John said:
>Does anyone have any experience in using it in patients with end stage COAD
>with no proven steroid response but subjective and objective improvement in
>pefr with B2 agonists & anticholinergics?
>
>i.e. no steroids....inhaled or otherwise
Must admit to taking COPD patients off inhaled steroids where there has been
no demonstrable benefit however read some blurb where I noted a small study
in which although inhaled steroids do not improve the FEV1/FVC in some, they
*do* however reduce if not halt the inevitable precipitate decline in lung
function with time. Is there still a place for inhaled steroids then in
*all* COPDs??
Anyone with any more info on this??
Paul Attwood
GP Ramsgate
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