Question on step 4 asthma management in adults.

First thing you do is increase the inhaled steroid dose, but then you can consider adding a theophylline, leukotriene receptor antagonist or B2 agonist. Is there any preference over which one to choose when, or do you literally pick one and see if it suits the patient, if not pick another?

Authored By Conrad Hayes on Sunday 31st March 2013


Peter Calvert
Medical Student - Lancaster
Posted over 7 years ago

As far as I'm aware it's a case of tailoring to the individual, hence why the guidelines don't recommend one over another.

Often the results differ per patient - e.g. in some people, Montelukast works like magic and resolves almost