The National Heart, Lung, and Blood Institute (NHLBI) recommended dosing for systemic prednisone, prednisolone, or methylprednisolone in pediatric patients whose asthma is uncontrolled by inhaled corticosteroids and long-acting bronchodilators is 1–2 mg/kg/day in single or divided doses. It is further recommended that short course, or "burst" therapy, be continued until the patient achieves a peak expiratory flow rate of 80% of his or her personal best or until symptoms resolve. This usually requires 3 to 10 days of treatment, although it can take longer. There is no evidence that tapering the dose after improvement will prevent a relapse.
Complementary and Alternative Medicine Products . Table 5 summarizes the herbal preparations that may be effective in adults. 10 , 14 , 18 , 20 , 35 – 38 An herbal solution containing P. sidoides was shown to reduce the duration and severity of 10 different cold symptoms in a randomized controlled trial. 37 Another randomized controlled trial demonstrated the benefit of Andrographis paniculata (Kalmcold) in improving symptom scores. 35 A systematic review also indicated that A. paniculata , alone or in combination with Acanthopanax senticosus , may be more effective for symptom relief than placebo. 36
I find that the fatigue hits almost immediately after the attack, while the depression and despair hit during the attack.
In the ER today, I could feel the despair/ helplessness/hopelessness hit like a wave, and had to fight mentally to overcome it and stay calm. My attack took place out of town, and I had to walk 15 minutes to the ER, as I couldn’t talk on the phone (in my hand!!) nor would anyone respond to my attempts to flag down help. I truly didn’t think I would make it–inhaler didn’t even make a dent.