Weekly self-monitoring and treatment adjustment benefit patients with partly controlled and uncontrolled asthma: an analysis of the SMASHING study

Table 1 Treatment steps for the Internet-based asthma action plan [10]

Step*	Medication
1	As needed rapid-acting β₂-agonist†
2	Low-dose inhaled glucocorticosteroids
3a	Low-dose inhaled glucocorticosteroids plus long-acting β₂-agonist
3b	Medium-dose inhaled glucocorticosteroids
3c	High-dose inhaled glucocorticosteroids
4a	Medium-dose inhaled glucocorticosteroids plus long-acting β₂-agonist
4b	High-dose inhaled glucocorticosteroids plus long-acting β₂-agonist
4c	Contact asthma nurse‡: consider addition of leukotriene modifier
5	Contact asthma nurse‡: consider addition of oral glucocorticosteroid

* Step numbers correspond with recommended steps in GINA guidelines figure 4.3-2. [3]
† Applies to all treatment steps
‡ Or other health care provider

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