Theme: Cortisone side effects in long term inhalation

Hello

My daughter has been inhaled now 14 months Kortisonpräperaten (Flutide until now Budnesoid). I've made so far little thought about it, since the cortisone really only acts locally and it comes to any of the usual quasi Nebewirkungen.

Now I am, however, a few days ago stumbled on a side note, in which it was said, that would be in long-term inhalation (> 2 years, since we are not yet expected) a significant, important side effects.

Is there actually something to it?

I admit it - I'm too lazy to google right now to me through the Internet
But Starbug should also give the lie close to your subject for doctoral work, right?

Greetings
Sandra

When we speak of cortisone side effects, one typically thinks things like
Osteoporosis (bone loss), swollen face (water retention), obesity, etc., which we summarize under the term "Cushing's syndrome.

These symptoms / side effects are usually on systemic cortisone, over a longer period of time above the threshold level, the so-called 'Cushing threshold. At high doses of inhaled corticosteroids has the inhaled and systemic.
From 2 years I can find nothing in its label. It is only by high doses over a long period of the speech.

Of course, each drug's side effects, and budesonide is no different.
- Common (> 1% and <10%) increase in fungal infections in the mouth and throat (why give before meals or rinse mouth after inhalation of water)
- Rare (> 0.01% and <0.1%): With prolonged use may develop in rare cases of osteoporosis. In children and adolescents can lead to delays in growth. Therefore, the growth in longer-term use be monitored regularly.
- Rare (> 0.01% and <0.1%): Depressed mood, restlessness, aggressiveness, hyperactivity, behavioral changes (especially in children).

If you're worried about, say, but this time in to your next visit with your allergist. I think you can because the best advised.
a) knows of the treatment of your (and your) daughter, and b) has the much more experienced than me

But I would not worry since.

I hope that helps a little bit more

Greeting

Michael

Thanks Michael

My worry about keeping still in bounds.
It is more informative interest.

Also, I think even to the improvement with increasing age :-)

My straw is the statement of our surgeons "get on better with two"
That's only half NEN year - even though we're already in the middle of the infection period - no matter * hope not * lose

Greetings
Sandra

Why your daughter gets because with one half years ago a cortisone-term therapy?

Because far too many mostly obstructive bronchitis, which must be treated with antibiotics too often.

If they really times three weeks is completely symptom-free, then that is a very long time and unfortunately this is very rare. And then the time is where you can apply the other usual infant infections (stomach and intestine, fiber-like virus infection) good. * * Nerve
Otherwise, it is variable - sometimes it is just a little slimy - what ÖA children (ÖA = esophageal atresia) are not entirely uncommon - and then it is also little to no obstructive. But there is usually some time yet NEN virus or some nasty bacteria and then back to hairy. The antibiotics work then kindly requested not always the way and must be re-implemented.

Causes for this - hmm we will have a few to choose from:

a) hypersensitive bronchial
b) Tracheo / bronchomalacia (where the cat bites its own tail here - presumably because the one maintained by the Other)
c) violation of the trachea by the former fistula - place where Sektret collects and therefore can draufsetzten good bacteria
d) GERD - reflux of gastric juices into the esophagus and up into the throat (especially in clarifying how hard it is) get Until recently it has here, acid blocker (omeprazole)
e) IgE deficiency - but can not be ...
f) and then have a brother who goes into the KiGa ...

I'm not sure how well the cortisone helps - but who knows how the bronchitis would otherwise expire. We already had two KH-stays where she needed oxygen, antibiotics / cortisone previous year and once so "nice" stuff like Bronchoparat


Greetings
Sandra