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How Long Does Corticosteroid Take To Show Effect?

Posted on Fri, 3 Jun 2016

Question: I have been recently diagnosed with adult onset asthma. Actually Very mild asthma This was diagnosed from a series of tests including PFT which a bronchodilator test had substantial improvement. The broncho test was an albuterol or short time inhaler, I was given qvar a corticosteroid, how long does the use of the long term take before i may see results

Answered by Dr. Drkaushal85 (24 minutes later)

Brief Answer:
Again this question was directed at me.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Sorry friend, but your question is directed towards me. I am pulmonologist and active at present on HCM.
So I have to answer this. Sorry if you don't like.
Usual time to see improvement after inhaled corticosteroid (ICS) is 1-2 months.
Every six months, PFT should be done. On the basis of PFT result, tapering down of ICS dose should be done.
By doing so, we can stop the asthma inhaler after 1.5 to 2 years.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Sorry if you don't like that I am always answering your question. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (3 minutes later)

I sent this weird question to set up unlimited questions again. Funny that you are an allergist too. HA HA good morning my very good friend well lets answer your last question.

I have no real allergies so I do not have hives or rashes or itching. JUST STRESS hahahahahaha

Answered by Dr. Drkaushal85 (16 minutes later)

Brief Answer:
Actually I am practicing pulmonologist, allergist, infectious disease speci

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It's good that you are also enjoying.
Actually I am practicing
1. Pulmonologist
2. Allergist
3. Infectious disease specialist
4. Sleep specialist.
5. Immunologist.
Actually, pulmonology is very wide subject and we have to deal with all these minor speciality.
So you can tell me all rounder. Ha ha.
It's always enjoyable talking to you.
May God bless you and shower all happiness.I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (15 minutes later)

Well MR/DR All around kind of specialist, Give me a suggestion to fall back to sleep when I wake at 2:30 in the morning and toss and turn wishing I would fall back asleep but because I am thinking that and watching the clock to make sure I dont oversleep, I never fall back asleep. Oh i do not do that on my days off work. the days i can sleep in.

Answered by Dr. Drkaushal85 (10 minutes later)

Brief Answer:
I am on the seventh sky my friend.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am blushing my dear friend. Don't praise this much.
I am on the seventh sky. Perhaps in the heaven. Ha ha ha...
Thanks a ton for your kind words.
Sorry to say but I can't understand what you are trying to say about sleep.
You don't have sleep problem in weekends. Right?
You are having sleep problems during working days? Right?
Is this you want to say to me.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (18 minutes later)

Correct during the week, i sleep for about 5 hours then i am awake and fail to fall back asleep. I think it is because I am afraid to oversleep work and I hate alarm clocks so I do not use one. need a new wake up system that is easy on body

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
This is strange. Why you hate alarm clock?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
So fear of oversleep is the cause for your lack of sleep.
I can't understand why you are having dislike for alarm clock?
What's wrong in alarm clock?
Why you hate it?
This is not usual behavior.
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (1 hour later)

I hate to be startled out of a good sleep. Its more stress to lay in bed awaiting for that blasted thing to wake you out of a good sleep than waking naturally. I just wake to early

Just trying to remember, did we agree that continuous prolonged anxiety causes chest muscles to tighten around ribs restricting the ease of rib expansion during breathing. I have had this a few times since this all began 3 years ago. not many but enough that it triggers a bit of panic

Answered by Dr. Drkaushal85 (7 minutes later)

Brief Answer:
Yes, it can give tightening feeling.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I disagree with your alarm thinking.
Alarm will let you sleep without fear and wakes you up on time.
It is better than fear of being late and waking up early.
Alarm is actually giving peace that I will wake up on time.
I don't understand why you think that alarm is not useful.
About anxiety thing, it gives tightening feeling of chest muscles.
Are you at work? You are replying a bit late, so asked.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (3 minutes later)

Yes I am at work, I have my email open at desk on one screen and work on another.

Answered by Dr. Drkaushal85 (2 minutes later)

Brief Answer:
What is your sleeping pattern?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
It's good. You are multi tasker. Great.
To identify the sleep related diseases, it's better to a take detailed sleep history.
May I ask you some sleep related questions? Only if you don't mind.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Drkaushal85 (5 minutes later)

Ask away.

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
What is your usual bed time?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for the permission.
Please let me know
1. What is your sleeping time?
2. What is your wake up time?
3. Do you take any nap in the afternoon?
4. Do you fall in sleep immediately after going to bed?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Drkaushal85 (11 minutes later)

I head to bed around 8:30 Read till 9-9:15, roll over and am asleep within 5 minutes, I tend to wake at 2:30-3AM, No Naps, wish I could, i once did when I lived near work. now I am too far away to do so.

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
Are you daily wake up at 2.30 - 3 am?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for sharing information.
It's strange that you wake up at 2.30 - 3 am.
Is it daily routine for week days?
Do you suddenly wake up at that time? Or you get some bad dreams or any particular thing which wakes you up?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (35 minutes later)

It is routine, I wondered once if it was the caffeine demand my body was calling for, no bad dreams but sometimes it is the bladder ready to empty

Answered by Dr. Drkaushal85 (13 minutes later)

Brief Answer:
No it is not caffeine demand of the body.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
No, there is no such caffeine demand. So don't think about caffeine demand.
Your stress is not letting you sleep peacefully and longer.
Have you ever tried any drug for this?
So please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. I will wait for your reply. Thanks.

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Naveen Kumar