Inhaled meds work almost instantly, 99% of oral meds take up to an hour to even hit the bloodstream, often more to hit peak blood concentration. If inhaled meds aren’t working you don’t have time for an oral med to work; at that point you’re tubing the person.
A corticosteroid also has way too many side effects to be taken long term, like another user said. Long term you’re talking one of the more targeted immune modifying drugs like singulair.
Now what you would still use a corticosteroid for is an acute exacerbation that’s not an emergency. So like, pneumonia where you’ve got the person on a shitton of antibiotics and you need their inflammation to sit down and shut up for a second while they work. So their throat hasn’t actually started closing up yet but it might try if you don’t use the steroid.
Hope this helps.
(I do see some people saying best practice is shifting away from this; I work psychiatry so our patients aren’t always getting top of the line care. I take whatever bones the hospitalist deigns to throw us, LOL)
Inhaled meds work almost instantly, 99% of oral meds take up to an hour to even hit the bloodstream, often more to hit peak blood concentration. If inhaled meds aren’t working you don’t have time for an oral med to work; at that point you’re tubing the person.
A corticosteroid also has way too many side effects to be taken long term, like another user said. Long term you’re talking one of the more targeted immune modifying drugs like singulair.
Now what you would still use a corticosteroid for is an acute exacerbation that’s not an emergency. So like, pneumonia where you’ve got the person on a shitton of antibiotics and you need their inflammation to sit down and shut up for a second while they work. So their throat hasn’t actually started closing up yet but it might try if you don’t use the steroid.
Hope this helps.
(I do see some people saying best practice is shifting away from this; I work psychiatry so our patients aren’t always getting top of the line care. I take whatever bones the hospitalist deigns to throw us, LOL)