Asthma Management Handbook
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Figure. Stepped approach to adjusting asthma medication in children aged 1-5 years

childmanage105Table. Reviewing and adjusting preventer treatment for children aged 1–5 years Table. Classification of preschool wheeze and indications for preventer treatment in children aged 1–5 /figure/show/21 Table. Definition of levels of recent asthma symptom control in children (regardless of current treatment regimen) Table. Risk factors for life-threatening asthma flare-ups in children

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


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