Asthma Treatment

Front 1

The following are the NICE guidelines for the treatment of Asthma

Back 1

Please give specific names of drugs not just group names!

Front 2

NICE Asthma Step 1 (1)
and when you'd escalate to 2

Back 2

Short acting beta 2 agonist

(if use > 1 x day or at night = step 2)

e.g.

Front 3

Step 2 (2)

Back 3

Short acting beta agonist e.g. salbutamol, terbutaline

+

Inhaled steroid e.g. beclometasone or fluticasone

Front 4

Step 3 (3)

Back 4

Short acting beta agonist e.g. salbutamol, terbutaline

+

Inhaled steroid e.g. beclometasone or fluticasone

+

Long acting beta 2 agonist e.g. salmeterol or formoterol

Front 5

Step 4 (3)

Back 5

As for step 3 but:

Increase dose beclometasone

or

Add oral theophylline (aminophylline is broken down to theophylline) but narrow therapeutic window

or

Oral leukotriene receptor antagonist (block leuk narrowing airway) e.g. monteleukast

Front 6

Step 5 (1)

Back 6

add oral steroid e.g. oral prednisolone

Front 7

Steroids

Back 7

Decrease inflam

Front 8

Aminophylline

Back 8

phosphodiesterase inhibitor (PDEi)

Narrow therapeutic window

Front 9

Anticholinergics

Back 9

e.g. ipratropium; better used in COPD, to decrease bronchial spasm

Front 10

Omalizumab

Back 10

Anti-IgE monoclonal antibody

Front 11

What is Becotide

Back 11

It is just inhaled beclometasone (trade name)

Front 12

What is seretide

Back 12

It is fluticasone (corticosteroid) and salmeterol (long acting beta 2 agonist)

Front 13

What is flixitide

Back 13

It is inhaled fluticasone (brand name)