Stepwise approach to asthma pharmacotherapy
The majority of patients with a new diagnosis of asthma should be started on an inhaled corticosteroid. On follow up, it is important to titrate their medication to achieve optimal control of their symptoms. This may be a ‘step up’ or a ‘step down’, according to the All Wales Asthma Management and Prescribing Guidelines (linked below).
Patients should be on the lowest step that provides complete asthma control, so it might take some time to ‘step up’ AND ‘step down’ therapy before you achieve optimal control.
Resources
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All Wales Adult Asthma Management and Prescribing Guideline
Endorsed by the Respiratory Health Implementation Group (RHIG), the All-Wales Adult Asthma Management guideline standardises management of patients with Asthma. The aim of this Guideline is to provide patients with asthma with basic asthma care, in line with the Personal Asthma Action Plan, and monitor preventer and reliever inhaler prescribing.
