Steroids for COPD
Oral steroids
You’ll
typically use steroids in pill or liquid form for a moderate or serious
flare-up, also known as an Acute Exacerbation.
These
fast-acting oral medications are usually prescribed for short-term use, often
five to seven days. Your dose will depend on the severity of your symptoms, the
strength of the particular medicine, and other factors.
Chronic obstructive pulmonary disease is a group of conditions
that affect how well a person breathes. Doctors usually treat the condition
with bronchodilators but may also prescribe steroids.
Risk
factors for chronic obstructive pulmonary disease (COPD) include cigarette
smoking or exposure to irritants, such as chemicals or pollution. These factors
can damage the air sacs and airways in the lungs.
There
is no cure for COPD, so treatments typically aim to improve a person's quality
of life and prevent the condition from getting worse.
When
bronchodilators cannot control the condition, a doctor may prescribe steroid,
or corticosteroid, treatments. These are medications that can reduce inflammation in the
airways, making it easier to breathe.
While
steroids are available as tablets, inhaled steroids are also available. This
article will explore the research behind using steroids as a treatment for
COPD, including how they work and the possible risks.
For
example, the adult dose of prednisone may be anywhere from 5
to 60 milligrams (mg) daily.
Prescription
medication and other treatment decisions should always be made on an individual
basis.
Among
the more commonly prescribed oral steroids for COPD are:
- Prednisone (Prednisone Intensol,
Rayos)
- Hydrocortisone (Cortef)
- Prednisolone (Prelone)
- Methylprednisolone (Medrol)
- Dexamethasone (Dexamethasone
Intensol)
Prednisone
and prednisolone are considered off-label drugs for treating COPD.
Benefits
Studies show
oral steroids often help you start to breathe easier very quickly.
They’re
also usually prescribed for short-term use. This makes you less likely to
experience complications associated with long-term use of the medication.
Side
effects
Side
effects from short-term use of steroids are usually minor, if they occur at
all. They include:
- Water retention
- Swelling,
usually in your hands and feet
- Increase
in blood pressure
- Mood swings
Prolonged
use of these medications may raise your risk of:
- Diabetes
- Cataracts
- Osteoporosis, or bone
density loss
- Infection
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