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Step 3

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

Prof. a.D. Dr. Andreas Sönnichsen

Andreas Sönnichsen

Head of the Department of General Medicine and Family Medicine, Center for Public Health, Medical University of Vienna

Prof. a.D. Dr.

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