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Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice
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Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice
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Journal Article
Overuse of inhaled corticosteroids in COPD: five questions for withdrawal in daily practice
2018
Overview
Evidence and guidelines are becoming increasingly clear about imbalance between the risks and benefits of inhaled corticosteroids (ICSs) in patients with COPD. While selected patients may benefit from ICS-containing regimens, ICSs are often inappropriately prescribed with - according to Belgian market research data - up to 70% of patients in current practice receiving ICSs, usually as a fixed combination with a long-acting β
-adrenoreceptor agonist. Studies and recommendations support withdrawal of ICSs in a large group of patients with COPD. However, historical habits appear difficult to change even in the light of recent scientific evidence. We have built a collaborative educational platform with chest physicians and primary care physicians to increase awareness and provide guidance and support in this matter.
Publisher
Dove Medical Press Limited,Dove Medical Press Ltd,Dove Press,Dove Medical Press
Subject
/ Adrenal Cortex Hormones - administration & dosage
/ Asthma
/ Bronchodilator Agents - administration & dosage
/ Chronic obstructive lung disease
/ Chronic obstructive pulmonary disease
/ COPD
/ Humans
/ Inappropriate Prescribing - prevention & control
/ Patients
/ Prescription Drug Overuse - prevention & control
/ Pulmonary Disease, Chronic Obstructive - complications
/ Pulmonary Disease, Chronic Obstructive - drug therapy
/ Review
/ Sciences de la santé humaine
/ Steroids
