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hma
D o not restrict exercise. I f exercise is a trig g er for asth m a attacks, ad m inister 1 or 2 puffs
of salbutam ol 1 0 m inutes beforeh and .
I n preg nant w om en, poorly controlled asth m a increases th e risk of pre- eclam psia,
eclam psia, h aem orrh ag e, in utero g row th retard ation, prem ature d eliv ery, neonatal
h ypoxia and perinatal m ortality. L ong -term treatm ent rem ains inh aled salbutam ol and
beclom etasone at th e usual d osag e for ad ults. W h enev er possible, av oid oral
corticosteroid s.
I f sym ptom s are not w ell controlled d uring a period of at least 3 m onth s, ch eck th e
inh alation tech nique and ad h erence before ch ang ing to a strong er treatm ent.
I f sym ptom s are w ell controlled for a period of at least 3 m onth s ( th e patient is
asym ptom atic or th e asth m a h as becom e intermittent) : try a step- w ise red uction in
m ed ication, finally d iscontinuing treatm ent, if it seem s possible. P rov id e patients w ith a
salbutam ol inh aler for any possible attacks. E v aluate after 2 w eeks. If th e results are
satisfactory, continue for 3 m onth s and th en re-ev aluate. If th e patient h as red ev eloped
ch ronic asth m a, restart long -term treatm ent, ad justing d oses, as required .
78
D o not restrict exercise. I f exercise is a trig g er for asth m a attacks, ad m inister 1 or 2 puffs
of salbutam ol 1 0 m inutes beforeh and .
I n preg nant w om en, poorly controlled asth m a increases th e risk of pre- eclam psia,
eclam psia, h aem orrh ag e, in utero g row th retard ation, prem ature d eliv ery, neonatal
h ypoxia and perinatal m ortality. L ong -term treatm ent rem ains inh aled salbutam ol and
beclom etasone at th e usual d osag e for ad ults. W h enev er possible, av oid oral
corticosteroid s.
I f sym ptom s are not w ell controlled d uring a period of at least 3 m onth s, ch eck th e
inh alation tech nique and ad h erence before ch ang ing to a strong er treatm ent.
I f sym ptom s are w ell controlled for a period of at least 3 m onth s ( th e patient is
asym ptom atic or th e asth m a h as becom e intermittent) : try a step- w ise red uction in
m ed ication, finally d iscontinuing treatm ent, if it seem s possible. P rov id e patients w ith a
salbutam ol inh aler for any possible attacks. E v aluate after 2 w eeks. If th e results are
satisfactory, continue for 3 m onth s and th en re-ev aluate. If th e patient h as red ev eloped
ch ronic asth m a, restart long -term treatm ent, ad justing d oses, as required .
78
