Asthma and Stepwise Management
Asthma Treatment Alternatives
The Long-Term Treatment Option:
- Inhaled Corticosteroids
- Long-acting beta-agonists (LABAs)
- Leukotriene modifiers
- Cromolyn and nedocromil potassium
- Theophylline
Fast Relief Treatments:
- Short-acting beta-agonists (SABAs)
- Anticholinergics
- Oral corticosteroids
Drugs: Their impact on patients
- They prevent and reduce symptoms by reducing airway inflammation. The side effects may include a hoarseness or sore throat.
- These medications provide relief immediately by relaxing the airway muscles. SABAs can cause tremors and palpitations.
Asthma Management and Treatment: A Stepwise Approach
First step: mild intermittent asthma
- Take quick relief medications as required
- Diagnose symptoms, and adapt treatment.
The second step is mild persistent asthma
- SABA daily at low dose or if needed, as necessary.
- Diagnose symptoms, and adapt treatment.
Step 3: Moderate persistent asthma
- ICS or LABA at low doses
- Diagnose symptoms, and adapt treatment.
Step 4: Severe persistent asthma
- Low-dose ICS combined with LABA, or high dose ICS in combination with oral corticosteroids
- Diagnose symptoms, and adapt treatment.
The Stepwise Approach to Management:
- This book provides a systematic approach for asthma management and treatment.
- Allows for individualized treatment plans based on the severity of the patient’s asthma.
- Asthma control is achieved by preventing exacerbations.
- Regular follow-up is encouraged to monitor symptoms, drug efficacy and side effects.