Figure. Stepped approach to adjusting asthma medication in children aged 1-5 years
|Before considering stepping up, check symptoms are due to asthma, inhaler technique is correct, and adherence is adequate.|
|Consider stepping up if good control is not achieved despite good adherence and correct inhaler technique.|
Consider stepping down when asthma is stable and well controlled for more than 6 months.
ICS: inhaled corticosteroid; SABA: short-acting beta2 agonist
§ At all steps: Review recent symptom control and risk regularly. Manage flare-ups with extra treatment when they occur. Manage exercise-related asthma symptoms as indicated.
# Consultation with a specialist is recommended before prescribing high-dose inhaled corticosteroids in children aged 5 and under.
Last reviewed version 2.0