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Strides Made in Diagnosing, Treating Lupus
Posted 18 days ago by Drugs.com

THURSDAY, May 10 – Sometimes it takes years for people to get diagnosed with lupus. That wasn't the case for Marisa Zeppieri-Caruana, who had so many of the classic systemic lupus erythematosus symptoms – such as a butterfly-shaped rash on her face, a daily fever and achy joints – that her doctor knew right away that the 23-year-old had the illness. Since then, Zeppieri-Caruana, now 34, has been hospitalized 30 times and has had four mini-strokes along with numerous other problems related to her lupus. Most people who have lupus go through periods where they have active disease (flares) and periods where they don't have any symptoms (remission). Unfortunately, Zeppieri-Caruana said she's never had a time where she's been totally in remission. "An average day for me includes fatigue and fever. It's really hard to try to put weight on, and I usually don't feel like doing anything. I ... Read more
Related support groups: Prednisone, Aspirin, Systemic Lupus Erythematosus, Prednisolone, Plaquenil, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Hydroxychloroquine, Entocort, Decadron
New Guidelines Issued for Severe Lupus
Posted 3 May 2012 by Drugs.com

THURSDAY, May 3 – When diagnosed with lupus, one in three people already has kidney inflammation, and during the first 10 years with the disease as many as 60 percent of patients will have some kidney problems. Because kidney inflammation (also called lupus nephritis) is so common in people with lupus, the American College of Rheumatology has issued new guidelines for the screening and management of this potentially devastating complication of lupus. "Without treatment, lupus nephritis can lead to end-stage-renal disease, which requires dialysis or a kidney transplant. But, not all types are this serious. It depends on the pattern of damage to the kidneys," said the lead author of the new guidelines, Dr. Bevra Hahn, a professor of medicine and chief of rheumatology at the David Geffen School of Medicine at the University of California, Los Angeles. Hahn said the course of lupus ... Read more
Related support groups: Lisinopril, Prednisone, Diovan, Benicar, Systemic Lupus Erythematosus, Losartan, Prednisolone, Plaquenil, Methylprednisolone, Micardis, Cozaar, Hydrocortisone, Cortisone, Medrol, CellCept
Arthritis in Children Linked to Infections
Posted 1 May 2012 by Drugs.com

TUESDAY, May 1 – Children with juvenile arthritis have higher rates of bacterial infection when hospitalized than children without arthritis, a new study says. While taking high-dose steroids was associated with a higher infection risk among kids with arthritis, other arthritis drugs – methotrexate and tumor necrosis factor alpha (TNF) inhibitors – were not. Researchers analyzed Medicaid data on nearly 8,500 children with juvenile idiopathic arthritis and more than 360,000 arthritis-free children. Idiopathic means that a disease occurs without a known cause. Pharmacy claims were examined to determine arthritis patients' use of drugs that suppress the immune system, including high-dose glucocorticoids (steroids), methotrexate and TNF inhibitors, according to the study published May 1 in the journal Arthritis & Rheumatism. Kids with arthritis who were not currently treated with ... Read more
Related support groups: Prednisone, Methotrexate, Bacterial Infection, Enbrel, Humira, Remicade, Prednisolone, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Entocort
Steroids May Help Some With Sciatica
Posted 16 Apr 2012 by Drugs.com

MONDAY, April 16 – New research suggests that epidural steroids provided better relief for some patients with sciatica, a searing pain that shoots from the lower back straight down the leg, than Enbrel, a newer type of anti-inflammatory drug. Yet the differences were "modest" and did not reach statistical significance. And while more patients reported pain relief one month after receiving epidural steroids, the relief didn't necessarily last. At six months, steroids weren't any better than Enbrel (etanercept) or a third treatment tested, injections containing saline and a local anesthetic. "We found a pretty strong suggestion that steroids were better than both of the other treatments, and the etanercept wasn't better than saline, in the short-term," said study author Dr. Steven Cohen, a professor of anesthesia at Uniformed Services University of the Health Sciences and director of ... Read more
Related support groups: Prednisone, Enbrel, Sciatica, Prednisolone, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Entocort, Decadron, Budesonide, Solu-Medrol
Younger Adults on Multiple Meds at Risk for Falls: Study
Posted 17 Jan 2012 by Drugs.com

TUESDAY, Jan. 17 – Young and middle-aged adults who take two or more prescription drugs at any one time may be at increased risk for accidental falls, a new study finds. The effect is similar to that seen in elderly people, according to the report published online Jan. 17 in the journal Injury Prevention. In the study, the researchers looked at data from 344 working-age people who died or required hospital admission within 48 hours of an accidental fall at home in Auckland, New Zealand, between 2005 and 2006. They were compared with 352 randomly selected age-matched people in the general population. The investigators found that people who took two or more prescription drugs were 2.5 times more likely to suffer an injury in an accidental fall than those who took one or no medicine. The findings held true even after accounting for personal, social and lifestyle factors such as drinking, ... Read more
Related support groups: Depression, High Blood Pressure, Prednisone, Hypertension, Asthma, High Cholesterol, Prednisolone, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Entocort
Study Offers Clues to Why Some Don't Benefit From Asthma Drugs
Posted 6 Jan 2012 by Drugs.com

FRIDAY, Jan. 6 – Almost half of patients with mild or moderate asthma may have a different type of disease than those with more severe symptoms, perhaps explaining why common treatments don't work well for them, new research suggests. "We are beginning to understand that different 'flavors' of asthma probably have different molecular mechanisms," said Dr. John Fahy, director of the Airway Clinical Research Center at the University of California, San Francisco. He is the senior author of the new study, published online Friday in the American Journal of Respiratory and Critical Care Medicine. Asthma is a chronic disease involving inflamed airways. As the airways become more swollen, the muscles around them can tighten when something triggers symptoms such as coughing, wheezing and shortness of breath. Current anti-inflammatory treatments target a condition called eosinophilic airway ... Read more
Related support groups: Asthma, Albuterol, Asthma -- Maintenance, Triamcinolone, Fluticasone, Flovent, Epinephrine, Qvar, Asthma -- Acute, Ventolin, Xopenex, ProAir HFA, Entocort, Mometasone, Budesonide
Asthma Drugs in Pregnancy Might Pose Risk for Kids
Posted 16 Dec 2011 by Drugs.com

FRIDAY, Dec. 16 – Infants born to mothers who use inhaled glucocorticoids – a class of steroids – to treat asthma during pregnancy may be at risk for endocrine and metabolic disorders, a new study indicates. Researchers looked at more than 65,000 mother-child pairs from the Danish National Birth Cohort who were followed from early pregnancy into childhood. Of the women in the study, about 61,000 (94 percent) had no asthma during pregnancy while almost 4,100 (6 percent) did have asthma during pregnancy. At the end of follow-up, the median age for the children was about 6, with an age range of about 3.5 to 9. For mothers who used the asthma inhalers, budesonide (Pulmicort) was the most common glucocorticoid. The use of inhaled glucocorticoids during pregnancy was not associated with an increased risk of most diseases in children, with the exception of endocrine and metabolic disorders. ... Read more
Related support groups: Asthma, Triamcinolone, Fluticasone, Flovent, Qvar, Entocort, Mometasone, Budesonide, Entocort EC, Beclomethasone, Asmanex Twisthaler, Pulmicort Flexhaler, Alvesco, Kenalog-10, Azmacort
Steroids May Boost Survival for Very Preemie Babies
Posted 6 Dec 2011 by Drugs.com

TUESDAY, Dec. 6 – Giving steroids to pregnant women at risk for preterm birth as early as 23 weeks during their pregnancy may boost an infant's overall chance of survival and reduce the baby's risk of serious developmental issues, including brain injury, a new study says. The study, published in the Dec. 7 issue of the Journal of the American Medical Association, is potentially significant, according to experts who are not affiliated with the study. Current guidelines suggest administering prenatal steroids to women who are at risk for delivering between the 24th and 34th week of their pregnancy, but make no recommendations about what to do if women show signs of labor before week 24. Most "full-term" babies are born between 38 and 42 weeks. Steroids help the infants' lungs develop and this increases survival rates and lowers their risk of brain injury. The new study provides some ... Read more
Related support groups: Prednisone, Prednisolone, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Entocort, Decadron, Budesonide, Cortef, Solu-Medrol, Entocort EC
Intermittent Steroid Use Called OK for Wheezing Preschoolers
Posted 23 Nov 2011 by Drugs.com
WEDNESDAY, Nov. 23 – Preschoolers who have recurrent wheezing episodes but not an asthma diagnosis are often prescribed inhaled steroid medication, and new research suggests it's OK to take those medications on an as-needed basis instead of every day. Respiratory illnesses frequently trigger severe wheezing in young children, and the treatment for some of these kids – using inhaled steroid medications such as budesonide (Pulmicort) on a daily basis – might expose them to more of the drugs than necessary, the researchers said. "We learned that the daily, low-dose treatment regimen of inhaled budesonide was no better than a high-dose regimen used for seven days during a specific respiratory illness," said the study's lead author, Dr. Robert Zeiger, a clinical professor of pediatrics at the University of California, San Diego, and director of allergy research at Kaiser Permanente in San ... Read more
Related support groups: Asthma, Triamcinolone, Fluticasone, Flovent, Qvar, Entocort, Mometasone, Budesonide, Entocort EC, Beclomethasone, Asmanex Twisthaler, Pulmicort Flexhaler, Alvesco, Kenalog-10, Azmacort
Steroids Given to Preemies May Harm Brain Growth: Study
Posted 19 Oct 2011 by Drugs.com

WEDNESDAY, Oct. 19 – Giving premature babies even low doses of steroids after birth interferes with development of the brain's cerebellum, which is important to motor skills, learning and behavior, new research finds. For the study, researchers analyzed MRIs of 172 babies born very early (under 32 weeks' gestation) at two medical centers, the University of British Columbia and the University of California, San Francisco. Full term is considered 40 weeks' gestation. Preemies are sometimes given steroids known as glucocorticoids after birth to improve lung function and to stabilize low blood pressure, both of which are common problems. The study found that preemies given the steroids hydrocortisone or dexamethasone had on average a 10 percent smaller cerebellum than premature babies not given the drug. Most of the infants had their brains scanned shortly after birth and again at around ... Read more
Related support groups: Prednisone, Prednisolone, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Entocort, Decadron, Budesonide, Cortef, Solu-Medrol, Entocort EC
Use of Asthma Controller Meds on the Rise Among U.S. Kids
Posted 13 Oct 2011 by Drugs.com

THURSDAY, Oct. 13 – The percentage of children with asthma in the United States who use a prescription "controller" medicine has nearly doubled since the late 1990s, a new federal government report finds. The analysis of data from the Medical Expenditure Panel Survey showed that the use of controller drugs by these children increased from 29 percent in 1997-1998 to 58 percent in 2007-2008, according to the latest News and Numbers from the U.S. Agency for Healthcare Research and Quality. Asthma controller drugs include: corticosteroids, which control inflammation and reduce the risk of airway spasms; beta-2-agonists, which make breathing easier; and leukotrienes, which help prevent asthma symptoms from occurring. Use of inhaled corticosteroids among American children with asthma increased from 15.5 percent to 40 percent, use of leukotrienes rose from 3 percent to 34 percent, and use of ... Read more
Related support groups: Asthma, Singulair, Albuterol, Asthma -- Maintenance, Triamcinolone, Fluticasone, Flovent, Epinephrine, Qvar, Ventolin, Xopenex, ProAir HFA, Entocort, Mometasone, Budesonide
Gene Variant Linked to Failure of Asthma Drug
Posted 28 Sep 2011 by Drugs.com

WEDNESDAY, Sept. 28 – About one in six asthma sufferers carries a genetic variant that's associated with a poor response to commonly prescribed inhaled asthma medications called corticosteroids, according to a new study. Researchers found that people with asthma carrying two copies of a specific gene variant were more than twice as likely not to respond to inhaled steroids as those without the variant. Those who responded poorly showed only about one-third the improvement in lung function in response to steroid inhalers used for the long-term control of asthma than those without the variant. Researchers said the variant probably works alongside other genetic and environmental factors to affect response to the medication. "This finding helps to explain the genetic basis for the long-standing observation that some people do not respond well to what is a common asthma treatment," said Dr. ... Read more
Related support groups: Triamcinolone, Fluticasone, Flovent, Qvar, Entocort, Mometasone, Budesonide, Entocort EC, Beclomethasone, Asmanex Twisthaler, Pulmicort Flexhaler, Alvesco, Kenalog-10, Azmacort, Aristocort
New Approach to Treating Asthma in Pregnancy
Posted 9 Sep 2011 by Drugs.com

FRIDAY, Sept. 9 – Researchers in Australia have developed a new treatment plan to reduce asthma flare-ups in pregnancy while minimizing drug exposure to developing fetuses. This therapy tracks airway inflammation directly by measuring something known as "the fraction of exhaled nitric oxide" – a marker of inflammation abbreviated as FENO – in an exhaled breath. By doing so, researchers can identify asthma in pregnant women who have airway inflammation but no symptoms and tailor drug therapy accordingly. In this study, researchers examined 220 non-smoking women with asthma who were less than 22 weeks pregnant. Half the women were treated based on their clinical symptoms during monthly visits (the control group) and compared to the women in the FENO group, who were tested for airway inflammation. The researchers found the flare-up rate among the women in the FENO group was roughly half ... Read more
Related support groups: Asthma, Triamcinolone, Fluticasone, Flovent, Qvar, Entocort, Mometasone, Budesonide, Entocort EC, Salmeterol, Beclomethasone, Asmanex Twisthaler, Pulmicort Flexhaler, Alvesco, Kenalog-10
New Guidelines for Spotting, Treating COPD Released
Posted 1 Aug 2011 by Drugs.com

MONDAY, Aug. 1 – Four of the world's leading pulmonary associations have issued new guidelines for the diagnosis and treatment of chronic obstructive pulmonary disease, one of the world's leading killers. While the recommendations are based on more recent studies of the disorder, they differ little from previous guidelines and are meant largely to emphasize how critical it is to manage the disease to reduce hospitalizations, exacerbations and deaths, said lead author Dr. Amir Qaseem, director of clinical policy in the medical education division of the American College of Physicians, one of the four sponsoring organizations. "We're repeating the message. Chronic obstructive pulmonary disease is the third leading cause of death and . . . the number keeps going up. In 2007, it was the fifth leading cause of death," said Qaseem. "Many patients are still not getting the appropriate care." ... Read more
Related support groups: Chronic Obstructive Pulmonary Disease, Albuterol, Spiriva, Triamcinolone, Fluticasone, Flovent, Epinephrine, Qvar, Ventolin, Xopenex, ProAir HFA, Entocort, Mometasone, Budesonide, Ipratropium
Corticosteroids May Speed Pneumonia Recovery in Some
Posted 1 Jun 2011 by Drugs.com

TUESDAY, May 31 – Patients with an inflammatory lung condition known as community-acquired pneumonia appear to recover faster when treated with corticosteroids in addition to the standard regimen of antibiotics, Dutch researchers say. Those treated with a combination of corticosteroids and antibiotics also required a shorter hospital stay than patients treated with antibiotics alone, the study authors found. The observations stem from what is believed to be the largest study to date focused on the potential of corticosteroids for the treatment of community-acquired pneumonia, or CAP. Dr. Sabine Meijvis, from the St. Antonius Hospital in Nieuwegein, the Netherlands, and colleagues reported their findings in the May 31 online edition of The Lancet. Meijvis and her team noted that, currently, CAP is typically treated with antibiotics following an early diagnosis. To explore whether ... Read more
Related support groups: Prednisone, Pneumonia, Prednisolone, Methylprednisolone, Hydrocortisone, Cortisone, Medrol, Triamcinolone, Betamethasone, Dexamethasone, Entocort, Decadron, Budesonide, Cortef, Solu-Medrol
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