CorticosteroidsBeclomethasone dipropionate (Beclovent®, Vanceril®), dexamethasone(Decadron®) flunisolide (Aerobid®), triamcinolone (Azmacort®)CorticosteroidsCorticosteroidsBeclomethasoneBeclomethasonedipropionatedipropionate(BecloventBeclovent®, , VancerilVanceril®), ), dexamethasonedexamethasone(DecadronDecadron®) ) flunisolideflunisolide(AerobidAerobid®), ), triamcinolonetriamcinolone(AzmacortAzmacort®)•Used only if other therapy does not control symptoms. •Positive interaction of inhaled corticosteroids and long acting sympathomimetics•Corticosteroid available as aerosol, tablets, and injections. Note: when these medications are needed, side effects of inhalersare much more acceptable than consequences of non-treatment.
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CorticosteroidsCorticosteroidsCorticosteroids•Therapeutic Uses–asthma and other severe COPD –status asthmaticus (associated with bronchospasms)•Mechanism of Action–suppression of antibody formation (including IgEresponsible for allergy attacks)–increases cyclic AMP which is needed for bronchodilation–decreases cyclic GMP which causes bronchoconstriction