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Advice regarding using LABAs in chronic asthma

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

In the management of chronic asthma, LABAs should:

  • only be added if regular use of standard-dose ICS has failed to control asthma adequately
  • not be initiated in patients with rapidly deteriorating asthma
  • be introduced as a low dose and the effect properly monitored before considering a dose increase
  • be discontinued in the absence of benefit
  • be reviewed as clinically appropriate: stepping down therapy should be considered when good long-term asthma control has been achieved.

Patients should be asked to report any deterioration in symptoms following initiation of a LABA.

Reference:

  • (1) Medicines and Healthcare products Regulatory Agency. Asthma: long-acting b2 agonists. Accessed from: www.mhra.gov.uk on 12/8/08.

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