Exercise-Induced Asthma Guidelines

Updated: Jan 08, 2019
  • Author: Joseph P Garry, MD, FACSM, FAAFP; Chief Editor: Craig C Young, MD  more...
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Guidelines Summary

American Thoracic Society guidelines for exercise-induced bronchoconstriction

The American Thoracic Society has developed new evidence-based practice guidelines for individuals with exercise-induced bronchoconstriction. These guidelines address its diagnosis, management, and environmental triggers, as well as considerations in elite athletes. [21]

The recommendations in managing exercise-induced bronchoconstriction include the following:

  • Preexercise administration of an inhaled short-acting beta-agonist (SABA) (about 15 minutes before exercise)

  • Use of a daily inhaled corticosteroid, a daily leukotriene receptor antagonist, or a mast cell stabilizing agent before exercise for patients who continue to exhibit symptoms despite administration of SABA therapy or who require daily or more frequent SABA use

  • Interval or combination warm-up exercise before planned exercise for all patients with exercise-induced bronchoconstriction

Daily use of an inhaled long-acting beta-agonist (LABA) or an inhaled corticosteroid is not recommended as monotherapy in patients with symptoms despite SABA therapy or in patients who require daily or more frequent SABA use. [21]