- Vincent H F Mak, consultant physician1
- On behalf of the NHS London Respiratory Team Programme Board
- 1Central Middlesex Hospital, London NW10 7NS, UK
- v.mak{at}nhs.net
Mackenzie highlights the lack of guidance on use of inhaled corticosteroids (ICS) and risk of adrenal suppression.1 The Medicines and Healthcare Products Regulatory Agency recommends issuing a steroid treatment card,2 but there is concern that this may alarm patients and reduce adherence. There is also no consensus on what constitutes a high dose.
High potency combination inhalers (ICS …
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