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NICE publish updated guidance on the diagnosis, monitoring and management of chronic asthma

For Asthma and Asthma (eosinophilic)

The National Institute for Health and Care Excellence (NICE) have updated their guidance on the diagnosis, monitoring and management of chronic asthma.

The update covers the reviewed evidence on increasing the dose of inhaled corticosteroids within a self-management programme in children and young people with asthma and have removed a recommendation. We have made new recommendations on self-management in children and young people. These recommendations are marked [2020].

What the guideline covers

Asthma: the care you should expect
Asthma is a common lung condition that affects the airways and can cause serious breathing difficulties. Every day 185 people in the UK are admitted to hospital with an asthma attack, and 5.4 million people are using treatments for asthma. Once asthma is diagnosed it does not have to limit people’s lives. There are lots of treatments to keep symptoms under control, but finding a treatment that works well and learning how to manage it takes the right support and advice.

We want this guideline to make a difference to children, young people and adults with asthma by making sure:  
  • doctors offer you the right tests to confirm your asthma as early as possible
  • you can take control of your care by having your own asthma care plan and help to use it
  • you know how to take your asthma medicines and what to do if they are not working
  • you get regular support to make sure you’re using your medicines correctly, for example checking your inhaler technique (the NHS website has more information about this)
  • you are helped to reduce the amount of medicine you are taking when your asthma is well controlled so that you are not taking medicine that you don’t need.
Making decisions together
Decisions about treatment and care are best when they are made together. Your health professionals should give you clear information, talk with you about your options and listen carefully to your views and concerns.

To help you make decisions, think about:
  • What are you most worried about – are there aspects of asthma and its treatment that worry you more than others?
  • How will the treatment affect your day to day life?
  • Whether there are changes you can make to help control your asthma, such as taking your medicine correctly, stopping smoking or identifying triggers
  • If you can’t understand the information you are given, tell your health professional.

© NICE [2019]

Asthma: diagnosis, monitoring and chronic asthma management. NICE guideline [NG80]. Published date: November 2017 Last updated: February 2020
Available from: See Link below. All rights reserved. Subject to Notice of rights
NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

The information provided by NICE was accurate at the time this article was issued.

NICE: Asthma: diagnosis, monitoring and chronic asthma management

Reporting of suspected adverse reactions

Reporting suspected adverse reactions (side effects) after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals or patients are asked to report any suspected adverse reactions via the Yellow Card Scheme at or search for MHRA Yellow Card in the Google Play or Apple App Store.

Disclaimer: This site is designed to offer information for general educational purposes only. The health information furnished on this site and the interactive responses are not intended to be professional advice and are not intended to replace personal consultation with a qualified physician, pharmacist, or other healthcare professional. We cannot provide individual medical advice. You must always seek the advice of a professional for questions related to a disease, disease symptoms, and appropriate therapeutic treatments.

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