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Canadian Respiratory Journal
Volume 2, Suppl A, Pages 10A-12A
Treatment of Asthma: From the Child to the Adult

Inhaled Steroids: First Line Treatment of Adult Asthma

André Cartier

Chest Department, Sacré-Coeur Hospital, Montreal, Quebec, Canada

Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Corticosteroids are the most potent inhaled anti-inflammatory drugs for asthma treatment. This paper reviews the clinical evidence supporting the early use of inhaled steroids in asthma as a first line treatment. Inhaled steroids can probably alter the course of asthma, especially in mild asthmatics. Once they have been shown to improve control of asthma and even if the need for beta2-agonists is virtually nil, their use should be continued at low doses (ie, equivalent to 400 to 500 μg of budesonide or beclomethasone) for at least one year before attempting to reduce the dosage.