Steroid treatment for asthma and other lung diseases - new template - jan '08.qxd
Steroid treatment for asthma and other lung diseases - new template - Jan ’08.qxd 08/01/2008 16:50 Page 1
To support the British Lung Foundation,
possible to keep your condition under control.
British Lung Foundation
please complete the form below.
prescribed double the dose, but only every other
[ ] Regular giving [ ] Cash and raffle appeals
day. This reduces the risk of side-effects while
maintaining the overall benefit of the medicine.
[ ] In-memory gifts and Breath of Life funds
Side-effects of steroid tablets
National and regional offices
[ ] £10 [ ] £15 [ ] £30 Other: £ ________ by
London and South
With long-term use of steroids, side effects can
[ ] Cheque / Postal Order (payable to British Lung
become a real problem. These include weight
gain, puffy face, thin skin with easy bruising and
[ ] Credit / Debit Card (please circle your choice):
MasterCard / Visa / CAF (Charity Card) / Maestro / Delta
thinning of the bones (osteoporosis); in children
__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __
growth. Steroids can also affect control of
Security no. __ __ __ (last 3 digits on reverse of your card)
Expiry date __ __/__ __ Issue no. _______ (Maestro only)
diabetes. Tablets can disturb sleep so you should
• We support
people affected by
______________________________ Date __ / __ / __
If you take steroid tablets on a long-term basis
Please return this form and, if you are making a donation,
your gift, to: Appeals Team, British Lung Foundation,
• the disease has become less active or inactive
Your Details (please use CAPITAL LETTERS):
___________ First name _____________________________
• you should receive a regular test for osteoporosis.
_________________________________ Postcode _____________
Finally, if you are taking steroid tablets long-
• you should not stop taking them suddenly
• helpline: 08458 50 50 20
We automatically send you an aknowledgement for your gift.
• you should carry a ‘steroid card’ around with
If you do not want one however, please tick here [ ]
• e: email@example.com
Gift Aid makes every £1 you give the
• w: www.lunguk.org
• if you have an infection or operation you need
British Lung Foundation worth £1.28.
• And we work for positive change
• a higher dose of steroids. Your doctor or nurse
[ ] Yes, I am a tax payer and I’d like the British Lung Foundation to
reclaim the tax on all donations I have made in the past six years and all
• will give you the advice you need.
future ones, until I notify you otherwise.
Please note: to qualify for Gift Aid, what you pay in income tax orcapital gains tax must at least equal the amount we will claim in
We may, from time to time, allow certain other charities to contact you. If
Last medically reviewed January 2008
Registered charity of England and Wales - no. 326730
you would prefer not to receive these communications, please tick here [ ]
British Lung Foundation 2008
Charity registered in Scotland - no. SC 038415
Steroid treatment for asthma and other lung diseases - new template - Jan ’08.qxd 08/01/2008 16:50 Page 2
What are steroids?
Steroid tablets in asthma,
shortly after coming off a course of prednisolone
(the commonest steroid tablet), with the risk of
Many types of steroids are made naturally
Inhaled steroids are the main treatment for
British Lung Foundation
in our bodies. They are made by two small
asthma. They can also be used to treat COPD
Short-term steroid tablets can help your doctor
glands, called adrenal glands, which sit above
As a result some people have to combine daily
or nurse check if you really have asthma. They
can also treat people with asthma or COPD
combination is not ideal, but it may prove the
Become a member
- by joining the British Lung
Steroids produced by the adrenal glands are also
because they are mainly diseases of the airways
whose condition flares up. They are not usually
best way of treating your condition. In fact, it
Foundation, you are adding your voice to ours,
made artificially. One of these steroids,
(the tubes that carry air in and out of the lungs).
can give an overall lower dose of steroids than
and helping us to speak out on behalf of everyone
corticosteroid, is used in medicines to treat many
Occasionally, when these conditions are severe,
Many people are offered a spare supply of these
affected. For more information, please fill out and
medical conditions, including some lung diseases.
tablets that they can take at the first sign of a
Corticosteroids are nothing to do with anabolic
flare-up. This is useful if you can't get an
What other chest conditions are
Regular gift by direct debit
- regular donations
Inhaled steroids in asthma
steroids, used illegally by some athletes and
appointment with your doctor straight away, or
are great - they help us to plan for the future.
treated with steroids?
bodybuilders. They are also different to female
Since asthma is usually a long-term condition
if you are going on holiday. It's also useful if
Sign up for regular cash and raffle appeals
hormones, such as those used in the contraceptive
which makes your airways sensitive and inflamed,
you've been admitted to hospital because of
- since this involves the lung tissue
keep up-to-date with our work by receiving regular
pill and hormone replacement therapy.
you often need daily long-term inhaled steroids.
asthma. By taking the tablets at the first sign of
rather than the airways, steroid treatment is
appeals and taking part in our raffle.
These steroids help your cough disappear and help
a flare-up, you can prevent readmission.
- an easy and tax-effective way of
How are steroids given?
to keep your airways open. This means you need
making contributions directly from your salary.
Although steroid tablets make you feel hungrier,
This means that the medication is
less relief (rescue) inhaler. If treatment is stopped,
• Tuberculosis (TB)
- in very bad cases of TB
Take part in events
- fun and challenging, you
short courses do not normally cause any of the
steroid tablets may be given with TB medicines.
can take part in one of our events or organise your
given directly to where the illness is. For
inflammation of the airways will come back.
long-term side-effects listed over the page.
example: nose drops for hay fever; creams for
Because the dose of steroids is low, side-effects
They occasionally cause temporary indigestion
• Lung cancer
- in people with advanced lung
Get your company involved
- your employer can
are unusual. Sometimes you can get thrush in
or some change in bowel habits. If you become
cancer, appetite, weight and general well-being
support you, and us, in lots of ways - from charity
Since the medication only goes to where your
your mouth, but that is usually because inhaled
ill while you are on steroid tablets, or if you
are often improved by steroid tablets.
of the year, to matching whatever you raise.
illness is, the dose is small. Very little gets into the
medicine sticks to the back of your throat. You
come into contact with anyone with an infectious
- systemic steroids are also used in:
In honour gifts
- donate an in-memoriam gift
blood stream, so there are very few side-effects.
can avoid this by adding a spacer or switching to
disease - avoid people with chicken pox or
(a) lung transplantation to prevent rejection
open a Breath of Life tribute fund
- donations in
a dry-powder inhaler. Speak to your GP or
shingles - then you should visit your GP straight
However, topical drugs can only travel a very short
(b) treatment of lung prematurity in infants
memory of a loved one are a very personal way to
respiratory nurse about which is best for you.
away. People with diabetes need to keep a
distance into the disease area, so they don't work
(c) eosinophilic pneumonia and (d) cryptogenic
remember someone special. To acknowledge this
as well when the inflammation is severe.
Another uncommon problem is that your voice
careful eye on their blood sugar level.
we have set up the Breath of Life funds as a lasting
can become weak. This happens because some of
For a short course, treatment can safely be
treatment may be intravenous (injected into
tribute that allows you to continue to support us in
This means that the
the inhaled steroid lands on your vocal cords and
stopped immediately. A 'steroid card' - which
medication travels to the site of the disease. It
weakens the muscles (all inhaled treatment has to
records how much prednisolone you are on and
Become a major giving sponsor
- please contact
is normally given by tablet and absorbed into
go through the voice box to reach your airways).
how often you take it - is not necessary.
the Head of Fundraising on 020 7688 5587.
the bloodstream. Sometimes the medication is
For information about steroid treatment for
Leave a legacy
- when you make a Will, not only
Common inhaled steroids include beclomethasone,
Steroid tablets, long-term
COPD please order our booklet COPD - diagnosis
do you have the chance to provide for your loved
budesonide and fluticasone. These steroids vary
Systemic drugs are used when topical medication
and treatment, using the contact details overleaf.
ones but you can also help to create a better
mainly in strength and how you take them.
There are a few people who cannot fully control
can't treat the disease fully. The commonest
In chest conditions (other than asthma) that
future for those living with a lung condition.
asthma with a combination of inhalers and non-
need steroids, you may be started on a high
- you can donate now by completing
steroid tablets. They might even get worse
dose. This is later reduced to the lowest dose
DISORDERS OF CONSCIOUSNESS Unit #3 – Disorders of Consciousness Disorders of consciousness may occur as episodic phenomena or may be continuous. Included under the rubric of episodic impairment or loss of consciousness are seizures and syncope, while the state of coma involves prolonged unresponsiveness. The principal review for this unit is to be found in Chapters 8 and 10 as wel
Psychiatry Naturalistic Impact of Second-Generation Antipsychotics on Weight Gain Diana I Brixner, Qayyim Said, Patricia K Corey-Lisle, A Vickie Tuomari, Gilbert J L’Italien, William Stockdale, BACKGROUND: While second-generation antipsychotics (SGAs) have had benefits over earlier antipsychotic treatments, their use has been associated with reports of weight gain. Body mass index (B