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‘Step-down’ therapy, as-needed inhaled corticosteroids for mild persistent asthma


Two recently reported studies demonstrate the feasibility of “step-down” therapy and as-needed inhaled corticosteroids in patients with well-controlled mild persistent asthma.


American Lung Association Asthma Clinical Research Centers. Randomized comparison of strategies for reducing treatment in mild persistent asthma. N Engl J Med. 2007;356:2027–39.

Papi A et al. Rescue use of beclomethasone and albuterol in a single inhaler for mild asthma. N Engl J Med. 2007;356:2040–52.

National Institutes of Health. Practical guide for the diagnosis and management of asthma. 1997.