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Adrenal suppression with high doses of inhaled corticosteroids has been reported in the literature with suggestion of fluticasone propionate (FP) being a more potent adrenal suppressant than budesonide (BUD). To our knowledge, we present the first case of adrenal suppression after change from high dose FP to BUD therapy.

Adrenal suppression in an asthmatic presenting after change from high dose inhaled fluticasone propionate to inhaled budesonide