Steroids in inhalers with fluticisone are absorbed by the body. I was doing a long prednisone taper(polymyalgia rheumatica) and was put on Arnuity( fluticisone) 200mcg for my asthma and my former moon face returned.(!). We lowered the dose to 100mcg and I feel it: fatigue and weakness with the reduction. Symbicort/Breyna (budesonide) is less absorbed but needs a 2x day dosing. I am also using strontium citrate with my primary doc- geriatrician and endocrinologist approval.
Retired nurse anesthetist.83