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Inhaled Steroids Also Promote Osteoporosis.
SAN FRANCISCO -- The use of chronic corticosteroids has become so popular that "we might as well put it in the drinking water," Dr. Mary Frank remarked at the annual meeting of the California Academy of Family Physicians.
But patients--especially young asthmatics--are paying a big price: a threefold risk of bone fracture due to osteoporosis.
"We're really getting control of asthma and control of allergic symptoms with inhaled steroids, but it turns out that inhaled steroids are just as bad as oral steroids when it comes to the risk of osteoporosis," said Dr. Frank, a family physician who is medical director of Primary Care Associates of Rohnert Park (Calif.). "It might take you longer to get there, but you're still going to get there."
Intranasal corticosreroids also can increase bone loss, but only if the daily doses are 1,000-2,000 [micro]g or more.
Bone loss does not occur with low-dose intranasal corticosteroids, she said.
In general, fractures occur in 25%-40% of patients on chronic corticosteroid therapy. The most common fracture is vertebral, but the risk of hip fracture also rises sharply.
To help prevent corticosteroid-induced osteoporosis, use the lowest effective dose for the shortest effective ...
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- Newspaper article from: The Cincinnati Post (Cincinnati, OH) September 27, 2001 700+ words
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- IN NEW STUDY, 4 OUT OF 5 INHALED STEROIDS INVESTIGATED SHOWED ADVERSE SYSTEMIC...
- Press release article from: PR Newswire July 30, 1996 700+ words
...effects may indicate a higher risk of the long term effects of systemic steroids. These long term effects include osteoporosis (bone loss), hypertension, hyperglycemia, and in children, suppression of bone growth." According to Lawrence Olanoff, MD, PhD...
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- Magazine article from: Science News Sternberg, Steve March 8, 1997 700+ words
...sigh of relief with the advent of inhaled steroids in the early 1990s. These widely...of oral steroids. So effective are inhaled steroids at staving off asthma attacks that...research indicates, however, that inhaled steroids may have an unsuspected dark side...
- Inhaled steroids produce variable benefits in the treatment of asthma.
- Newspaper article from: Immunotherapy Weekly May 15, 2002 700+ words
...demonstrated that low to medium doses of inhaled steroids are usually sufficient to improve...Increasing to high doses of the inhaled steroids failed to achieve greater improvement...those who will and will not respond to inhaled steroids. "Inhaled steroids have ...
- Inhaled steroids effective for moderate asthmatics.
- Newspaper article from: Asthma Management November 1, 1999 700+ words
Inhaled steroids effective for moderate asthmatics...asthma can get by on once-a-day inhaled steroids, whether it is Pulmicort or any...dose, Ford says. We know that inhaled steroids work best when divided into several...
