OP, you can use azithromycin, inhaled steroids or ibuprofen. i dont think there is any need to be on oral steroids for cf related inflammation. its overkill and we all know steroids arent good for you. in fact i dont think the doctors here even prescribe prednisolone for cf related inflammation anymore unless you are an unusual case and you dont respond to anything. azithromycin and inhaled steroids seems to be the norm.