In step 3, in addition to general non-drug measures, the following two drugs should always be given in combination twice a day:
- An inhalation drug containing cortisone, e.g. Budesonide metered dose aerosol low dose (0.2 mg) or medium dose (0.4 mg) 2 x daily 1 spray. This medication is intended to permanently stabilize your bronchial tubes and to heal allergic or inflammatory processes.
- A long-acting, inhalable bronchodilator, e.g. Formoterol 12 µg / dose 2 x daily, maximum 48 µg / day.
Both drugs are available in a combination spray. You take one puff o fit in the morning and at night.
- In addition, a so called Leukotrien-Receptor-Antagonist can be prescribed, e.g. Montelukast 10 mg, 1 tbl. daily at night.
In the case of acute asthmatic symptoms you can use additionally a short acting broncho-dilator, e.g. Salbutamol (maximum dose 10 times per day!).
If you have no more complaints for 3 months or more, and you don’t need additional Salbutamol, you can downgrade to step 2 ⇒ step 2
If your complaints do not improve or only improve slightly, or you frequently need additional Salbutamol, treatment is carried out according to step 4 ⇒ step 4