thanks to all for your comments - sure we use inhaled steroids here in Italy
- the fact here was that the girl for many years did well on salbuterol
(Ventolin spray) and even better on salmeterol prophylactically - she never
presented a need for a more aggressive approach - infrequent attatcks in the
past were rapidly controlled with theophyline (Theo-Dur caps or syrup) - is
the group trying to tell me that it is common practice to put patients on
inhaled steroids continuously prophylactically no matter what even if they
are asymptomatic for a considerable time - my understanding of the practice
here by our pulmonary specialists is that continued use of inhaled steroids
is used only for patients rather refractory to salbutamol/salmeterol I must
say with no delay.
The oral steroid that I used - deflazacort *always* gave me spectaclar
results in the past - must have used it on 20-30 patients but we are
obviously talking about a symptomatic approach and not a prophylactic one.
Kenacort-R is the same as Kenalog whatever the long acting injectable form
is called. Thanks again for your thoughts and more thanks for your
feelings. Fred
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dr. frederick a. deutsch
viale s. lazzaro 114
36100 vicenza (italia)
tel: 0444-562694
email: <[log in to unmask]>
medicina di base, neurologia
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