Inhaled Corticosteroids: The First-Line Alternative

For many with asthma, inhaled corticosteroids (ICS) offer the best initial treatment option after a proper diagnosis. They directly reduce inflammation in the airways, lessening symptoms like wheezing and coughing. ICS are available as metered-dose inhalers (MDIs), dry powder inhalers (DPIs), and nebulizers, offering flexibility for different patient needs.

Choosing the Right ICS

Your doctor will determine the appropriate ICS based on your asthma severity and response to treatment. Factors like age, other health conditions, and personal preferences also play a role in this decision. Some common ICS medications include fluticasone, budesonide, and beclomethasone. Regular use is key to managing inflammation and preventing exacerbations. Proper inhaler technique is crucial for optimal delivery. Your doctor or a respiratory therapist can provide instruction on the correct way to use your inhaler.

Managing Side Effects

While generally safe and well-tolerated, ICS can cause side effects, such as thrush (a fungal infection in the mouth) or voice changes. These are usually mild and manageable with proper rinsing of the mouth after each use and by using a spacer. Discuss any concerns about side effects with your doctor; they can adjust your medication or offer strategies to mitigate any negative impacts.