Reference of this article: Praena Crespo M, Jiménez Cortés A. Drugs to be used by the Primary Care pediatrician in childhood asthma treatment. Rev Pediatr Aten Primaria. 2005;7 Supl 2:S49-77.
Published in Internet: 30-06-2005
Primary Care paediatrician has, in order to manage asthma, much more posibilities
than any years ago, following the recommendations of the clinical practice guidelines recently
publicated. There are two main therapeutic groups: those medicaments that relief
symptoms and those which control the inflammation, a basical component of this disease.
Among the reliever ones, short acting beta2-agonists, oxygen and oral steroids are essential
medicaments. There are controversies about the utility of anticholinergics and inhaled
In the controller group the main roll is for inhaled steroids, long acting beta2-agonists
which have to be used in association with inhaled steroids, and leukotriene receptor antagonists
which may be employed alone or in combination with the other. Cromones used years
ago in slight asthma are lately in decline.
Primary Care paediatrician has to choose among these different medicaments and their
combinations. In this way, the clinical practice guidelines publicated by several international
and national organisms of various countries, some of them elaborated following evidence
based medicine criteria, help us and our patients.
Keywords● Asthma ● Treatment