The aim of this article is to bring less well recognised adverse effects of inhaled corticosteroids to the attention of prescribers. Whilst inhaled steroids have a more favourable side effect profile than systemic steroids, they are not free from adverse effects. The dose of inhaled steroids used should be carefully monitored, and kept at the lowest dose necessary to maintain adequate control of the patient’s disease process. Be particularly aware of the cumulative effect of co-prescribing various dose forms of corticosteroids (inhaled, intranasal, oral and topical preparations).
According to information presented in court, beginning in the summer of 2014 and continuing until the spring of 2016, Godsey and Burton, who Godsey referred to as his partner, purchased anabolic steroids through the Internet from suppliers located in China. The steroids were shipped to the United States where Godsey and Burton converted them from powder to liquid dosage units in the kitchen and garage of Godsey's residence. Once converted into liquid dosage units, the steroids were sold and distributed to steroid users in Tyler and elsewhere.