Initiating therapy and severity control





STEP DOWN Therapy:

  • when well-controlled for at least 3 months
  • Never during acute illness


STEP UP Therapy:

  • Find asthma is not well-controlled AND rule out other possible causes of poor control: medication non-adherence, poor inhaler technique, poor environmental control, comorbidities
  • If adverse effects impact use/adherence and consequently asthma control, consider alternate options for drug therapy
  • Re-evaluate patient in 2-6 weeks (depending on assessed control, e.g., very poorly 2 week follow up) to achieve control
%d bloggers like this: