What are alternatives to inhaled steroids?

Posted by melb0606 @melb0606, Dec 18, 2024

I have been on inhaled steroids to control my asthma for over 20 years. It works and i rarely need rescue inhalers. I have recently been diagnosed with non-TB mycobacterium infection which has caused a hole or cavitation in my lung. I am otherwise completely healthy. Rhe pulmonologist is thinking i may have been susceptible to the stubborn infection from longterm inhaled steroid use. I would like to get off it but am looking for alternatives with low risk of side effects. Any suggestions?

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@melb0606 Maybe...how is that for an answer. Some people with well-controlled asthma can manage on a long-term beta-agonist. This is really a good question for the pulmonologist, because it will depend on the severity of your asthma, the severity of your infection, any other health conditions, and which antibiotics they may choose to treat your cavitary NTM.

What did they suggest as an alternative? Were you also diagnosed with Bronchiectasis?

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I was not diagnosed with bronchiectasis. I am also starting the big 3 for MAC tonight. At the moment the ID doc and the pulmonologist doc are focused on treating the infection, but i have been reading how, once cleared, there is risk of getting MAC again. I want to be sure that does not happen and the steroid hypothesis makes sense.

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