Don't Be Surprised if Some Stable COPD Patients Stop Inhaled Steroids

You'll hear more about "stepping down" inhaled corticosteroids (fluticasone, etc) in patients with severe COPD.

Inhaled steroids are usually added to long-acting bronchodilators (tiotropium, salmeterol, etc) in patients with SEVERE COPD.

Adding an inhaled steroid may decrease COPD exacerbations...by about one exacerbation per patient every 4 years versus salmeterol alone.

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