Asthma GINA Stepwise Treatment — free guideline decision tool
This tool maps asthma symptom burden to a GINA treatment step (1–5) and gives the preferred Track 1 (ICS-formoterol reliever) and alternative Track 2 regimens.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Symptom/control level | Symptoms ≤ 2 days/week, normal lung function |
|---|---|
| Reliever track | Track 1 (preferred · ICS-formoterol reliever) |
→GINA stepStep 1
- Preferred regimen：As-needed low-dose ICS-formoterol (AIR, no daily maintenance needed)
- Reliever：Low-dose ICS-formoterol (as needed)
- General rule：Adults/adolescents should all include ICS, never SABA alone; before stepping up, check inhaler technique/adherence/triggers
| Symptom/control level | Uncontrolled on the above treatment or severe asthma |
|---|---|
| Reliever track | Track 2 (SABA/ICS-SABA reliever) |
→GINA stepStep 5
- Preferred regimen：Refer to respiratory specialist for phenotyping; add LAMA, consider biologics; high-dose ICS-LABA if needed
- Reliever：SABA or ICS-SABA (as needed)
- General rule：Adults/adolescents should all include ICS, never SABA alone; before stepping up, check inhaler technique/adherence/triggers
Common questions
What is Asthma GINA Stepwise Treatment?
This tool maps asthma symptom burden to a GINA treatment step (1–5) and gives the preferred Track 1 (ICS-formoterol reliever) and alternative Track 2 regimens.
How is Asthma GINA Stepwise Treatment calculated? What is the core formula?
Symptom level → step 1–5. Track 1: as-needed low-dose ICS-formoterol (steps 1–2) → MART (step 3) → medium MART (step 4) → specialist + LAMA/biologics (step 5). Track 2 uses SABA/ICS-SABA reliever with daily ICS.
When is Asthma GINA Stepwise Treatment used?
Use to select the controller/reliever regimen at each step, anchored on the principle that adults/adolescents always include ICS and never use SABA alone.
What are the key clinical points for Asthma GINA Stepwise Treatment?
Before stepping up, inhaler technique, adherence, and triggers are checked, and step-down after ≥ 3 months of control never stops ICS entirely. (original synthesis · not guideline verbatim) Track 1 uses ICS-formoterol as both maintenance and reliever (MART) from step 3, reducing exacerbations. Step 5 prompts phenotyping and biologic therapy in specialist care.
What are the limits and cautions when using Asthma GINA Stepwise Treatment?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Asthma GINA Stepwise Treatment calculated in practice? Can you show a worked example?
Inputs: Symptom/control level Symptoms ≤ 2 days/week, normal lung function, Reliever track Track 1 (preferred · ICS-formoterol reliever) → Result: GINA step Step 1（Preferred regimen: As-needed low-dose ICS-formoterol (AIR, no daily maintenance needed), Reliever: Low-dose ICS-formoterol (as needed), General rule: Adults/adolescents should all include ICS, never SABA alone; before stepping up, check inhaler technique/adherence/triggers） Inputs: Symptom/control level Uncontrolled on the above treatment or severe asthma, Reliever track Track 2 (SABA/ICS-SABA reliever) → Result: GINA step Step 5（Preferred regimen: Refer to respiratory specialist for phenotyping; add LAMA, consider biologics; high-dose ICS-LABA if needed, Reliever: SABA or ICS-SABA (as needed), General rule: Adults/adolescents should all include ICS, never SABA alone; before stepping up, check inhaler technique/adherence/triggers）
Run Asthma GINA Stepwise Treatment now
This tool maps asthma symptom burden to a GINA treatment step (1–5) and gives the preferred Track 1 (ICS-formoterol reliever) and alternative Track 2 regimens.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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