#asthma tx

Image source: https://getasthmahelp.org/asthma-management-adults/

Start with albuterol, then add steroid and LABA.

Formoterol is a LABA that has rapid onset, so it can be used as a rescue inhaler (budesonide/fortmorerol = Symbicort).

Under asthma guidelines, SMART therapy is recommended for people with moderate to severe asthma, including children ages 5 and older. In general, SMART therapy is considered an easier treatment plan to follow. SMART therapy may also be considered as an as-needed treatment for mild asthma. Formoterol is a long-acting inhaled medication but it works quickly, similar to quick-relief albuterol. Researchers recently conducted a series of clinical trials called SYGMA (Symbicort Given as Needed in Mild Asthma). The clinical trials found the rate of severe asthma flares in adolescents (ages 12 to 18) and adults with mild asthma was significantly lower when using Symbicort as needed, instead of just a short-acting bronchodilator as needed. Important: SMART therapy for mild asthma is not FDA-approved. Talk with your doctor about whether this may be an option for you or your child. Since it’s not FDA-approved, your health insurance may not cover it.