ASTHMA: TREATMENT IN CHILDREN

Question 1

STEP 1

Answer 1

SABA + very low dose ICS

Question 2

STEP 2

Answer 2

SABA + very low dose + LTRA/LABA

MART = only over 12

Question 3

Very low dose ICS

Answer 3

e.g. Clenil 50mcg TWO puffs
BD

Question 4

Montelukast dose in children

Answer 4

• Review in 4-8 weeks
• 5yrs: 4mg OD
• 6-14: 5mg OD
• 15-17yrs & adults: 10mg OD

Question 5

STEP 3

Answer 5

• Add LABA and stop LTRA
  or
• Very low to low dose ICS/ add LTRA or LABA (whichever wasn’t used in step 2)

Question 6

STEP 4

Answer 6

MART + very lose dose ICS
or
Increase ICS strength
or
SR Theophylline
or
LAMA (if 12+)