The Itch: Allergies, Asthma, Eczema & Immunology

#105 - Understanding Oral Corticosteroid Overuse in Asthma


Listen Later

Ever wonder if the “asthma shot” from the ER, or those go-to steroid pills for your asthma flares, might be doing more harm than good?

Dr. Dipa Sheth joins us to discuss the common pitfalls of relying too heavily on oral corticosteroids (OCS), also known as oral steroids. We unpack why these systemic medications should generally be reserved for short-term use. She also shares how improving asthma control can help you avoid frequent steroid use in the first place.

Although oral steroids can effectively treat asthma flare-ups in emergency settings, overuse poses significant risks, from adrenal insufficiency to osteoporosis. We dig into ways patients can proactively manage their asthma, reduce ER visits, and talk to healthcare providers about preventive treatments (like inhalers or biologics for asthma) that keep inflammation in check without the side effects of frequent steroid use.

Note: Although we discuss oral corticoid steroids, they can also be given as injections or via IV drip for asthma. We would also like to refer to them as systemic steroids as they impact the entire body, unlike inhaled steroids, which target the airways and lungs. 

What we cover in our episode about oral steroid overuse
  • Understanding Oral Corticosteroids (OCS): Learn what these steroids (often called the “asthma shot” in the ER) are and how they can help with severe flare-ups.
  • Why Overusing Steroids Can Be Risky: Discover the potential long-term side effects of relying on systemic steroids (pills, injections, or IV), from adrenal insufficiency and osteoporosis to more frequent infections.
  • Short-Term Fix vs. Lasting Relief for Asthma Care: Learn how urgent care or ER visits may mask an under-managed condition and why seeing a specialist can improve asthma control.
  • Safer Alternatives to OCS: Explore inhaled corticosteroids, biologics, and other preventive treatments that target asthma at its source, reducing the need for frequent steroids.
  • Taking Control and Reducing ER Visits: Get practical strategies for working with your healthcare provider to minimize steroid use, prevent flare-ups, and break free from the cycle of repeated steroid courses.
  • This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Sanofi and Regeneron for sponsoring today’s episode.

    This podcast is for informational purposes only and does not substitute for professional medical advice. If you have any medical concerns, always consult with your healthcare provider.

    ...more
    View all episodesView all episodes
    Download on the App Store

    The Itch: Allergies, Asthma, Eczema & ImmunologyBy The Itch: Allergies, Asthma & Immunology

    • 4.3
    • 4.3
    • 4.3
    • 4.3
    • 4.3

    4.3

    86 ratings


    More shows like The Itch: Allergies, Asthma, Eczema & Immunology

    View all
    Real Time with Bill Maher by HBO Podcasts

    Real Time with Bill Maher

    16,391 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,336 Listeners

    The Daily by The New York Times

    The Daily

    111,917 Listeners

    Up First from NPR by NPR

    Up First from NPR

    56,231 Listeners

    Where Should We Begin? with Esther Perel by Esther Perel Global Media

    Where Should We Begin? with Esther Perel

    14,849 Listeners

    Core IM | Internal Medicine Podcast by Core IM Team

    Core IM | Internal Medicine Podcast

    1,095 Listeners

    The Dr. Hyman Show by Dr. Mark Hyman

    The Dr. Hyman Show

    9,367 Listeners

    The Peter Attia Drive by Peter Attia, MD

    The Peter Attia Drive

    7,953 Listeners

    AAAAI Podcast: Conversations from the World of Allergy by The American Academy of Allergy, Asthma & Immunology (AAAAI)

    AAAAI Podcast: Conversations from the World of Allergy

    47 Listeners

    On Purpose with Jay Shetty by iHeartPodcasts

    On Purpose with Jay Shetty

    27,238 Listeners

    AMA Update by American Medical Association

    AMA Update

    100 Listeners

    Huberman Lab by Scicomm Media

    Huberman Lab

    28,507 Listeners

    ZOE Science & Nutrition by ZOE

    ZOE Science & Nutrition

    2,029 Listeners

    The Mel Robbins Podcast by Mel Robbins

    The Mel Robbins Podcast

    20,604 Listeners

    The Jefferson Fisher Podcast by Civility Media

    The Jefferson Fisher Podcast

    8,054 Listeners