Please register or login to view the chart

Asthma Children -2016

Diagnosis and assessment-Consider monitored initiation of treatment with very low-to low-dose ICS.Infrequent , short lived wheeze

Asthma diagnosed-Evaluation ○ assess symptoms , measure lung function , check inhaler technique and adherence
○ adjust dose ○ update self – management plan ○ move up and down as appropriate.

Regular preventer Very low 
( paediatric dose ICS )

( or LTRA < 5 yrs )-
Initial add-on preventer.Very low 
( paediatric dose ICS ) Plus Children > 5 yrs – add inhaled LABA Children < 5 yrs – add LTRA-
Additional add-on therapies

No reponse to LABA-stop LABA and ↑ dose of ICS to low dose

If benefit from LABA but control still inadequate – continue LABA and ↑ ICS to low dose

If benefit from LABA but control still inadequate- continue LABA and ICS and consider trial of other therapy – LTRA

High dose therapies

Consider trials of :

Increasing ICS upto medium dose

Addition of a fourth drug- SR theophylline Refer patient for specialist care.Continous or frequent use of oral steroids

Use daily steroid tablet in the lowest dose providing adequate control

Maintain medium-dose ICS

Consider other treatments to minimize use of steroid tablet Refer patient for specialist care. Short acting Beta 2 agonist as required- consider moving up if using three doses a week or more.In children with an intermediate probablity of asthma who cannot perform spirometry consider watchful waiting if the child is asymptomatic offer carefully monitored trial if the child is symptomatic

British guideline on the management of asthma- BTS SIGN September 2016


Related Charts:

Add Your Comments

Your email address will not be published. Required fields are marked *

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

A4 Medicine

Welcome to our newly updated website. A4Medicine is excited to announce that we continue to provide exceptional educational material to primary care healthcare professionals at an affordable rate. Please see our subscription plans for pricing. All plans come with a free 15-day trial. No money is taken from your payment method before the end of the free trial.

We are glad to offer all existing members/customers a 30% discount on yearly membership. If you have purchased The Visual Guidebook - you can claim the 30 % discount. These changes are applicable from 8th May 2021 and for any questions please write to

Enjoy free 5 minutes browsing as a paid member