What is the role of inhaled steroids in COPD?
Inhaled steroids are recommended for symptomatic patients with moderate to severe COAD and for patients with frequent
exacerbations but not for patients with mild COAD (N Engl J Med 2000; 343: 1960-1). Budenoside, fluticasone and triamcinolone
were studied in long-term clinical trials (N Engl J Med 1999; 340: 1948-53; Lancet 1999; 353: 1819-23; BMJ 2000: 320: 1297-303)
and all were similar except that triamcinolone has deleterious effects on bone density (N Engl J Med 2000; 343: 1902-9).
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