Question

A client with a diagnosis of asthma has responded well to treatment with oral corticosteroids, and a switch to inhaled corticosteroids is planned. What strategy for managing this change in treatment should be implemented?

Answer 1

The best strategy is to start the inhaled coticosteroids, during the tapering of the oral corticosteroids.

Tapering of drug is the reduction of drug dosage gradually so as to manage the withdrawal syndrome and therefore the plasma levels of the drug. The medication is reduced at fixed intervals by the subject.

This is necessary in this scenario to prevent deficiency in blood cortisol levels as a result of adrenal suppression from long oral corticosteroids treatment. Therefore the inhaled medication should commence when the dosage of oral has reduced,/temperd

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