There is a group of stubborn asthma patients [with extremely firm willpower], whether inhaled hormone, oral hormone or intravenous hormone, all those involved in the word hormone are cut off and absolutely not used, and other asthma patients are encouraged to say absolutely not to use it.
They only said that the horrible SARS incident in 2002 was fatal due to hormone-induced femoral head necrosis.
In addition, if I ask the audience below on the asthma lecture table: Is what the most effective drug to control asthma? Everyone will definitely be able to tell me that it is [inhaled hormone] without any ambiguity. However, if I randomly ask some asthma patients on the Internet and tell everyone that it is [inhaled hormone], I am afraid I will be criticized by many people.
These phenomena reflect that the general asthma population still has quite a few misunderstandings about hormone use.
Myth 1: Asthma patients must not use hormones,
First of all, the SARS in 2002 was precisely because Academician Zhong’s hormone program saved many people.
At that time, high-dose intravenous hormone shock was the only treatment for SARS.
What we want to distinguish is that femoral head necrosis is an adverse reaction caused by large doses of intravenous hormone, but it does not mean that intravenous hormone injection will lead to femoral head necrosis. If intravenous injection is not selected, what awaits them is the end of their lives.
Moreover, asthma patients use inhaled hormones here. Unlike intravenous hormones, inhaled hormones rarely act on the whole body, and adverse reactions are already small and can no longer be small, even pregnant women and children can use them.
Inhaled hormones act directly on the lungs and seldom enter blood, so adverse reactions are very small.
Myth 2: Only Inhaled Hormones
Some asthma patients use inhaled glucocorticoids (budesonide, fluticasone, etc.) to control asthma, and the disease condition is well controlled, but one day the disease condition may be acute aggravation and wheezing attack. At this time, when the effect of using various inhaled drugs (including inhaled hormones and bronchodilators) is not good, it is recommended that short-term low-dose oral hormone can be used.
Short-term (usually a few days) low-dose oral hormone will not cause too many adverse reactions, but can help to control the disease well.
When the condition tends to improve or stabilize, stop taking oral hormones and continue to use inhaled hormones (or combined with long-acting bronchodilators) to pass through smoothly.
At any time, the use of hormones without talking about dosage forms, doses or courses of treatment is hooliganism.
Myth 3: Never Use Intravenous Hormone
Some patients have acute exacerbation of asthma and need hospitalization. Atomization of hormone inhalation is not effective. At this time, intravenous injection should be used to stabilize the disease.
During the acute attack of asthma, some patients can solve the problem by atomizing hormone inhalation, but in serious cases, intravenous hormone therapy must be used resolutely, decisively, bravely and without flinching.
Intravenous hormone can rapidly produce strong anti-inflammatory effect, which is very conducive to the recovery of the disease. If intravenous hormone is not used at this time, I’m afraid the patient will not be able to carry it. It is absolutely correct to use intravenous hormone therapy at this moment.
The above are the common misconceptions of hormone use in the three stages. Once again, it is emphasized that inhaled hormone is the most effective drug to control asthma. None of them. If you do not believe in inhaled hormone, it is basically equivalent to refusing to recognize the contribution of modern medicine in asthma treatment.
Oral and intravenous hormones are not terrible. They should still be used when they are used. There is no problem if the short-term dose is not large. Don’t demonize them.
Of course, excessive use of hormones is also harmful, and it is not small. There are many so-called “ancestral secret recipes” for asthma treatment among the people, which may be mixed with oral hormones (such as dexamethasone). If patients cannot recognize them, long-term and large-dose oral administration of these secret recipes will lead to misery in the end.
To use hormones, one must polish one’s eyes and use them scientifically under the guidance of doctors in order to make good use of this [double-edged sword].