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Asthma treatment management strategies
Caroline Sattler1, Gilles Garcia1, Marc Humbert2
1Service de physiologie et d'explorations fonctionnelles respiratoires.
La Revue Du Praticien
|December 6, 2018
Summary
Effective asthma management involves finding the lowest inhaled corticosteroid dose for disease control. This strategy reduces symptoms, lowers risks, and improves lung function, guided by control assessments and tailored therapy adjustments.
Area of Science:
- Pulmonology
- Pharmacology
Context:
- Asthma is a chronic respiratory disease requiring ongoing management.
- Current strategies focus on achieving and maintaining disease control.
- Effective management aims to minimize medication side effects and improve patient quality of life.
Purpose:
- To outline optimal asthma treatment management strategies.
- To emphasize the importance of assessing asthma control.
- To detail therapeutic adjustments for inhaled corticosteroids and add-on therapies.
Summary:
- The primary goal of asthma management is to identify the minimal effective dose of inhaled corticosteroids (ICS) to achieve disease control.
- Asthma control assessment, using tools like the Asthma Control Test (ACT) or Asthma Control Questionnaire (ACQ), is crucial for guiding treatment.
- Therapeutic adaptation involves adjusting ICS dosage and incorporating additional medications (e.g., long-acting beta2-agonists, antileukotrienes) as needed, alongside addressing adherence, technique, and exacerbating factors.
Impact:
- Improved patient outcomes through optimized asthma control.
- Reduced healthcare burden associated with uncontrolled asthma.
- Enhanced understanding of comprehensive asthma management beyond pharmacotherapy.
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