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.
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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