🌬️ 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.
Asthma GINA Stepwise Treatment
Symptom/control level
Reliever track
When to use
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.
How it works
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.
Key points
- 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.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.