What is Systemic adverse effects of long term inhaled steroids are evident only at doses more than ? and explain in detail?
Ans. is 'c' i.e., 600 mcg/day. lRef: KDT Vhle p. 230)Systemic effects of long-term inhaled glucocoicoids are clinically relevant only at doses > 600 mcg/day.The significant ones are-mood changes, osteoporosis, growth retardation in children, bruising, petechiae, hyperglycaemia and pituitary-adrenal suppression; several repos of adrenal crisis have appeared, especially in children, during stress (of an infection, etc).