Asthma is increasingly recognised as a heterogeneous disease, with several phenotypes defined by clinical and inflammatory characteristics. Common phenotypes include allergic (eosinophilic, IgE-mediated), non-allergic (often neutrophilic or paucigranulocytic), late-onset adult asthma, obesity-associated asthma, and asthma with persistent airflow limitation.14 Identifying phenotypes supports individualised treatment strategies, particularly in those with severe asthma, and better long-term outcomes.
Steps 2 and 3: Maintenance and reliever therapy (MART)
Comorbid conditions can complicate asthma management. Assess for and help address factors such as allergic rhinitis, which affects up to 80% of people with asthma,24 as well as gastro-oesophageal reflux disease (GORD), anxiety, depression, obstructive sleep apnoea and smoking.
Vigilance required amid double supply of asthma medicines
While patients will be able to access cheaper medicines, asthma control, medicine stability and dose optimisation could be impacted.
How will you celebrate World Pharmacists Day 2021?
Save the date and get ready to mark this year’s World Pharmacists Day (WPD 2021) on Saturday 25 September.
Minimising urine dipstick use improves UTI management
Over-reliance on urine dipstick testing to guide urinary tract infection management contributes to antibiotic overuse and misuse.
Preparing to vaccinate children under 12 against COVID-19
On 5 December, the Therapeutic Goods Administration (TGA) provisionally approved Pfizer’s COVID-19 vaccine for children over 5 years of age.
WHO puts ‘temporary pause’ on hydroxychloroquine trial for coronavirus patients
A trial of hydroxychloroquine for COVID-19 treatment has been suspended after researchers found patients receiving the drug were at higher risk of heart problems and death.
Better COVID-19 communication needed, PSA tells Vic govt committee
Insufficient or unhelpful communication from authorities has been the most frustrating aspect of the COVID-19 crisis since restrictions started, according to Victorian pharmacists.
