What are the signs asthma is not well controlled?

Updated: Oct 07, 2019
  • Author: John J Oppenheimer, MD; Chief Editor: Michael A Kaliner, MD  more...
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Signs that asthma has not been well controlled include the following:

  • Symptoms >2 days per week

  • Nighttime awakenings 1-3 times per week

  • Short-acting beta-agonist use (rescue) >2 days per week

  • Some limitation in normal activity

  • FEV1 or peak flow >60-80% predicted/personal best

  • Validated questionnaire scores ATAQ 1-2, ACQ ≥1.50, ACT 16-19

  • Two or more exacerbations requiring oral systemic corticosteroids per year

Recommended actions when asthma has not been well controlled include stepping up 1 step, reevaluating the patient in 2-6 weeks, and considering alternative treatment options if adverse effects occur with therapy.

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