Dose adjustment and regimen of inhaled hormone therapy for asthma in children

  1.Inhaled glucocorticosteroids at medium and high doses (e.g., greater than 250 micrograms of fluticasone per day) alone, try to reduce the dose by 50% after achieving and maintaining asthma control for 3 months (i.e., no daytime symptoms, no nocturnal symptoms or stifled awakenings, no need for emergency relief medication and no activity limitation for 3 consecutive months); 2.Inhaled glucocorticosteroids at low doses (e.g., less than 250 micrograms of fluticasone per day) alone can achieve 3. If inhaled glucocorticosteroids and long-acting β2 agonists are used in combination, the dose of inhaled glucocorticosteroids should be reduced by about 50% until a low dose of inhaled glucocorticosteroids (e.g., 125 micrograms of fluticasone per day) is reached before considering stopping the use of long-acting β2 agonists and switching to low-dose inhaled glucocorticosteroid therapy alone; 4. If the child’s asthma can be maintained under control with the lowest dose of inhaled glucocorticoids (e.g., less than 50 micrograms of fluticasone per day) and no recurrence of symptoms within 1 year, discontinuation may be considered.