The authors reply to:“Systemic absorption of intranasal corticosteroids may occur and can potentially affect the hypothalamic–pituitary–adrenal axis”

LJ Sowerby, J Fowler - CMAJ, 2021 - Can Med Assoc
2. Broersen LHA, Pereira AM, Jørgensen JOL, et al. Adrenal insufficiency in corticosteroids
use: systematic review and meta-analysis. J Clin Endo crinol Metab 2015; 100: 2171-80. 3 …

Intranasal corticosteroids may have systemic absorption and potential impact upon cortisol measures

GA Kline, CJ Symonds, DT Holmes - 2024 - Can Med Assoc
In their recent review of intranasal corticosteroids, the authors claim that there is no
correlation with hypothalamic-pituitary-adrenal suppression (1). However, there are …

Systemic absorption of intranasal corticosteroids may occur and can potentially affect the hypothalamic–pituitary–adrenal axis

GA Kline, CJ Symonds, DT Holmes - CMAJ, 2021 - Can Med Assoc
In their recent CMAJ Practice article on intranasal corticosteroids, Drs. Fowler and Sowerby1
stated that this therapy is not associated with hypothalamic–pituitary–adrenal (HPA) axis …

RE: Intranasal corticosteroids may have systemic absorption and potential impact upon cortisol measures

LJ Sowerby, J Fowler - 2024 - Can Med Assoc
Thank you to Dr. Kline and his co-authors for their insightful comments regarding the
potential risk of HPA axis suppression in certain scenarios with nasal corticosteroid (1). We …

Using intranasal corticosteroids

J Fowler, LJ Sowerby - CMAJ, 2021 - Can Med Assoc
3. Orlandi RR, Kingdom TT, Hwang PH, et al. International consensus statement on allergy
and rhinology: rhinosinusitis. Int Forum Allergy Rhinol 2016; 6: S22209. 4. Gupta R …

Hypothalamic‐pituitary‐adrenal axis suppression and intranasal corticosteroid use: A systematic review and meta‐analysis

G Sampieri, A Namavarian, JJW Lee… - … Forum of Allergy & …, 2022 - Wiley Online Library
Background Intranasal corticosteroids (INCS) are used in the management of sinonasal
conditions. Use of exogenous steroids can be associated with hypothalamic‐pituitary …

Intranasal corticosteroid therapy: systematic review and meta-analysis of reported safety and adverse effects in adults

AM Donaldson, G Choby, DH Kim… - … –Head and Neck …, 2020 - journals.sagepub.com
Objectives To address concerns related to the safety profile of both Food and Drug
Administration (FDA)–approved and non–FDA-approved intranasal corticosteroid (INCS) …

Concerns about intranasal corticosteroids for over-the-counter use: position statement of the Joint Task Force for the American Academy of Allergy, Asthma and …

L Bielory, M Blaiss, SM Fineman, DK Ledford… - Annals of Allergy …, 2006 - Elsevier
The Joint Task Force for the American Academy of Allergy, Asthma and Immunology and the
American College of Allergy, Asthma and Immunology was charged with formulating a …

The subtle nuances of intranasal corticosteroids

J Fowler, BW Rotenberg… - Journal of Otolaryngology …, 2021 - journals.sagepub.com
Background In the specialty of Otolaryngology–Head and Neck Surgery, intranasal
corticosteroids are the mainstay treatment for inflammatory processes within the nasal cavity …

Local corticosteroids, why are they not used more/properly?

WJ Fokkens - Rhinology, 2019 - europepmc.org
It has been almost 50 years since Niels Mygind published the first paper on the use of nasal
corticosteroids. Twenty years ago, Weiner et al. showed in their systematic review that nasal …