Table 5.
Controller Medication Treatment Algorithm (Applied only to subjects currently taking controller medications)
Symptom Level (from Table 4) | Treatment Algorithm for Participants with Acceptable Adherence (≥50% of prescribed controller doses taken) | Treatment Algorithm for Participants with Unacceptable Adherence (< 50% of prescribed controller doses taken) |
---|---|---|
If participant has been on their current Step (1–6) for <6 weeks – no change in treatment | If participant has been on their current Step (1–6) for <6 weeks – no change in treatment | |
Well Controlled (Symptom level 1) | If participant has been on their current Step (1–6) for ≥6 weeks – decrease treatment by one step unless the participant has taken prednisolone for respiratory symptoms within the previous 28 days. | If participant has been on their current Step (1–6) for ≥6 weeks – decrease treatment by one step unless the participant has taken prednisolone for respiratory symptoms within the previous 28 days. |
Assess acute symptoms for initiation of prednisone | Assess acute symptoms for initiation of prednisone | |
Not Well Controlled (Symptom level 2) | If currently on Steps 1–5, increase controller regimen by 1 Step or, | Continue same controller regimen or place on Step 2 therapy, whichever is higher |
If currently on Step 6, continue Step 6 | ||
Assess acute symptoms for initiation of prednisone | Assess acute symptoms for initiation of prednisone |