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Why Letting Patients On Inhaled Corticosteroïds (triple Therapy) And Not Take Them Off When Not Necessary Anymore (bi-therapy) ?
Triple therapy which include inhaled corticosteroids is often prescribed and is worth it.
But if the patient does not have yearly severe exacerbation which necessitate hospitalization nor has high Eosinophils in his blood, Corticosteroids could be taken off, and the treatment decelerate to a bi-therapy.
I think one must absolutely address his doctors for this, as corticosteroids on long-term have very bad systemic effects on the overall health.
💞🧸
Long-term use of corticosteroids can have… read more
I like to get all opinions and note the date it's written ...the best spot on advice I've gotten is from a pharmacist...and then another pharmacist an hour away...one thing I know, we got to find out how many hours of updated training our doctor gets a year .. some are zero..no thanks...
When it comes down to what a doctor prescribed and why and when, that most times is the difference between a degree on Googled information or the minimum of about 8 years training the doctor has to have to perscribe the treatment, I think if I have questions I will ask the doctor and not the street sweeper.
I downloaded the 215 page document, @A MyCOPDTeam Member, and thank you for providing this link. I’m working my way through it.
Wednesday night, 01-JAN-25
@A MyCOPDTeam Member I'm well aware of corticosteroids risks, this is the reason of my post. Plus, these are the guidelines the COPD Gold Report 2025 which DOCTORS are absolutely supposed to strictly follow! (if not necessary, take off of the corticosteroids). When one see his doctor, he must address this to him. https://goldcopd.org/2025-gold-report/
@A MyCOPDTeam Member, my supposition as to why doc’s don’t take one off inhalers after an acute episode:
- patient fear or pushback (which stress can further aggravate breathing difficulties)
- they aren’t updated on the latest brain damage / white brain matter concerns
- they don’t have anything more to offer, and the patient is tolerating it well
There have been a number of studies done, including a 2022 black box label requirement from the FDA to highlight the risks, and yet many doctors still prescribe it.
I refuse to stay on inhalers, worried about osteoporosis and cataracts, as well as the number of folks in my family who ended up with some form of dementia, yet my doc would prefer me on inhalers vs anything else.
We have compromised with me always having access to inhaled medication, but rarely using it unless it’s critical as I fear the side effects and want an inhaler available in my war chest that I haven’t built up a tolerance to in the event of an emergency.
Your best bet as an educated patient is to research, participate in your own care, and advocate for or against the use of any medication that you don’t trust.
Hugs.
Tuesday evening, New Year’s Eve, 31-DEC-24
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