Decreased cortisol response to insulin induced hypoglycaemia in asthmatics treated with inhaled fluticasone propionate
| Autor: | C Okascharoen, C Direkwattanachai, Pat Mahachoklertwattana, Lulin Choubtum, K Sudkronrayudh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Hydrocortisone medicine.drug_class Fluticasone propionate Drug Administration Schedule Internal medicine Administration Inhalation Adrenal Glands medicine Humans Insulin Child Fluticasone business.industry Insulin tolerance test medicine.disease Asthma Bronchodilator Agents Androstadienes Endocrinology Bronchial hyperresponsiveness Pediatrics Perinatology and Child Health Corticosteroid Methacholine Original Article Female Bronchial Hyperreactivity business Glucocorticoid medicine.drug |
| Popis: | Aims: To assess adrenal function in asthmatic children treated with inhaled fluticasone propionate for up to 16 weeks. Methods: Children with asthma and bronchial hyperresponsiveness to inhaled methacholine were treated with inhaled fluticasone 250-750 mg/day via Volumatic spacer. The insulin tolerance test (ITT) was performed to assess adrenal function. Results: Eighteen asthmatic patients (10 boys, 8 girls), aged 7-17 years received inhaled fluticasone therapy at a median dose of 477 mg/m 2 per day for 5-16 weeks. Adrenal suppression, defined as 60 minute serum cortisol less than 500 nmol/l, was found in 9 of 18 children. Following the ITT, the median basal and 60 minute serum cortisol concentrations of the suppressed group were 135.0 and 350.0 nmol/l, respectively; the corresponding values for the unsuppressed group were 242.2 and 564.7 nmol/l. Repeat ITT in the suppressed group 2-3 months after discontinuation of fluticasone revealed that all patients had a 60 minute serum cortisol greater than 500 nmol/l. Conclusion: After therapy for asthma with inhaled fluticasone at approximately 500 mg daily for up to 16 weeks, half the children had evidence of adrenal suppression. |
| Databáze: | OpenAIRE |
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