Asthma 5-12

Question 1

What is the initial treatment for newly diagnosed asthma in this age group?

Answer 1

Twice-daily paediatric low-dose ICS + SABA as needed.

Question 2

When should paediatric low-dose MART be considered?

Answer 2

If asthma is not controlled on low-dose ICS + SABA and the child can manage MART.

Question 3

What should be considered if low-dose MART fails?

Answer 3

Increase to paediatric moderate-dose MART.

Question 4

What should be considered if the child cannot manage MART and has uncontrolled asthma?

Answer 4

Add LTRA to low-dose ICS + SABA for a trial of 8–12 weeks.

Question 5

What treatment should be offered if LTRA fails and MART is unsuitable?

Answer 5

Twice-daily low-dose ICS/LABA + SABA as needed.

Question 6

What if asthma remains uncontrolled on low-dose ICS/LABA + SABA?

Answer 6

Escalate to moderate-dose ICS/LABA + SABA.

Question 7

When should a referral be made in this age group?

Answer 7

If asthma is not controlled on moderate-dose MART or ICS/LABA (with or without LTRA).