How do you classify asthma control?


The EPR-3 guideline classification divides asthma severity into four groups: intermittent, persistent-mild, persistent-moderate, and persistent-severe.

What is GINA classification of asthma?

Asthma severity

Previous GINA documents subdivided asthma by severity, based on the level of symptoms, airflow limitation and lung function variability, into four categories: intermittent, mild persistent, moderate persistent or severe persistent (table 2⇓; based on expert opinion rather than evidence).

What are the 4 types of asthma?

While these guidelines received an update in 2020 , the classification of asthma severity was not changed.
  • Mild intermittent asthma. …
  • Mild persistent asthma. …
  • Moderate persistent asthma. …
  • Severe persistent asthma. …
  • How is it treated?

What are the 3 types of asthma treatment?

  • Long-term asthma control medications, generally taken daily, are the cornerstone of asthma treatment. …
  • Quick-relief (rescue) medications are used as needed for rapid, short-term symptom relief during an asthma attack. …
  • Allergy medications may help if your asthma is triggered or worsened by allergies.

What are the new asthma guidelines?

For patients with mild persistent asthma, the Focused Updates recommend either of the following: daily low-dose ICS with as-needed SABA or as-needed ICS with SABA (used one after the other) for worsening asthma. For mild to moderate persistent asthma, single maintenance and reliever therapy (SMART) is preferred.

How do you cite GINA asthma?

Please cite this article as: Reddel HK, Bacharier LB, Bateman ED, et al. Global Initiative for Asthma (GINA) Strategy 2021 – Executive summary and rationale for key changes. Eur Respir J 2021; in press (

Is formoterol a LABA or SABA?

An alternative long‐acting beta2‐agonist (LABA), formoterol, has the potential to be used as reliever therapy, as it has an onset of action that is as fast as salbutamol and terbutaline, unlike another long‐acting beta2‐agonist, salmeterol (Palmqvist 2001).

What is the difference between controlled and uncontrolled asthma?

Level of asthma control is a function of underlying severity, responsiveness to treatment and the adequacy of asthma management(2). Uncontrolled asthma is associated with an increased risk of adverse asthma outcomes, significantly decreased quality of life and increased health care use.

Is formoterol a LABA?

Formoterol is in a class of medications called long-acting beta agonists (LABAs). It works by relaxing and opening air passages in the lungs, making it easier to breathe.

Is ipratropium a saba or lama?

Bronchodilators such as ipratropium, tiotropium, glycopyrronium, aclidinium and umeclidinium are not ‘anticholinergics’ since they are unable to antagonize the effects of acetylcholine on nicotinic receptors. They only block the muscarinic effects of acetylcholine.

Is salbutamol a SABA or LABA?

Two kinds of beta2-agonists are available: short-acting (SABA, e.g. salbutamol and terbutaline) and long-acting (LABA, e.g. formoterol and salmeterol).

Is ipratropium a SABA or LABA?

Ipratropium is a short-acting muscarinic antagonist (SAMA). We call this combination SABA/SAMA. It comes as a metered-dose inhaler (CombiventTM ) and as a nebulizer solution (DuonebTM).

What are the 4 bronchodilators?

Types of bronchodilator
  • beta-2 agonists, such as salbutamol, salmeterol, formoterol and vilanterol.
  • anticholinergics, such as ipratropium and tiotropium.
  • theophylline.

What are the three types of bronchodilators?

Types of bronchodilator
  • beta-2 agonists – like salbutamol, salmeterol, formoterol and vilanterol.
  • anticholinergics – like ipratropium, tiotropium, aclidinium and glycopyrronium.
  • theophylline.

Is tiotropium a lama or SAMA?

Long-acting muscarinic antagonists — The LAMAs (also known as long-acting anticholinergic medications) include tiotropium, aclidinium, umeclidinium, and glycopyrrolate (also called glycopyrronium) (table 6).

Which inhaler is best for asthma?

5 of the best inhalers for asthma
  • Best for short-term relief: Primatene Mist HFA.
  • Best for bronchial asthma: Asthmanefrin.
  • Best for long-term use: Trelegy.
  • Best for maintenance: Pulmicort Flexhaler.
  • Best for exercise-induced asthma: ProAir Digihaler.

Which drugs are used for acute asthma attacks?

Emergency treatment
  • Short-acting beta agonists, such as albuterol. These are the same medications as those in your quick-acting (rescue) inhaler. …
  • Oral corticosteroids. …
  • Ipratropium (Atrovent HFA). …
  • Intubation, mechanical ventilation and oxygen.