Are long term anti-biotics ever used in the treatment of asthma, and if so when are they indicated?
I'm on quite a lot for my asthma, including long-term Pred, which as soon as they stop, I plummet. My GP is very keen (as am I) that we find a non-steroid treatment route if possible because of all the issues it's caused me.
One thing that worked for me in the past (given accidentally by a locum who really wasn't sure what to do...) was a strong course of anti-biotics, even though there weren't any clear signs of infection. My nurse said something about it sometimes working, something to do with irritation in the small airways - I didn't really understand.
My GP, in her anti-Pred attempt decided it couldn't do any harm to try anti-biotics again as I was plummeting, and the hospital (wasn't in for respiratory issues - think they made this bit up!) extended the course. And it's worked, peak flows up, and less symptomatic. Trouble is, GPs not sure whether to continue, and haven't as yet been able to get any guidance from my hosp. asthma nurse or consultant, so I'm just continuing to pop the pills, but not sure if that's a good idea or not?
Can anti-biotics be used long-term in the treatment of asthma?
How do they work if there isn't an obvious infection?