Intended for healthcare professionals

Rapid response to:


Randomised, double blind, placebo controlled study of fluticasone propionate in patients with moderate to severe chronic obstructive pulmonary disease: the ISOLDE trial

BMJ 2000; 320 doi: (Published 13 May 2000) Cite this as: BMJ 2000;320:1297

Rapid Response:

caution on inhaled steroids for emphysema

Inhaled steroids do appear to somewhat enhance quality of life for
those with emphysema, but is not without risk.

thinning of the lung wall can progess to the point of hemmorraging as
it did with my mother three years ago, resulting in her death.

caution would especially apply if the patient is on anticoagulants or
herbs which have an anticoagulant effect.

Competing interests: No competing interests

30 May 2000
Torrey Smith
naturopathic doctor
natural health center -anchorage, alaska