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Editorial
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Volume 329:1731-1733 December 2, 1993 Number 23
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Differences between Inhaled and Oral Glucocorticoid Therapy

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Administration of a glucocorticoid by inhalation has assumed a prominent role in the treatment of asthma in both children and adults. The reasons are that asthma is now viewed as a disease with an important inflammatory component and that there are inhaled glucocorticoid preparations that are highly active topically yet weakly active systemically, which minimizes the risks of suppressing endogenous pituitary-adrenal function and causing iatrogenic Cushing's syndrome.

The glucocorticoids used most widely for inhalation therapy -- beclomethasone dipropionate and budesonide (the latter not available in the United States) -- have very high affinity for intracellular glucocorticoid receptors but are rapidly . . . [Full Text of this Article]

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