Re: A: tapering off steroid inhaler

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,As far as I know there is no hard and fast rule. Based on the variance and reactivity over time as well as the pharmakodymamics of steroidal inhalants, I would reduce to 1 puff bid X 30 days; if she has not seen any regression, go to 1 puff qd (morning) for an additional 14-20 days. Then eliminate. This has worked for a few of my patients. Hope this helps.I would recommend, in addition to the drainage work, supporting the tissue with additional selenium, NAC, and mucolyxir if mucous congestion is a problem as it is with many asthmatics.Cory Tichauer, ND"C. P." <cp10101@...> wrote: Hi - While on shift with SSL, we had a patient with UC that we weaned off prednisone. You may want to contact him directly regarding his methodology. As she tapered down, he had her take 5mg of DHEA every twelve hours for the first four days. If there was no improvement or slight improvement after four days increase the DHEA to 10mg/day. The dose can be increased in intervals of 5mg as you taper (I think...this is where my notes become unclear) not to exceed 25 mg, and not long term. Warn them of the symptoms of too much DHEA (breast tenderness, acne, new hair growth). He also recommended anti-inflammatories specific for the tissue involved. I think

Viburnum and Ribes gemmos would be good considerations as well as surreninum 4CH. Good Luck- Picard ND Family Practice North field, RI Q: tapering off steroid inhaler Hi

everyone- I have a patient who's been on a steroid inhaler (Qvar), 2 puffs BID since the beginning of September. We've been doing drainage and acupuncture and she's feeling great and would like to start tapering off the steroid (She also has Albuterol PRN). Her MD refuses to talk to her about this, saying she needs to be on the steroid forever. My patient has told her that she won't do that and would like to know how to get off it but is getting nowhere. I've looked in several sources, and can't find an actual protocol on how to do the taper, just that it should be tapered. Does anyone have any experience or a resource that may answer my question? Thanks- Hindman, ND, LAc Portland, OR family practice Naturopathic PhysicianBear Creek Naturopathic Clinic, LLC1603 East Barnett Road Medford, Oregon 97504 541.770.5563 www.bearcreekclinic.com "We have not wings we cannot soar; but, we have feet to scale and climb, by slow degrees, by more and more, the cloudy summits of our time." - Henry W. Longfellow (1819-1892)

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Cory, What is Mucolyxir? I'm not familiar with it. Kim Saxe, ND"Cory Tichauer, ND" <biophoton@...> wrote: ,As far as I know there is no hard and fast rule. Based on the variance and reactivity over time as well as the pharmakodymamics of steroidal inhalants, I would reduce to 1 puff bid X 30 days; if she has not seen any regression, go to 1 puff qd (morning) for an additional 14-20 days. Then eliminate.

This has worked for a few of my patients. Hope this helps.I would recommend, in addition to the drainage work, supporting the tissue with additional selenium, NAC, and mucolyxir if mucous congestion is a problem as it is with many asthmatics.Cory Tichauer, ND"C. P." <cp10101 > wrote: Hi - While on shift with SSL, we had a patient with UC that we weaned off prednisone. You may want to contact him directly regarding his methodology. As she tapered down, he had her take 5mg of DHEA every twelve hours for the first four days. If there was no improvement or slight improvement after four days increase

the DHEA to 10mg/day. The dose can be increased in intervals of 5mg as you taper (I think...this is where my notes become unclear) not to exceed 25 mg, and not long term. Warn them of the symptoms of too much DHEA (breast tenderness, acne, new hair growth). He also recommended anti-inflammatories specific for the tissue involved. I think Viburnum and Ribes gemmos would be good considerations as well as surreninum 4CH. Good Luck- Picard ND Family Practice North field, RI Q: tapering off steroid inhaler Hi everyone- I have a patient who's been on a steroid inhaler (Qvar), 2 puffs BID since the beginning of September. We've been doing drainage and acupuncture and she's feeling great and would like to start tapering off the steroid (She also has Albuterol PRN). Her MD refuses to talk to her about this, saying she needs to be on the steroid forever. My patient has told her that she won't do that and would like to know how to get off it but is getting nowhere. I've looked in several sources, and can't find an actual protocol on how to do the taper, just that it

should be tapered. Does anyone have any experience or a resource that may answer my question? Thanks- Hindman, ND, LAc Portland, OR family practice Naturopathic PhysicianBear Creek Naturopathic Clinic, LLC1603 East Barnett Road Medford, Oregon 97504 541.770.5563 www.bearcreekclinic.com "We have not wings we cannot soar; but, we have feet to scale and climb, by slow degrees, by more and more, the cloudy summits of our time." - Henry W. Longfellow (1819-1892) Sponsored LinkFree Uniden 5.8GHz Phone System with Packet8 Internet Phone

Service Kim E. Saxe, ND Vice-President, Wisconsin Naturopathic Physicians Association www.milwaukeenaturopathic.com "Study nature, love nature, stay close to nature. It will never fail you." ~ lloyd Seven Stones Center for Wellness

1924 N Farwell Ave Milwaukee, WI 53202 414.224.1074

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[Guest guest]

Also consider lots of Ribes and/or Licorice solid extract for the adrenal support. Kim Saxe, ND"Cory Tichauer, ND" <biophoton@...> wrote: ,As far as I know there is no hard and fast rule. Based on the variance and reactivity over time as well as the pharmakodymamics of steroidal inhalants, I would reduce to 1 puff bid X 30 days; if she has not seen any regression, go to 1 puff qd (morning) for an additional 14-20 days. Then eliminate. This has

worked for a few of my patients. Hope this helps.I would recommend, in addition to the drainage work, supporting the tissue with additional selenium, NAC, and mucolyxir if mucous congestion is a problem as it is with many asthmatics.Cory Tichauer, ND"C. P." <cp10101 > wrote: Hi - While on shift with SSL, we had a patient with UC that we weaned off prednisone. You may want to contact him directly regarding his methodology. As she tapered down, he had her take 5mg of DHEA every twelve hours for the first four days. If there was no improvement or slight improvement after four days increase the DHEA

to 10mg/day. The dose can be increased in intervals of 5mg as you taper (I think...this is where my notes become unclear) not to exceed 25 mg, and not long term. Warn them of the symptoms of too much DHEA (breast tenderness, acne, new hair growth). He also recommended anti-inflammatories specific for the tissue involved. I think Viburnum and Ribes gemmos would be good considerations as well as surreninum 4CH. Good Luck- Picard ND Family Practice North field, RI Q: tapering off steroid inhaler Hi everyone- I have a patient who's been on a steroid inhaler (Qvar), 2 puffs BID since the beginning of September. We've been doing drainage and acupuncture and she's feeling great and would like to start tapering off the steroid (She also has Albuterol PRN). Her MD refuses to talk to her about this, saying she needs to be on the steroid forever. My patient has told her that she won't do that and would like to know how to get off it but is getting nowhere. I've looked in several sources, and can't find an actual protocol on how to do the taper, just that it should be

tapered. Does anyone have any experience or a resource that may answer my question? Thanks- Hindman, ND, LAc Portland, OR family practice Naturopathic PhysicianBear Creek Naturopathic Clinic, LLC1603 East Barnett Road Medford, Oregon 97504 541.770.5563 www.bearcreekclinic.com "We have not wings we cannot soar; but, we have feet to scale and climb, by slow degrees, by more and more, the cloudy summits of our time." - Henry W. Longfellow (1819-1892) Sponsored LinkFree Uniden 5.8GHz Phone System with Packet8 Internet Phone Service Kim E. Saxe, ND Vice-President, Wisconsin Naturopathic Physicians Association www.milwaukeenaturopathic.com "Study nature, love nature, stay close to nature. It will never fail you." ~ lloyd Seven Stones Center for Wellness

1924 N Farwell Ave Milwaukee, WI 53202 414.224.1074

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[Guest guest]

Mucolyxir is micro-dosed DNA (salmon). I believe it was first tested for cystic fibrosis with great results; however, due to its unpatentability it was never pursued by the parmaceutical nation. Allergy Research carries it now. There was a good section in a recent (last 6 mos) Townsend Letter featuring the empirical results from using this product. I have been impressed with it myself.Cory Tichauer, NDmedford, ORKim Saxe <drkimsaxe@...> wrote: Cory, What is Mucolyxir? I'm not familiar with it. Kim Saxe, ND"Cory Tichauer, ND" <biophoton > wrote: ,As far as I know there is no hard and fast rule. Based on the variance and reactivity over time as well as the pharmakodymamics of steroidal inhalants, I would reduce to 1 puff bid X 30 days; if she has not seen any regression, go to 1 puff qd (morning) for an additional 14-20 days. Then eliminate. This has worked for a few of my patients. Hope this helps.I would recommend, in addition to the drainage work, supporting the tissue with additional selenium, NAC, and mucolyxir if mucous congestion is a problem as it is with many asthmatics.Cory Tichauer, ND"C. P."

<cp10101 > wrote: Hi - While on shift with SSL, we had a patient with UC that we weaned off prednisone. You may want to contact him directly regarding his methodology. As she tapered down, he had her take 5mg of DHEA every twelve hours for the first four days. If there was no improvement or slight improvement after four days increase the DHEA to 10mg/day. The dose can be increased in intervals of 5mg as you taper (I think...this is where my notes become unclear) not to exceed 25 mg, and not long term. Warn them of the symptoms of too much DHEA (breast tenderness, acne, new hair growth). He also recommended

anti-inflammatories specific for the tissue involved. I think Viburnum and Ribes gemmos would be good considerations as well as surreninum 4CH. Good Luck- Picard ND Family Practice North field, RI Q: tapering off steroid inhaler Hi everyone- I have a patient who's been on a steroid inhaler (Qvar), 2 puffs BID since the beginning of September. We've been doing drainage and acupuncture and she's feeling great and would like to start tapering off the steroid (She also has Albuterol PRN). Her MD refuses to talk to her about this, saying she needs to be on the steroid forever. My patient has told her that she won't do that and would like to know how to get off it but is getting nowhere. I've looked in several sources, and can't find an actual protocol on how to do the taper, just that it should be tapered. Does anyone have any experience or a resource that may answer my question? Thanks- Hindman, ND, LAc Portland, OR family practice Naturopathic PhysicianBear Creek Naturopathic Clinic, LLC1603 East Barnett Road Medford, Oregon 97504 541.770.5563 www.bearcreekclinic.com "We have not wings we cannot soar; but, we have feet to scale and climb, by slow degrees, by more and more, the cloudy summits of our time." - Henry W. Longfellow (1819-1892) Sponsored LinkFree Uniden 5.8GHz Phone System with Packet8 Internet Phone Service Kim E. Saxe, ND Vice-President, Wisconsin Naturopathic Physicians Association www.milwaukeenaturopathic.com "Study nature, love nature, stay close to nature. It will never fail you." ~ lloyd Seven Stones Center for Wellness 1924 N Farwell Ave Milwaukee, WI 53202 414.224.1074 Sponsored Link Free Uniden 5.8GHz Phone System with

Packet8 Internet Phone Service Naturopathic PhysicianBear Creek Naturopathic Clinic, LLC1603 East Barnett Road Medford, Oregon 97504 541.770.5563 www.bearcreekclinic.com "We have not wings we cannot soar; but, we have feet to scale and climb, by slow degrees, by more and more, the cloudy summits of our time." - Henry W. Longfellow (1819-1892)

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