Inhaled corticosteroids Flashcards
1
Q
MoA
A
Reduces inflammation in bronchi
2
Q
BD dosing
A
Beclometasone
Budesonide
Fluticasone
Mometasone (BD/OD)
3
Q
OD dosing
A
Ciclesonide
4
Q
Rx by brand
A
- CFC-free inhalers are not interchangeable.
- QVAR is twice as potent as Clenil modulite.
- QVAR is more potent that CFC-containing inhalers.
5
Q
Use
A
Must take regularly for 3-4 weeks for prevention/to see improvement
6
Q
Fostair
A
- Extra fine particles
- More potent that traditional CFC-Free inhalers (QVAR + Clenil)
Refrigerate
7
Q
Side effects
A
Hoarse voice
Sore throat
Oral candidiasis
8
Q
Oral candidiasis
A
Prevention = rinse mouth + brush teeth after using OR use a spacer.
Treatment = Daktarin gel (NOT with warfarin!!)
9
Q
Paradoxical bronchospasm
A
Stop and give alternative
Mild bronchospasm = use SABA before or use dry powder instead of pMDI
10
Q
Smoking
A
Current + previous history of smoking = reduced effectiveness (patient may need higher dose)
11
Q
Steroid card
A
Give in high dose ICS that is greater than the max licensed dose.
12
Q
Spacer
A
Use in:
- High dose ICS
- Patients under 15
