When do you consider extended steroid tapers for acute asthma or COPD exacerbations?

The data doesn't support extended tapers - 5 days of 40 pred equivalent are non-inferior, and extended courses can cause harm, including increases in mortality. I only use extended tapers for patients who have, in the past have rapid symptom recrudescence with the typical shorter course. Typically, ...

Totally agree with Dr. @Dr. First Last.