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Journal of the American Academy of Physician Assistants:
doi: 10.1097/01.JAA.0000438535.76891.01
Pharmacology Consult

What is the best way to step down therapy in patients with well-controlled asthma?

Brown, Wendy PharmD, PA-C, AE-C

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ABSTRACT: Evidence suggests the best way to step down patients with well-controlled asthma on combination therapy is to lower the inhaled corticosteroid and eliminate the long-acting beta-agonist (LABA). However, this approach has been challenged due to concerns over the long-term safety of LABAs. Until this safety concern is resolved, it is imperative that practitioners recognize well-controlled asthma and attempt step-down treatment with the goal of maintaining optimal asthma control with the least amount of medication.

© 2014 American Academy of Physician Assistants.


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