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Asthma Management: A Comparison of Old and New Treatment Protocols

The key distinction between the old and new asthma treatment protocols is the shift away from using short-acting beta agonists (SABA), such as salbutamol, as the primary reliever. The current approach recommends starting with a combination of a long-acting beta agonist (LABA) and inhaled corticosteroid (ICS), such as formoterol and budesonide, from the outset.

This change was driven by evidence showing a reduction in asthma exacerbations and emergency department visits with the newer protocol. Consequently, over the coming decades, salbutamol is expected to become much less commonly used, possibly limited to emergency settings.



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Asthma Management: A Comparison of Old and New Treatment Protocols

The key distinction between the old and new asthma treatment protocols is the shift away from using short-acting beta agonists (SABA), such as salbutamol, as the primary reliever. The current approach recommends starting with a combination of a long-acting beta agonist (LABA) and inhaled corticosteroid (ICS), such as formoterol and budesonide, from the outset.

This change was driven by evidence showing a reduction in asthma exacerbations and emergency department visits with the newer protocol. Consequently, over the coming decades, salbutamol is expected to become much less commonly used, possibly limited to emergency settings.

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