Asthma Management Handbook
Close window

Table. Australian Asthma Handbook Version 2.0 amendments to sections not fully revised

Topic

Places(s) in text

Amendment

Rationale

Organisation of information

Diagnosis in children Diagnosing asthma in children Restructure to separate recommendations into subsections for children aged 1–5 years and children aged 6 years and over Restructured to reflect different approach to, and certainty of, asthma diagnosis in these age groups
Preschool children

Diagnosing asthma in children

Managing asthma in children

Revision of subsection headings to delete any references to children aged 0–12 months Restructured to emphasise the low probability of asthma in infants and for consistency with national guidelines for management of bronchiolitis
Stepping up and down in adults Stepped approach to adjusting asthma medication in adults Revision of figure to emphasise that a very small proportion of patients should manage asthma with as-needed relievers alone Amended to emphasise that regular inhaled corticosteroid preventer treatment is indicated for most adults and older adolescents
Adolescents Managing asthma in adolescents Structure amended to provide access to guidance on asthma in adolescents within main navigation menu on management Restructured to draw users’ attention to separate guidance on asthma in adolescents

Medicines

Fluticasone furoate Table. Long-acting bronchodilators for asthma–COPD overlap Note indicating discard-by intervals for inhalers Amended to alert prescribers that these inhalers have shorter discard-by date than most
Montelukast

Prescribing other preventers for adults

Managing exercise-induced bronchoconstriction in adults

More Information Topic:

Montelukast for adults and adolescents: psychiatric effects

Addition of note on potential behavioural and/or neuropsychiatric adverse effect with link to TGA alert Amended to reflect updated safety information
Oral H1 antihistamines in preschool children Managing allergic rhinitis in children with asthma Addition of statement on long-term safety profile of cetirizine and confirming that antihistamines can be taken long term Amended to provide information on a question commonly asked by parents
Short-acting beta2 agonists

Table. Risk factors for adverse asthma outcomes in adults and adolescents

Table. Management of risk factors for adverse asthma outcomes in adults

More Information Topic:

Over-use of short-acting beta2 agonists

Addition of statements on over-use of short-acting beta2 agonists:

  • Dispensing of 3 or more canisters in a year (average 1.6 puffs per day) is associated with increased risk of flare-ups.
  • Dispensing 12 or more canisters in a year (average 6.6 puffs per day) is associated with increased risk of asthma death.
Amended to reflect updated evidence and to emphasise risk

Inhalers

Inhaler technique

Choosing an inhaler device to suit the individual

Training patients in inhaler technique

More Information Topics:

  • Correct use of inhaler devices
  • Administration of inhaled medicines in children 5 years and under
  • Administration of inhaled medicines in children: 6 years and over
  • Choosing inhaler devices for older adults
Update of evidence and recommendations for inhaler device choice and technique Amended to reflect information and advice in updated NAC information paper Inhaler technique in people with asthma or COPD
Inhaler devices Table. Types of inhaler devices for delivering asthma and COPD medicines Update of table

Amended to remove devices no longer available and to include new devices:

DuoResp Spiromax (budesonide plus formoterol)

Fluair Inhaler (fluticasone propionate)

SalplusF metered dose Inhaler (fluticasone propionate plus salmeterol)

Trelegy Ellipta (fluticasone furoate plus umeclidinium bromide plus vilanterol trifenatate)

Thunderstorm asthma

Advice for prevention of thunderstorm asthma

Considering allergen avoidance where feasible

Preventing thunderstorm asthma

Blanket advice for at-risk people to avoid being outdoors before and during springtime thunderstorms amended with advice to check pollen counts and avoid thunderstorms only on high-pollen days

Addition of links to pollen count advice for regions where available

Update of published evidence

Amended to reflect updated evidence and guidance on prevention

Asset ID: 125