There are positive steps that you can take yourself to control your asthma on a day-to-day basis. To help you manage your asthma, doctors have devised a ‘stepwise treatment plan’. This consists of a series of steps which relate to treatment. If you find that the treatment for one step is not keeping your asthma under control, then your doctor will probably advise you to move up to the next step. However, if your asthma is under control, then he may recommend that you move down a step and decrease the treatment you are taking.
For this treatment plan to be effective, you must be in regular contact with your doctor and report to him on your progress. He can then decide whether to increase or decrease your medication. Below are the five steps to managing adult asthma. Note that this plan relies on teamwork between you and your doctor – you should not attempt it on your own.
Your asthma is under control and you sometimes use a short-acting reliever. However, if you are using it more than once daily, your doctor may recommend that you go up one step.
You need to take regular preventer treatment to reduce inflammation in your airways, perhaps a steroid inhaler, as well as your short-acting reliever.
You need to take higher doses of regular preventer treatment or long-acting relievers, as well as your short-acting reliever. You may also now need to use a spacer.
As well as your short-acting reliever and high-dose preventer treatments, you may also need to take a long-acting reliever and/or a different type of short-acting reliever.
In addition to your other treatments, you may also be given single daily doses of steroid tablets.