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Inhaled corticosteroids and steroid treatment cards

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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High doses of inhaled steroids and steroid treatment cards

People using prolonged high doses of inhaled steroids should routinely be provided with steroid treatment cards. High doses of steroids include:

  • people on 'off-label' high doses of inhaled steroids
  • people who receive a combination of maximum licensed dose of inhaled steroid and other steroids (such as oral steroids)
  • people who use inhaled corticosteroids together with medication which inhibit their metabolism e.g. - cytochrome P450 inhibitors (HIV protease inhibitors)
  • other high risk people (at the discretion of the prescriber/pharmacist) (1)

People who have inadequate control of the disease despite receiving maximal inhaled corticosteroid therapy and additional other therapies should be referred to a specialist (1).


  1. 1. MHRA. High dose inhaled steroids: new advice on supply of steroid treatment cards. Current Problems in Pharmacovigilence 2006;31

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