The different treatments available

Unlike the treatment of the crisis that provides immediate relief, the background treatment should be taken on a regular basis to control symptoms and reduce the number of seizures. These drugs also prevent the degradation of respiratory function over time.

Treatments under permanent evaluation

Background treatment is the only way to effectively reduce the number, duration and intensity of seizures. It takes as long as the disease lasts and relies on daily doses of drugs that will act in depth on the phenomena of asthma.

The main treatment is based on an anti-inflammatory action to reduce hyper-reactivity and bronchial inflammation. These two components of asthma must absolutely be controlled to curb the degradation of the disease. The products used are inhaled corticosteroids, inhaled cromones or antileukotrienes.

To reduce respiratory discomfort and improve quality of life, bronchodilators are sometimes associated with anti-inflammatory drugs. Traditionally used on demand in the treatment of seizures, bronchodilators used in background treatment are not the same compounds. They have a much longer duration of action, which helps to maintain the diameter of the bronchi on the day.

Increasingly, anti-inflammatory and bronchodilators are directly associated with certain drugs. This reduces the number of daily catches and therefore facilitates monitoring of treatment.

More recently, an anti-IgE monoclonal antibody, Xolair®, is an additional treatment available at the age of 12 for severely ill-controlled asthma (in addition to traditional management, most often inhaled corticosteroids at high doses and Long-acting bronchodilators). The allergic origin of asthma should be checked by skin tests or a specific IgE assay. The initial prescription must be made at the hospital, renewal is reserved for specialists in pneumology and paediatrics.

Unfortunately, the effectiveness of the background treatment is not perceived immediately. This often results in a relaxation of the patient who eventually forgets to take or even stop treatment. However, good adherence to the treatment is essential for proper control of asthma.

Ideally, an asthmatic patient should consult his or her attending physician every 3 to 6 months to assess the peak flow of peak flow, analyze the respiratory discomfort experienced and its impact on the quality of life, Emergency consultations ... On the basis of this information, the doctor will be able to adapt his prescription and take measures to facilitate treatment follow-up.

Does your treatment allow you to live your asthma well on a daily basis? To get the most out of it, we encourage you to take this asthma test.

When asthma is well controlled, that is, when seizures are infrequent and do not result in consultation or hospitalization, the doctor may even consider a "therapeutic decrease". That is to say a lowering of dosages or a change of medicines.

For asthmatics allergic to mites, pollens and molds, there is also the possibility of desensitization. It reduces the strength of treatments because it facilitates the control of the disease. Unfortunately, it is contraindicated in patients with severe and moderate persistent asthma. To learn more about desensitization, read our article Desensitization in questions


Anticholinergics inhales

Stimulating beta2 bronchodilators



The corticosteroids

Monoclonal antibodies