Hi Glogs. I’m no expert, so maybe others have different experiences, but I’m familiar with steroid injections for acute asthma attacks and that slow release steroid injections are not the general course of treatment. One of our experts did write this article about corticosteroid injections and the fact that they can sting quite a bit: https:///living/steroid-injections-a-pain-in-the-butt/ . Hopefully others will have some input or ideas on better tolerating the oral steroids. The new specialist may also have have some alternative treatment recommendations. Please keep us posted on how things go. Best, Richard ( Team)
When used in high doses, a small amount of the medication is absorbed into the bloodstream and some side effects beyond the mouth and throat may develop. The most likely to be encountered are easy bruisability of the skin and suppression of the adrenal glands. The significance of adrenal gland suppression is discussed in further detail in the pamphlet entitled Asthma and Steroids in Tablet Form , prepared by the Partners Asthma Center. The risk from the long-term use of inhaled steroids in terms of hastening thinning of the bones (osteoporosis) is currently being studied. However, it is widely agreed that any risk that may be discovered will be far less than that resulting from use of steroids in tablet form in doses needed to achieve the same control of asthma.
A recent meta-analysis undertaken for the National Asthma Campaign in preparation for the revised Asthma Management Handbook showed that combination therapy with an inhaled corticosteroid and a long-acting beta agonist achieved statistically greater improvements in lung function tests than inhaled corticosteroids alone in patients aged 4-80 years who had previously not received corticosteroids. These improvements may not always be of clinical importance, but combination therapy also resulted in fewer exacerbations in patients who were symptomatic on inhaled corticosteroids alone.