New Asthma Guidelines: with Dr. Ed Brooks

In this episode of Pediatrics Now: We're joined by Dr. Ed Brooks, the Division Chief of Allergy, Immunology, and Infectious Disease at the University of Texas Health Science Center at San Antonio. With 30 years of experience in his field, Dr. Brooks revisits our show to discuss the updates to the national asthma guidelines.

He explains the significant change in the guidelines – the recommendation to use inhaled corticosteroids as needed during certain situations, such as during viral infections in children with intermittent but severe episodes of asthma. The update also includes a call for SMART (Single Maintenance And Reliever Therapy), which involves the use of a combination inhaler, like budesonide plus formaterol for people with moderate persistent asthma.

According to the new guidelines, individuals can utilize this combination up to eight puffs a day for children under 12, and up to 12 puffs a day for those older than 12. The data showed that the overall exposure to corticosteroids was less using SMART therapy, which signifies a significant reduction in hospitalizations or the need for oral corticosteroids.

Dr. Brooks also addressed concerns about medication shortages, advising that all inhaled steroids are about equal, and in instances of shortages, it would be safe to revert to a two-inhaler system. Join us for more insights on the updated asthma control guidelines. Talk to your pediatrician for more information.