Most cases, asthma patients are told to take more steroid inhaler doses to get the disease back under control. This practice is believed to be faulty by some Nottingham, UK researchers. The key to asthma therapy is getting the symptoms under control, so that patients suffer fewer attacks and need less of their reliever inhalers.

The team from City Hospital Nottingham (UK) launched a study to test whether the extra steroids were having an impact. They found that doubling the dose of inhaled steroids had no impact on the length of time it took for peak flow to return to normal levels.

From Medical News Today:

Advice to asthmatics to boost their intake of drugs when their condition deteriorates may be flawed, say Nottingham (UK) researchers.

They gave patients an extra supply of inhalers, and told them to break into it when their peak flows began to worsen.

Some patients, however, received dummy inhalers with no drug in them.

The two groups were then compared to see if the extra steroids were good for the patient.

‘Our findings provide little support for the recommendation that patients taking an inhaled corticosteroid should double the dose when asthma control is deteriorating.’ they wrote.

‘Such advice should include, as the authors of this paper say, a reserve supply of steroid tablets.’

The UK research team also found out that increasing the dose of inhaled steroids had no effect on the number of patients who ended up needing more powerful steroids in pill form to control their asthma. The study does not in any way detract from the British Asthma Guideline recommendation that people with asthma should be given personalized advice as to how to alter their therapy themselves to keep themselves well. But the findings should give healthcare providers more information about how to manage deteriorating asthma.

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