1.Asthma has been increasingly recognized as being a heterogeneous disease with multiple distinct mechanisms and pathophysiologies.
2. Evidence continues to build regarding the existence of different phenotypes based environmental exposures, severity, age, atopy and other factors that produce a similar set of symptoms known collectively as asthma.
3. This led to a movement from a “one size fits all symptom-based methodology to a more patient- centered individualized approach to asthma treatment targeting the underlying disease process.
4.Asthma can be triggered by most of the same things that trigger allergies (dust mites, mold, animal dander, cockroaches, etc). A key step in controlling asthma is to identify which of these triggers make your asthma worse
5.There is a subjective and objective assessment of asthma severity
6. Always asses subjective score by Asthma control test (ACT)
7.Peak flow meter monitoring is must for objective assesment. Checking your peak flow is one of the best ways to empower yourself and gain control over your asthma. I
8.Ask for a written action plan that explains how to take your medicines and control your asthma.
9. Mild asthmatics should receive inhalation steroids to prevent attacks
10. Some biologics have been found to improve lung function in patients with severe asthma. Currently there are five approved biologics for asthma – omalizumab, mepolizumab, reslizumab, benralizumab, and dupilumab