Question

Explain the stepwise approach for asthma treatments/management and give all long-term control as well as quick relief treatment options.

Answer 1

In step 1: SABAPRN that is inhaled short acting beta2 agonist is preferred

step 2: low dose of inhaled corticosteroids ICS is preferred. Alternatives are cromolyn, nidocromil, theophylline

step 3: low dose of ICS+LABA (long acting inhaled beta 2 agonist ) is preferred

step 4: medium dose of ICS+ LABA Preferred. Alternatively medium dose of Ics+ Zileuton

step 5: high dose of ICS+LABA and omalizumab is preferred to allergic patients

Step 6: high dose of ICS+LABA+oral corticosteroids and omalizumab for allergic patients is preferred

For intermittent asthma step 1 is required

For persistent asthma step 2 to 6 is needed with daily medication

Quick relief medication include SABA and short course of systemic corticosteroids may be required.SABA use over 2 days relieve the symptoms of the patient.