This asthma action plan is specifically for patients using the combination medication Symbicort (budesonide and formoterol) as an anti-inflammatory reliever with or without maintenance
therapy (single maintenance and reliever therapy [SMART or MART]) is
Symbicort SMART® (Symbicort Maintenance and Reliever Therapy)
In its first update since 2007, the National Asthma Education and Prevention Program now recommends the use of Single Maintenance
Symbicort Combination inhaler preparations licensed for use as SMART therapy Product ICS LABA Inhaler device SMART dosing Max daily dose 30 day cost equivalent (1 puff bd) Symbicort 200/6 Budesonide The use of a single inhaler containing the combination of an inhaled corticosteroid (ICS) and formoterol, a specific long-acting bronchodilator, for both maintenance and quick relief therapy (single maintenance and reliever therapy [SMART or MART]) is recommended by both the Global Initiative for Asthma and the National
This is dependent on age, asthma severity, and ICS dose in the ICS-formoterol preparation
Symbicort Turbohaler contains: budesonide: a corticosteroid that helps reduce and prevent inflammation in the lungs; 1,2,5,6 formoterol: a long-acting 2 adrenoceptor agonist (LABA) or bronchodilator that relaxes the bronchial muscles to improve patients'
One approach that has attracted attention and controversy is Single inhaler Maintenance And Reliever Therapy (SMART) using the budesonide-formoterol combination inhaler Symbicort™
To date, there are no network meta-analyses comparing the impact of as-needed treatments in asthma, including the single maintenance and reliever therapy (known as “SMART” or “MART”; for simplicity, SMART will be used hereafter) and the use of inhaled corticosteroid (ICS)/long-acting β2-agonist (LABA) combination exclusively on an as-needed basis
SMART is advocated by proponents on both pragmatic and theoretical grounds, 3 and its use in primary care is addressed by Riemersma et al
Asthma: SYMBICORT is for the treatment of asthma in patients 6 years and older whose asthma is not well-controlled
Ifyouarehavingasthmasymptoms , take
This means that you can use your Symbicort Turbuhaler regularly each day for symptom prevention, and also when needed for symptom relief
Symbicort is one example of this type of combination inhaler
Symbicort Maintenance And Reliever Therapy (SMART):Your brown and blue medicines in a single inhaler Symbicort® has a dose counter to tell you when the inhaler is empty
Keep out of reach of children
3 For full information on dosing and administration of Symbicort Turbohaler 100/6, 200/6 and 400/12, please visit Symbicort Dosing Guide and Safety Profile or see the respective SmPCs This involves the patient using a single inhaler containing a corticosteroid (budesonide) and a long-acting beta 2 agonist (LABA; formoterol), for regular maintenance treatment, but also for additional ‘rescue’ use on an as-needed basis
8 mcg Stiolto® Respimat® olodaterol and tiotropium bromide 2