Inhaled Corticosteroid Therapy

Unlike a rescue inhaler that relieves symptoms in the moment, an inhaled corticosteroid is a daily controller medication. It delivers a low dose of anti-inflammatory medicine directly to the lining of your airways, gradually reducing the swelling and sensitivity that lead to wheezing, coughing, and shortness of breath.

Because the medication acts locally in the lungs, very little reaches the rest of your body, which makes it well suited for ongoing use. Most people notice steadier breathing and fewer flare-ups over a few weeks of consistent use rather than instantly. When asthma overlaps with other concerns such as acid reflux or COPD, Dr. Golian adjusts your plan accordingly.

Before prescribing an inhaled corticosteroid, Dr. Golian reviews your full symptom history, current medications, and any triggers in your Los Angeles environment, from seasonal pollens to air quality. A pulmonary function test referral may be arranged to confirm your diagnosis and measure your baseline lung function.

Come prepared to discuss how often you use a rescue inhaler and how your symptoms affect sleep and daily activity. Bring a list of every medication and supplement you take so we can complete a thorough medication reconciliation and avoid any interactions.

After starting therapy, Dr. Golian will follow up to confirm your technique is correct and your symptoms are improving, since proper inhaler use makes a meaningful difference in results. Rinsing your mouth after each dose helps prevent mild side effects such as oral thrush or hoarseness.

Over time, we aim to use the lowest effective dose that keeps your asthma well controlled, adjusting as needed and coordinating including Cedars-Sinai pulmonology through a specialist referral if your breathing proves difficult to manage. Ongoing care often fits within a broader chronic disease care plan.