Asthma 2019 Guidelines by GINA (Global Initiative for Asthma)
Dec 02, 2019
Pharmacology expert, Dr. GobindRai Garg has come up with Asthma 2019 guidelines by GINA. It is one of the most important topics for NEET. It includes step-wise therapy for Asthma and will definitely prove helpful to you for the upcoming NEET exam.
Step-wise Therapy
As needed SABA alone are not recommended now
Instead ‘as needed ICS + Formoterol’ is recommended for acute exacerbations
| Steps | Primary Therapy | Alternative |
| Step-1 | As needed Low dose ICS + Formoterol | As needed Low dose ICS + SABA |
| Step-2 | Daily Low dose ICS | LTRA |
| Step 3 | Daily Low dose ICS + LABA | · Medium dose ICS or · Low dose ICS + LTRA |
| Step 4 | Daily Medium dose ICS +LABA | High dose ICS or Add on: Tiotropium or LTRA |
| Step 5 | Daily Medium dose ICS +LABA+/- · Tiotropium or · Biologicals like Omalizumab, Reslizumab, Mepolizumab, Dupilumab | Add low dose OCS |
Full Forms
ICS- Inhaled Corticosteroids
LTRA- Leukotriene receptor antagonists
LABA- Long-acting beta 2 agonist
SABA- Short-acting beta 2 agonist
Best Wishes!
Team PrepLadder
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