Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Updated: Dec 29 2021

Inhaled Steroids

  • Snapshot
    • A 25-year-old man presents to the clinic for complaints of "white patches" on his tongue for the past 2 weeks. He reports that the patches can be scraped off and does not bleed or cause pain. His medical history is significant for chronic asthma for which he was started on inhaled corticosteroids 3 weeks ago.
  • introduction
    • One of 7 medications used for asthma aimed to reduce inflammation and obstruction 
      • corticosteroids 
      • β-agonists 
      • Muscarinic antagonists 
      • Methylxanthines 
      • Cromolyn 
      • Antileukotrienes 
      • Omalizumab 
  • Inhaled Corticosteroids
    • Mechanism of action
      • inactivates NF-kB, the transcription factor that induces production of TNF-α and other inflammatory agents
        • subsequently inhibits the synthesis of most cytokines
        • examples
          • mometasone, fluticasone, budesonide, beclomethasone, triamcinolone, and flunisolide
    • Clinical use
      • chronic asthma
        • 1st line therapy   
      • chronic obstructive pulmonary disease (COPD)
    • Adverse effects
      • topical candidiasis/thrush
        • can be prevented with spacers or water rinse following usage of ICS  
      • dysphonia (e.g., hoarse voice)
      • lung infections (e.g., pneumonia)  
1 of 0
Private Note

Attach Treatment Poll
Treatment poll is required to gain more useful feedback from members.
Please enter Question Text
Please enter at least 2 unique options
Please enter at least 2 unique options
Please enter at least 2 unique options