dose of medicine, the dose may be
reduced. This can help find the least amount of medicine that will control the
has been under
Your doctor will work with you to help find the number and
dose of medicines that work best.
How Well It Works
A review of research shows that
treatment with systemic corticosteroids during an reduced
hospital admissions and the frequency of in adults.footnote 1
A review of research on treatments for footnote 2in children found that systemic corticosteroids during an shortened the duration of hospital visits for for children.
In children, corticosteroid pills reduce the severity and length of an
them at the first sign of symptoms.footnote 3
All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask yourabout the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
- Usually the benefits of the medicine are more important than any minor side effects.
- Side effects may go away after you take the medicine for a while.
- If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. Do not suddenly quit taking your medicine unless your doctor tells you to.
Common side effects of long-term treatment with
corticosteroids given by mouth include:
- Slower growth or stunted growth in
- Problems with the body's ability to use glucose (diabetes).
- Bone weakening (osteoporosis) or possibly bone death (aseptic necrosis
of the femur) from changes in blood supply.
- Repeated infections,
bruising, and skin thinning (atrophy). Corticosteroids also make it less likely
you will have a , so that an infection is not always recognized
- Clouding of the lens of the eye (cataract).
To minimize or prevent side effects of
corticosteroids keep the dose of corticosteroids as low as
possible while still maintaining control.
See Drug Reference for a full list of side effects. (Drug
Reference is not available in all systems.)
What To Think About
If you have been using systemic corticosteroids for more
than 3 weeks and are going to stop taking them, you need to gradually decrease
the amount you use, rather than stopping them all at once. This will help avoid
problems with the .
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.
Advice for women
If you are pregnant, breastfeeding, or planning to get pregnant, do not use any medicines unless your doctor tells you to. Some medicines can harm your baby. This includes prescription and over-the-counter medicines,, herbs, and supplements. And make sure that all your doctors know that you are pregnant, breastfeeding, or planning to get pregnant.
Women who have gone through
possibly bisphosphonates (such as Fosamax)â€”to prevent bone loss
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
- Rodrigo G (2011). in adults (acute), search date April 2010. BMJ Clinical Evidence. Available online: ://www.clinicalevidence.com.
- Okpapi A, et al. (2012). and other recurrent wheezing in children (acute), search date June 2010. BMJ Clinical Evidence. Available online: ://www.clinicalevidence.com.
- Rachelefsky G (2003). Treating exacerbations of : The role of systemic corticosteroids. Pediatrics, 112(2): 382â€“397.
Current as of:
December 6, 2017