<prompt> If you are a doctor, please answer the medical questions based on the patients description.these are my active problems Interstitial preumonia, Broonchitis, chronnic , chronic obstructive pulmonary disease,acute exacerbation, My M.D. just put me prednisone 20 mc 2tabs daily, on advair diskus 500-50, spiriva handihaler. When is going to up ? or is it  <response>: TGE treatment of all these conditions u mentioned is slightly different. Treatment of different types of interstitial pneumonia differs, which depends on HRCT THORAX pattern. COPD also dont need steroids every time. Sometimes in not very severe COPD exacerbation, antibiotics inhaled bronchodilators inhaled steroids suffice.no systemic steroids. some interstitial pneumonia require steroids some not, most time in exacerbation, prednisolone benefits. 