#172 - Why Needing Systemic Steroids for Asthma Is a Warning Sign

Needing oral steroids for your asthma is a signal, not just a setback. It could be a sign that your asthma is not actually under control, even if you feel like you're managing it day to day.

Dr. Wes Sublett joins us to talk about why relying on steroid bursts is a warning sign, not a solution. Dr. Sublett breaks down what actually counts as an asthma exacerbation, the real risks of frequent oral steroid use, and the treatment options available so patients can avoid repeat trips to the ER.

What we cover in this episode about oral steroids and asthma control

• Steroid bursts as a warning sign. Needing oral steroids for asthma is a signal your maintenance treatment may not be working.
• What actually counts as an exacerbation. Dr. Sublett explains the difference between a flare and a true asthma exacerbation, and why that distinction matters.
• The real risks of oral steroids. Repeated courses are linked to bone loss, diabetes, cataracts, and other long-term health risks.
• Why your specialist doesn't automatically know. ERs and urgent cares don't notify your asthma specialist when you're treated, so you have to share that history.
• Treatment options beyond steroid bursts. Triple therapy and biologics can reduce or eliminate the need for oral steroids for many patients.

More resources

• Oral Corticosteroids (OCS) for Asthma, a deeper explainer from Allergy & Asthma Network
• What if I Can't Afford My Asthma Medication?

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Made in partnership with The Allergy & Asthma Network.

Thanks to AstraZeneca for sponsoring today’s episode.

This podcast is for informational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for any medical concerns.