INHALED CORTICOSTEROID(ICS) NOOPUR JUED B1421007 Dept. Biomedical sciences ASTHMA Asthma Or COPD is a chronic lung disease affecting people of all ages. It is caused by inflammation and muscle tightening around the airways, which makes it harder to breathe. Symptoms include: coughing, wheezing, shortness of breath chest tightness, rapid respiration CORTICOSTEROID Corticosteroids are man-made drugs that closely resemble cortisol, a hormone that produce by adrenal glands naturally. Commonly referred as “steroid”. Has potent anti-inflammatory effects. Two forms of a drug for treatment of asthma Inhaled corticosteroids oral corticosteroids INHALED CORTICOSTEROID Inhaled corticosteroids (ICS, also known as glucocorticosteroids, glucocorticoids, steroids) are most effective controllers used in the treatment of asthma. It can effectively suppress the characteristic inflammation in asthmatic airways, even in very low doses. EXAMPLES: Fluticasone (flovent), Beclomethasone Budesonide (Qvar), (pulmocort), Mometasone (asmanex) etc. MECHANISM OF ACTION ANTI-INFLAMMATORY EFFECTS OF CORTICOSTEROIED ADVERSE EFFECT • • • • • • • • • • • Oropharyngeal thrush (FUNGAL INFECTION) Sore throat Hoarseness Cough Increased appetite Weight gain Osteoporosis Bone fractures Decreased bone growth rate in children HPA axis suppression Hypercortisolism CONTRADICTION AND CAUTION Active respiratory tract infection(e.g., Pneumonia, tuberculosis) Severe allergy to milk proteins or lactose Cataracts Diabetes Infection of the eye Gastrointestinal problems High blood pressure Any kind of infection (viral, bacterial, fungal) A disease of the heart, liver, thyroid, or kidney THANK YOU