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Endocrine effects of inhaled budesonide compared with inhaled fluticasone propionate and oral prednisolone in healthy Beagle dogs.
Author: JunnilaJouni, MelamiesMarika, RajamäkiMinna M, SpillmannThomas, VainioOuti
Original Abstract of the Article :
Orally administered corticosteroids are commonly used to treat chronic respiratory disease, but adverse effects suggest that the inhalation route may be safer. To compare the systemic effects of inhaled and oral corticosteroids, a prospective, randomised, placebo-controlled cross-over study was cond...See full text at original site
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引用元:
https://doi.org/10.1016/j.tvjl.2012.04.029
データ提供:米国国立医学図書館(NLM)
Comparing the Endocrine Effects of Inhaled Corticosteroids
The use of [corticosteroids] is common in the management of [chronic respiratory diseases], but concerns about their [systemic effects] have led to the exploration of [inhaled corticosteroids] as a safer alternative. This study compared the [endocrine effects] of [inhaled budesonide and fluticasone propionate] to [oral prednisolone] in [healthy Beagle dogs], investigating their impact on [cortisol production].
The Endocrine Impact of Corticosteroids
The study found that [oral prednisolone] significantly suppressed [basal serum cortisol levels], while both [inhaled fluticasone and prednisolone] significantly suppressed [ACTH-stimulated peak cortisol levels], compared to [inhaled budesonide]. These findings suggest that [inhaled budesonide] may have a less pronounced effect on [cortisol production] compared to [inhaled fluticasone and oral prednisolone].
Considerations for Corticosteroid Therapy
This study provides valuable insights into the [systemic effects] of various [corticosteroids], highlighting the potential differences in their endocrine impact. These findings underscore the need for careful consideration of the [route of administration] and the potential for [suppression of cortisol production] when prescribing corticosteroids, especially in patients with [preexisting endocrine conditions]. Just as a desert traveler needs to be mindful of the impact of the sun and heat, so too must healthcare providers be aware of the potential endocrine consequences of corticosteroid therapy.
Dr.Camel's Conclusion
The choice of corticosteroids, like selecting the right path through a desert, requires careful consideration of the potential consequences. This study sheds light on the varying endocrine effects of different corticosteroids, highlighting the importance of tailoring treatment strategies to individual needs. It's a reminder that even seemingly similar medications can have different effects, emphasizing the need for informed decision-making in healthcare.
Date :
- Date Completed 2013-11-25
- Date Revised 2015-11-19
Further Info :
Related Literature
English
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