Stepping down in asthma.
نویسندگان
چکیده
Beta-2-agonists continue to find a dominant role in all the current guidelines on the management of chronic persistent bronchial asthma. However, the safety of the drugs remains doubtful. Thus, there is a case for review of the "Step up-Step down" approach in the management of chronic persistent bronchial asthma. Based on the currently available experimental and clinical data on bronchial asthma, the authors are of the opinion that chronic persistent bronchial asthma is best managed by a modified "Step I-Step II" approach.
منابع مشابه
Development and validation of a predictive model of failed stepping-down of inhaled corticosteroids in adult asthmatics
BACKGROUND Asthma guidelines suggest stepping-down of inhaled corticosteroids (ICSs) when asthma is stable. OBJECTIVE To determine outcomes of stepping-down and prediction of outcome after stepping-down of ICSs in controlled adult asthma. METHODS We performed a retrospective study on 21-81 year-old hospital-based outpatients with asthma in Japan. Protocol for stepping-down of ICSs was perfo...
متن کاملOutcomes of stepping down asthma medications in a guideline-based pediatric asthma management program.
BACKGROUND Little is known about outcomes after stepping down asthma medications within an asthma management program. OBJECTIVE To determine outcomes of stepping down asthma medications in a pediatric asthma management program. METHODS We performed a retrospective study of 5- to 18-year-old children with asthma in an integrated primary care practice in the United States. Data were included ...
متن کاملWhy and how to step down chronic asthma drugs.
Asthma is a common chronic airways disease. The goal of asthma management is to control symptoms while minimizing the side effects of treatment. Following a period of stable asthma, clinicians should consider stepping down treatment. This approach is recommended by current guidelines. Step-down has been studied for several types of asthma drug regimens, and certain approaches may have lower ris...
متن کاملOutpatient Management of Asthma in Children
The principal aims of asthma management in childhood are to obtain symptom control that allows individuals to engage in unrestricted physical activities and to normalize lung function. These aims should be achieved using the fewest possible medications. Ensuring a correct diagnosis is the first priority. The mainstay of asthma management remains pharmacotherapy. Various treatment options are di...
متن کاملPatient factors that physicians use to assign asthma treatment.
BACKGROUND Asthma guidelines recommend severity assessment to assign treatment, often quantified as current control. It is unknown how strongly control assessment affects clinician treatment decisions, nor if control is sufficient. METHODS To determine patient factors used by physicians to assign treatment, we surveyed pulmonary specialists (PSs) and family physicians (FPs) using vignettes. W...
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ورودعنوان ژورنال:
- The Indian journal of chest diseases & allied sciences
دوره 55 2 شماره
صفحات -
تاریخ انتشار 2013