How to step down asthma preventer treatment in patients with well-controlled asthma - more is not always better.

IF 3.4 Q2 PHARMACOLOGY & PHARMACY

Australian Prescriber Pub Date : 2022-08-01 DOI:10.18773/austprescr.2022.033

Helen K Reddel, Gloria J Foxley, Sharon R Davis

引用次数: 1

Abstract

Most of the benefit of asthma preventer inhalers is seen with low doses. However, many Australian patients are prescribed doses of inhaled corticosteroids that are higher than necessary to control their asthma. Prescribing unnecessarily high preventer doses increases the patient's risk of adverse effects. They may also increase the patient's out-of-pocket costs. Asthma guidelines recommend considering a step-down in preventer treatment after asthma has been well controlled for two to three months in adults and for six months in children. The step-down process should be individualised for each patient. Preventive therapy should not be stopped completely.

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如何在控制良好的哮喘患者中减少哮喘预防药物的治疗-越多并不总是越好。

预防哮喘吸入器的大多数益处是在低剂量时看到的。然而，许多澳大利亚患者吸入的皮质类固醇剂量高于控制哮喘所需的剂量。开出不必要的高剂量预防剂会增加患者产生不良反应的风险。它们也可能增加病人的自付费用。哮喘指南建议在成人哮喘控制好2 - 3个月，儿童哮喘控制好6个月后，考虑逐步减少预防剂治疗。降压过程应针对每位患者个体化。预防治疗不应完全停止。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Prescriber MEDICINE, GENERAL & INTERNAL-PHARMACOLOGY & PHARMACY

CiteScore

3.80

自引率

7.40%

发文量

审稿时长

>12 weeks

期刊介绍： Australian Prescriber is Australia''s free, national, independent journal of drugs and therapeutics. It is published every two months online. Our purpose is to help health professionals make informed choices when prescribing, including whether to prescribe a drug or not. To do this we provide independent, reliable and accessible information. As well as publishing short didactic reviews, we facilitate debate about complex, controversial or uncertain therapeutic areas. We are part of NPS MedicineWise, an independent, non-profit organisation providing medicines information and resources for health professionals, and stakeholders involved in the quality use of medicines. NPS MedicineWise is funded by the Australian Government Department of Health.