Inhaled, Applied, Prescribed: Steroids Through the Allergy Lens

Guest: Dr. Bob Geng

We all reach for corticosteroids-whether it’s that trusty tube, inhaler, or systemic burst (or maybe all of the above)-but when does “fast and familiar” become too fast for our patients’ good? In this episode of the JDD Podcast Corticosteroid Stewardship Consortium Series, JDD podcast host Dr. Adam Friedman patches up with Dr. Bob Geng, Associate Voluntary Clinical Professor at UC San Diego and triple board-certified expert in allergy/immunology, clinical pharmacology, and internal medicine, to challenge some of our most comfortable prescribing habits. Auscultate to hear Dr. Geng bring a refreshingly practical, evidence tempered, and occasionally irreverent lens to steroid use, from where they still shine (and should) to the blind spots that too often slip under our radar. Together they unpack real world adverse events, the myth of “benign steroid exposure,” and what true stewardship looks like across disciplines, not as a slogan, but in busy clinics where time is short and patients are counting on us. If you prescribe steroids (and let’s be honest…ya do), this episode may just make you rethink your next refill. Tune in for insight, multidisciplinary perspective, and yes, a dose of good old fashioned Friedman flair.