COVID-19: GINA Answers to Frequently Asked Questions on asthma management

March 25, 2020
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  • People with asthma should continue all of their inhaled medication, including inhaled corticosteroids, as prescribed by their doctor.
  • Inacute asthma attacks patients should take a short course of oral corticosteroids if instructed in their asthma action plan or by their healthcare provider, to prevent serious consequences.
  • In rare cases, patients with severe asthma might require long-term treatment with oral corticosteroids (OCS) on top of their inhaled medication(s). This treatment should be continued in the lowest possible dose in these patients at risk of severe attacks/exacerbations. Biologic therapies should be used in severe asthma patients who qualify for them, in order to limit the need for OCS as much as possible.
  • Nebulisers should, where possible, be avoided for acute attacks due to the increased risk of disseminating COVID-19 (to other patients AND to physicians, nurses and other personnel).
    • Pressurized metered dose inhaler (pMDI) via a spacer is the preferred treatment during severe attacks. (Spacers must not be shared at home)
    • While a patient is being treated for a severe attack, their maintenance inhaled asthma treatment should be continued (at home AND in the hospital).
  • Patients with allergic rhinitis should continue to take their nasal corticosteroids, as prescribed by their clinician.
  • Routine spirometry testing should be suspended to reduce the risk of viral transmission, and if absolutely necessary, adequate infection control measures should be taken.

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  1. Pingback: Recommendations for inhaled asthma controller medications - Global Initiative for Asthma - GINA