Patients with persistent asthma require medications that provide long-term control of their disease and medications that provide quick relief of symptoms. D., West Virginia University School of Medicine, Morgantown, West Virginia CHARLES D. D., West Virginia University Schools of Pharmacy and Medicine, Morgantown, West Virginia Am Fam Physician. Asthma, a common chronic inflammatory disease of the airways, may be classified as mild intermittent or mild, moderate, or severe persistent. Medications for long-term control of asthma include inhaled corticosteroids, cromolyn, nedocromil, leukotriene modifiers and long-acting bronchodilators. Inhaled corticosteroids remain the most effective anti-inflammatory medications in the treatment of asthma. Quick-relief medications include short-acting beta agonists, anticholinergics and systemic corticosteroids. The frequent use of quick-relief medications indicates poor asthma control and the need for larger doses of medications that provide long-term control of asthma. New guidelines from the National Asthma Education and Prevention Program Expert Panel II recommend an aggressive “step-care” approach. Steroids, anti-inflammatory drugs such as prednisone, can be used for asthma as well as other lung diseases. Prednisone and other steroids (inhaled, oral, or by injection) help calm airway inflammation in asthma. If you've ever had a serious asthma attack, you may have had high doses of steroids in the hospital administered intravenously. If you have serious worsening of asthma symptoms (an asthma attack), your doctor may prescribe a brief course of oral steroids such as prednisone. Oral steroids may also be prescribed when your asthma symptoms worsen but you do not require hospitalization. Oral prednisone is a systemic anti-inflammatory steroid. That means that after taking prednisone by mouth (orally), it is absorbed in the body, unlike inhaled steroids (anti-inflammatory asthma inhalers) that go straight to the lungs. Prednisone decreases your immune system's response to reduce symptoms such as swelling and allergic-type reactions.
Dec 18, 2017. How much more medicine would you get with one burst of prednisone, vs your daily inhaler sometimes called an inhaled corticosteroid. Available as pills and syrups. Often necessary for treating more severe episodes of asthma; Usually prescribed as a "burst" 2-7 days, occasionally up to several.