Prevention

Consider adding inhaled ^a steroids
(e.g.inhaled budesonide 800 µg twice daily.)

Provide information on asthma for high-risk patients.

Provide an action plan and a peak flow meter ^a  

• If the PEFR is
  • ≤ 70% or ≥ 20% diurnal variation - double inhaled steroid dose
  • ≤ 50% - steroid course
  • ≤ 30% - seek urgent treatment

There is no clear benefit from 

• recommending influenza vaccination. ^d
• treating gastroesophageal reflux ^d