Inhaled steroids (IS) for the treatment of asthma have become a standard in the U.S. and many countries around the world. They are an essential cornerstone in the management of persistent asthma. Adverse effects of IS are minimal, but a small percentage of patients may experience dysphonia (hoarseness, weakness or loss of voice), throat irritation, cough or candida overgrowth (oral thrush).
Many patients who have hoarseness related to IS describe a subtle onset which began months or years after starting the inhaler. There is increased risk of voice change with higher doses or strengths of inhaled steroid. It’s often very frustrating when you have established a good routine of daily inhalations and have reaped the rewards of good asthma control, but later learn the wonder drug is weakening your voice.
Studies have reported between 10-50% of patients on IS experience hoarseness, although package inserts only reflect a range of 1-8%. In my practice it always seems to be a singer,...
Many news sources recently reported that new research suggests that the negative effects of taking low-doses of steroids may be modest and that taking steroids at early onset can significantly minimize joint damage from Rheumatoid Arthritis . Researchers in Britain recently completed a review of 15 previously published studies including more than 1400 patients that focused on the effects of treating RA with glucocorticoids (steroids such as prednisone).
For years, doctors have tried to avoid prescribing high doses of steroids to patients over extended periods of time because of the health risks involved. High doses have been proven to contribute to osteoporosis, heart disease, cataracts, weight gain, high blood sugar and high blood pressure. Because of this, there is concern about prescribing them at any level, low or high, over the long-term.
But after considering all of the evidence before them, these researchers believe that patients should have the option of taking low ...
Generic Name: GUAIFENESIN - ORAL Pronounced: (gwye-FEN-e-sin) Cough Control (Guaifenesin) Oral Uses
Guaifenesin is used to treat coughs and congestion caused
by the common cold, bronchitis, and other breathing illnesses. This product is
usually not used for ongoing cough from smoking or long-term breathing problems
(such as chronic bronchitis, emphysema) unless directed by your doctor.
Guaifenesin is an expectorant. It works by thinning and loosening mucus in the
airways, clearing congestion, and making breathing easier.
If you are self-treating with this medication, it is
important to read the package instructions carefully before you start using
this product to be sure it is right for you. (See also Precautions
Cough-and-cold products have not been shown to be safe or
effective in children younger than 6 years. Therefore, do not use this product
to treat cold symptoms in children younger than 6 years unless specifically
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