STEP 1: Mild Asthma
Inhaled short acting β2 agonist as required via spacer
STEP 2: Regular Preventer Therapy
Add inhaled steroid 100-200mcg/twice daily Beclomethasone or Budesonide, or 50 - 100mcg/twice daily Fluticasone
– use the higher dose with greater severity
STEP 3: Persistent Poor Control
Refer to paediatrician for review of diagnoses and consideration of LABA’s and/or Montelukast
1. LABA’s are not licensed for use <4years (Salmeterol) and <6years (eformoterol), but are an alternative for families who can’t afford to pay for montelukast.
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