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Table 2 Zone 2 of the asthma self-management plan

From: FourFold Asthma Study (FAST): a study protocol for a randomised controlled trial evaluating the clinical cost-effectiveness of temporarily quadrupling the dose of inhaled steroid to prevent asthma exacerbations

Active group Control group
Zone 2 Zone 2
Your asthma is getting worse if you have one or more of the following:
• You need your reliever inhaler more than twice a week
• You had difficulty sleeping because of your asthma
• You have seasonal symptoms (e.g. hay fever, cold)
• Your peak flow is around ___ or lower
Your asthma is getting worse if you have one or more of the following:
• You need your reliever inhaler more than twice a week
• You had difficulty sleeping because of your asthma
• You have seasonal symptoms (e.g. hay fever, cold)
• Your peak flow is around ___ or lower
Action Action
Use your reliever inhaler to relieve your symptoms and increase your preventer medication as described below
(individualised instructions on how to achieve a fourfold increase)
Once your symptoms or peak flow have returned to normal or after a maximum of 14 days return to your normal treatment
If your symptoms get worse follow zone 3 instructions
Use your reliever inhaler to relieve your symptoms and continue your preventer medication at your normal dose
Once your symptoms or peak flow have returned to normal or after a maximum of 14 days return to your normal treatment
If your symptoms get worse follow zone 3 instructions
Start to record your morning peak flow, symptoms and medication in the study diary Start to record your morning peak flow, symptoms and medication in the study diary
Phone your research nurse to arrange a study visit Phone your research nurse to arrange a study visit