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- Title
Zasady postępowania u chorych z rozpoznaniem astmy ciężkiej leczonych glikokortykosteroidami systemowymi - zalecenia ekspertów dotyczące redukcji dawek i odstawiania tych leków.
- Authors
Kucharczyk, Aleksandra; Bednarek-Papierska, Lucyna; Barczyk, Adam; Kuna, Piotr; Nittner-Marszalska, Marita; Obojski, Andrzej; Śliwiński, Paweł; Kupczyk, Maciej
- Abstract
According to GINA guidelines chronic therapy with oral glucocorticosteroids in patients with severe asthma must be limited to those who have been excluded from biological therapies, and other interventions have proved unsuccessful, as the use of even single doses of systemic glucocorticosteroids is associated with the risk of severe side effects. Therefore, optimal asthma control should be pursued in all cases, and each patient must be monitored for the number of exacerbations and the use of systemic corticosteroids. This will allow the identification of patients who are not optimally treated, who should be referred to specialist centers in order to deepen the differential diagnosis and possibly initiate biological therapy. In most patients, this enables a reduction in the number of exacerbations, as well as a significant dose reduction or withdrawal of long-term oral glucocorticosteroids, the use of which should be significantly limited due to numerous side effects. Discontinuation of oral glucocorticosteroids is a major problem, as symptoms of adrenal insufficiency develop in more than half of patients after prolonged use of these drugs. These are the first recommendations regarding the proposed diagnostic and therapeutic management in this group of patients.
- Subjects
DRUG therapy for asthma; THERAPEUTIC use of glucocorticoids; GLUCOCORTICOIDS; DIFFERENTIAL diagnosis; ADRENAL insufficiency; BIOTHERAPY; DOSE-effect relationship in pharmacology; TERMINATION of treatment; DISEASE management; DISEASE exacerbation; SYMPTOMS
- Publication
Polish Journal of Allergology / Alergologia Polska, 2022, Vol 9, Issue 2, p70
- ISSN
2353-3854
- Publication type
Article
- DOI
10.5114/pja.2022.116292