Cortisone side effects in long term inhalation

quaks

Hello

My daughter, now 14 months since inhaled with Kortisonpräperaten only (Flutide now Budnesoid). I have so far made little idea about me, since the cortisone really only a local and there is virtually none of the usual to decide to cheat.

Now I am, however, a few days ago stumbled on a side note, which said that would be in long-term inhalation (> 2 years, since we're still not) a significant, important side effects to expect.

Is there actually something to it?

I admit - I'm too lazy at the moment googlen to me through the Internet
But the Starbug should also give close to your subject for the thesis are, huh?

Regards
Sandra

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StarBuG

When one speaks of corticosteroid side effects, we mean things like the typical manner
Osteoporosis (bone loss), swollen face) (water retention, obesity, etc., summarizing what we mean by the term "Cushing's Syndrome."

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

Of course, every drug has its side effects, and budesonide is no different.
- Common (> 1% and <10%) increase in yeast infections of the mouth and throat (why give before eating or mouth, flush with water after inhalation)
- 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 long-term use should be monitored regularly.
- Rare (> 0.01% and <0.1%): depressed mood, restlessness, aggressiveness, hyperactivity, behavioral changes (especially for children).

If you're worried about, then say so but at times during your next visit with your allergist. I think that can advise you as best.
a) know) the treatment of your (and your) daughter and b of a lot more experience than me

But I would not worry me since.

I hope this helps you a little more

Greeting

Michael

quaks

Thanks, Michael

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

Besides, I still believe in the improvement with increasing age :-)

My straw is the statement of our surgeons, "Two is better"
That's just nen half a year - even though we're already back in the middle of the infection period - do not lose hope no matter * *

Regards
Sandra

StarBuG

Why did your daughter get it with 1 1 / 2 years now, a cortisone-term therapy?

quaks

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 this is the time where the other usual infant infections (stomach and intestine, can display clearly fiber-like viral infection). * nerv *
Otherwise, it is changeable - sometimes it's just a slimy little - what's) for OA of the Child (OA = esophageal not entirely unusual - and then it is also little or no obstructive. But chances are after a while nen virus or some nasty bacteria, and this can then be hairy. The antibiotic will also act kindly requested not always like and have to be implemented.

Reasons for this - hmm we stay a few to choose from:

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

I'm not quite sure how well the cortisone will help - 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


Regards
Sandra