Asthma — Uganda (General Adult population)
Chronic Step 1: Intermittent
Inhaled short-acting beta2 agonist (salbutamol 1-2 puffs prn).
Chronic Step 2: Mild Persistent
Salbutamol inhaler 1-2 puffs prn PLUS regular standard-dose inhaled corticosteroid (e.g. beclomethasone 100-400 mcg every 12 hours).
Chronic Step 3: Moderate Persistent
Salbutamol inhaler prn PLUS high-dose inhaled corticosteroids (beclomethasone 400-1000 mcg every 12 hours). Consider 6-week trial of Aminophylline 200 mg every 12 hours.
Chronic Step 4: Severe Persistent
Refer to specialist. Regular high-dose beclomethasone PLUS regular oral prednisolone 10-20 mg daily.
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