Treatment of Chronic Asthma
See also the
acute management of asthma.
Salbutamol (short acting beta-2 agonist) inhaled 200 micrograms PRN
Low dose inhaled steroids: 100-400 micrograms Beclometasone inhaled twice daily
Salmeterol (long acting beta-2 agonistinhaled 50 micrograms (2 puffs) twice daily
dose inh steroids: Beclometasone 1000 micrograms (in divided doses). Or
oral theophyline, or leukotriene receptor antagonist
Regular prednisolone tablets. Initially 10-20mg (after breakfast). Maintenance 2.5-15 mg daily.
Salbutamol: Tremor, tachycardia, headache
Ipratropium: Antimuscarinic: dry mouth, nausea, constipation, headache
Adrenal suppression (patients should have a steroid card, may need
corticosteroids during illness), growth retardation, glaucoma, oral