Table 2 Management approach based on control (GINA guidelines)
From: Asthma control cost-utility randomized trial evaluation (ACCURATE): the goals of asthma treatment
STEP 1 | STEP 2 | STEP 3 | STEP 4 | STEP 5 |
|---|---|---|---|---|
Asthma education | ||||
Environmental control | ||||
As needed rapid-acting ß2-agonist | As needed rapid-acting ß2-agonist | |||
| Â | Select one | Select one | Add one or more | Add one or both |
|  | Low-dose ICS* | Low-dose ICS plus long-acting ß2-agonist | Medium- or high dose ICS plus long-acting ß2-agonist | Oral corticosteroid (lowest dose) |
| Â | Leukotriene modifier | Medium- or high dose ICS | Leukotriene modifier | Anti-IgE treatment |
|  |  | Low-dose ICS plus Leukotriene modifier†|  |  |