Smoking has a negative impact on asthma and alters the response to some asthma therapies

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Although many asthmatics are regular smokers, there are limited data on the response of smokers to asthma therapy. The symptoms of asthma are worse in smokers than in nonsmokers, with an increase in the frequency and severity of attacks. Corticosteroids are the most effective medication for the treatment of asthma, but active smoking significantly reduces the efficacy of these agents. Fortunately, response to corticosteroids is improved in patients who stop smoking

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