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Giant doses of steroids dont help kids control asthma flareups and might stunt their growth, researchers reported Saturday.
And they barely help adults, either, according to a pair of reports published in the New England Journal of Medicine and presented at an allergy meeting.
Its a common practice but one that providers might want to reconsider, said Dr. Elizabeth Matsui, a professor of pediatrics at Johns Hopkins University.
The practice of increasing the dose of inhaled glucocorticoids in children is generally not endorsed in guidelines. But if you talk to asthma specialist and primary care providers it is fairly common practice, Matsui said.
Asthma is a serious and chronic condition. Patients and their parents if they are children must juggle a menu of treatments that include daily inhalers, rescue inhalers for acute attacks and, sometimes, pills.
All sorts of things, from allergies to exercise, can worsen asthma. Keeping it under control requires daily vigilance.
Dr. Daniel Jackson of the University of Wisconsin school of medicine and colleagues wanted to check the benefits of trying to control asthma in whats called the yellow zone when symptoms have worsened, but its not quite ...