What condition is an indication for the use of inhaled and oral steroids?

Severe and persistent asthma is a critical condition that often requires the use of both inhaled and oral steroids for effective management. These medications play a vital role in reducing inflammation within the airways, which is a significant underlying factor in asthma pathology. In severe asthma cases, the airways can become persistently inflamed, leading to frequent and severe symptoms such as wheezing, shortness of breath, and chest tightness.

Inhaled corticosteroids are typically the first-line treatment due to their direct application to the lungs, allowing for quick relief from inflammation and minimizing systemic side effects. Oral steroids may be prescribed for more severe exacerbations or for patients whose asthma remains uncontrolled despite the use of inhaled steroids alone. The combined use of these steroid types can help in achieving better control of symptoms and improving overall lung function in patients suffering from severe and persistent asthma, making them essential in the management of this condition.

Mild asthma often can be managed with less intensive therapies, while allergic rhinitis and seasonal allergies may not necessitate the use of systemic or inhaled steroids to the same extent. They may respond better to other medications, such as antihistamines or nasal corticosteroids, that specifically target allergy symptoms.