sopularity_fax@sopuli.xyz to Ask Lemmy@lemmy.world · edit-221 hours agoDo any asthmatics take something like oral prednisolone as opposed to inhaled corticosteroids? Is it a recognized standard of treatment if the latter fails or even just a valid alternative per se?message-squaremessage-square10fedilinkarrow-up126arrow-down11
arrow-up125arrow-down1message-squareDo any asthmatics take something like oral prednisolone as opposed to inhaled corticosteroids? Is it a recognized standard of treatment if the latter fails or even just a valid alternative per se?sopularity_fax@sopuli.xyz to Ask Lemmy@lemmy.world · edit-221 hours agomessage-square10fedilink
minus-squareBroadfern@lemmy.worldlinkfedilinkEnglisharrow-up3·21 hours agoI would imagine it’s an emergency basis. Typical line of treatment goes: Emergency inhaler as needed (albuterol/Ventolin/ProAir) for mild asthma Maintenance inhaler (daily inhaled steroid) for moderate asthma Maintenance tablet (Singulair/montelukast) for moderate asthma with allergies Nebulizer treatments of 30ish min albuterol concentrate for bad flare ups/bad chronic asthma Short term steroid treatments for pneumonia/emergency applications Oxygen tanks for COPD/bad emergency ER trips, usually by ambulance Buuut that’s experience in the US with asthma. Other places in the world may differ.
minus-squaremoobythegoldensock@infosec.publinkfedilinkarrow-up2·18 hours agoThat’s the old guidelines. Current guidelines are combo maintenance inhaler as needed to start, then move to every day if needed. Singulair and nebulizers for asthma are falling out of favor as well.
minus-squareBroadfern@lemmy.worldlinkfedilinkEnglisharrow-up1·18 hours agoWhich is a shame, since I know I personally can’t do maintenance inhalers safely with a weak immune system as it is. I can’t be the only one, surely. I get the reasoning for Singulair due to its black box warning, though.
I would imagine it’s an emergency basis.
Typical line of treatment goes:
Emergency inhaler as needed (albuterol/Ventolin/ProAir) for mild asthma
Maintenance inhaler (daily inhaled steroid) for moderate asthma
Maintenance tablet (Singulair/montelukast) for moderate asthma with allergies
Nebulizer treatments of 30ish min albuterol concentrate for bad flare ups/bad chronic asthma
Short term steroid treatments for pneumonia/emergency applications
Oxygen tanks for COPD/bad emergency ER trips, usually by ambulance
Buuut that’s experience in the US with asthma. Other places in the world may differ.
That’s the old guidelines. Current guidelines are combo maintenance inhaler as needed to start, then move to every day if needed. Singulair and nebulizers for asthma are falling out of favor as well.
Which is a shame, since I know I personally can’t do maintenance inhalers safely with a weak immune system as it is. I can’t be the only one, surely.
I get the reasoning for Singulair due to its black box warning, though.