Allergy & Asthma Network is a national nonprofit organization dedicated to ending needless death

and suffering due to asthma, allergies and related conditions through outreach, education, advocacy

and research.

Short-acting Long-acting

Short-acting Long-acting

relax tight muscles in airways and offer quick relief of symptoms such as coughing, wheezing and shortness of breath for 3-6 hours muscles in airways and offer lasting relief of symptoms such as coughing, wheezing and shortness of breath for at least 12 hours

SHORT-ACTING BETA2-AGONIST BRONCHODILATORS LONG-ACTING BETA2-AGONIST BRONCHODILATORS relax tight

INHALED CORTICOSTEROIDS reduce and prevent swelling of airway tissue; they do not relieve sudden symptoms of coughing, wheezing or shortness of breath

contain inhaled corticosteroid, COMBINATION MEDICATIONS contain both long-acting beta2-agonist (LABA) long-acting beta2-agonist (LABA) and

MUSCARINIC ANTAGONISTS (ANTICHOLINERGIC) COMBINATION MEDICATIONS

relieve cough, sputum production, wheeze and chest tightness associated with chronic lung diseases contain muscarinic antagonist and beta2-agonist

contain both inhaled corticosteroid and long-acting beta2-agonist (LABA) and long-acting muscarinic antagonist (LAMA) long-acting muscarinic antagonist (LAMA)

BIOLOGICS target cells and pathways that cause airway inflammation; delivered by injection or IV BRONCHIAL THERMOPLASTY PDE4 INHIBITORS

ease lung inflammation and reduce exacerbations

Respiratory Treatments2021

©2021 Allergy & Asthma Network Reviewed by Dennis Williams, PharmD

ProAir® Digihaler™

117 mcgalbuterol sulfate

ProAir® HFA100 mcgalbuterol sulfate

ProAir RespiClick® 117 mcgalbuterol sulfate inhalation powder

Ventolin® HFA 90 mcgalbuterol sulfate

Serevent® Diskus® 50 mcgsalmeterol xinafoate inhalation powder

Xopenex HFA® 59 mcglevalbuterol tartrate

Striverdi®

Respimat®

2.5 mcgolodaterol hydrochloride

ArmonAir® RespiClick® 55, 113, 232 mcgfluticasone propionate inhalation powder

ArmonAir® Digihaler™ 55, 113, 232 mcgfluticasone propionate inhalation powder

Asmanex® Twisthaler® 110, 220 mcgmometasone furoate inhalation powder

Asmanex® HFA 100, 200 mcgmometasone furoate

Flovent® Diskus® 50, 100, 250 mcg fluticasone propionate inhalation powder

Flovent® HFA 44, 110, 220 mcgfluticasone propionate

Pulmicort Flexhaler® 90, 180 mcgbudesonide inhalation powder

QVAR® Redihaler™ 40, 80 mcg beclomethasone dipropionate

Arnuity® Ellipta®

50, 100, 200 mcgfluticasone furoate inhalation powderAlvesco®

HFA 80, 160 mcgciclesonide

Advair Diskus® 100/50, 250/50, 500/50 mcgfluticasone propionate and salmeterol inhalation powder

Advair® HFA45/21, 115/21, 230/21 mcgfluticasone propionate and salmeterol xinafoate

AirDuo® RespiClick®

55/14, 113/14, 232/14 mcgfluticasone propionate and salmeterol inhalation powder

AirDuo® Digihaler™

55/14, 113/14, 232/14 mcgfluticasone propionate and salmeterol inhalation powder

Anoro® Ellipta®

62.5/25 mcgumeclidinium and vilanterol inhalation powder

Bevespi Aerosphere® 9/4.8 mcgglycopyrrolate and formoterol fumarate

Breo® Ellipta®

100/25, 200/25 mcgfluticasone furoate and vilanterol inhalation powder

Dulera® 100/5, 200/5 mcgmometasone furoate and formoterol fumarate dihydrate

Symbicort® 80/4.5, 160/4.5 mcg budesonide and formoterol fumarate dihydrate

Wixela™ Inhub™ 100/50, 250/50, 500/50 mcg fluticasone propionate and salmeterol xinafoate (approved generic of Advair Diskus)

Stiolto™ Respimat®

2.5/2.5 mcgtiotropium bromide and olodaterol

Trelegy® Ellipta®

200/62.5/25 mcg, 100/62.5/25 mcgfluticasone furoate, umeclidinium and vilanterol inhalation powder

Breztri Aerosphere™

160/9/4.8 mcgbudesonide, glycopyrrolate and formoterol fumarate

= DOSE INDICATOR = GENERIC AVAILABLE DISEASE STATES: = ASTHMA = COPD

Atrovent® HFA 17 mcgipratropium bromide

Combivent® Respimat® 20/100 mcgipratropium bromide and albuterol

Duaklir® Pressair® 400, 12 mcgaclidinium bromide and formoterol fumarate dihydrate

Incruse® Ellipta® 62.5 mcgumeclidinium inhalation powder

Spiriva® HandiHaler®

18 mcgtiotropium bromide inhalation powder

Spiriva® Respimat® 1.25, 2.5 mcgtiotropium bromide

Tudorza™ Pressair™ 400 mcgaclidinium bromide inhalation powder

AllergyAsthmaNetwork.org800.878.4403

Xolair®

omalizumabNucala®

mepolizumab Daliresp®

250, 500 mcg roflumilastCinqair®

reslizumab

Fasenra™

benralizumab Dupixent®

dupilumab

A minimally invasive procedure that uses mild heat to reduce airway smooth muscle, leading to fewer severe asthma flares, ER visits, and days lost from activities. www.btforasthma.com

Proventil® HFA120 mcgalbuterol sulfate

Allergy & Asthma Network

Ast

hm

a A

ctio

n P

lan f

or

Hom

e &

Sch

ool

Nam

e:

Bi

rthda

te:

Asth

ma

Seve

rity:

I

nter

mitt

ent

M

ild P

ersis

tent

Mod

erat

e Pe

rsist

ent

S

ever

e Pe

rsist

ent

H

e/sh

e ha

s ha

d m

any

or s

ever

e as

thm

a at

tack

s/ex

acer

batio

ns

Scho

ol S

taff:

Fol

low

the

Yello

w a

nd R

ed Z

one

plan

s fo

r res

cue

med

icin

es a

ccor

ding

to a

sthm

a sy

mpt

oms.

Unl

ess

othe

rwise

not

ed, t

he o

nly

cont

rolle

rs to

be

adm

inist

ered

in s

choo

l are

thos

e lis

ted

as “

give

n in

sch

ool”

in th

e gr

een

zone

.

Bot

h th

e as

thm

a pr

ovid

er a

nd th

e pa

rent

feel

that

the

child

may

car

ry a

nd s

elf-a

dmin

ister

thei

r inh

aler

s S

choo

l nur

se a

gree

s w

ith s

tude

nt s

elf-a

dmin

ister

ing

the

inha

lers

Asth

ma

Prov

ider

Prin

ted

Nam

e an

d C

onta

ct In

form

atio

n:A

sthm

a Pr

ovid

er S

igna

ture

:

Dat

e:

Pare

nt/G

uard

ian:

I gi

ve w

ritte

n au

thor

izat

ion

for t

he m

edic

atio

ns li

sted

in th

e ac

tion

plan

to b

e ad

min

ister

ed in

sch

ool b

y th

e nu

rse

or o

ther

sch

ool

mem

bers

as

appr

opria

te. I

con

sent

to c

omm

unic

atio

n be

twee

n th

e pr

escr

ibin

g he

alth

car

e pr

ovid

er/

clin

ic, t

he s

choo

l nur

se, t

he s

choo

l med

ical

adv

isor

and

scho

ol-b

ased

hea

lth c

linic

pro

vide

rs n

eces

sary

for a

sthm

a m

anag

emen

t and

adm

inist

ratio

n of

this

med

icat

ion.

Pare

nt/

guar

dian

sig

natu

re:

Dat

e:

Scho

ol N

urse

Rev

iew

ed:

Dat

e:

AA

AA

I-041

6-08

5 A

lpha

Asth

ma

Trig

gers

: (Lis

t)

Plea

se s

end

a sig

ned

copy

bac

k to

the

prov

ider

liste

d ab

ove.

JG

reen

Zon

e

H

ave

the

child

take

thes

e m

edic

ines

eve

ry d

ay, e

ven

whe

n th

e ch

ild fe

els

wel

l.

Alw

ays

use

a sp

acer

with

inha

lers

as

dire

cted

.

Con

trolle

r Med

icin

e(s):

Con

trolle

r Med

icin

e(s)

Giv

en in

Sch

ool:

Resc

ue M

edic

ine:

Alb

uter

ol/

Leva

lbut

erol

p

uffs

ever

y fo

ur h

ours

as

need

ed

Exer

cise

Med

icin

e: A

lbut

erol

/Le

valb

uter

ol

puf

fs 15

min

utes

bef

ore

activ

ity a

s ne

eded

Y

ello

w Z

one

Begi

n th

e sic

k tre

atm

ent p

lan

if th

e ch

ild h

as a

cou

gh, w

heez

e, s

hortn

ess

of b

reat

h, o

r tig

ht c

hest.

Hav

e th

e

ch

ild ta

ke a

ll of

thes

e m

edic

ines

whe

n sic

k.

Resc

ue M

edic

ine:

Alb

uter

ol/

Leva

lbut

erol

p

uffs

ever

y 4

hour

s as

nee

ded

Con

trolle

r Med

icin

e(s):

Con

tinue

Gre

en Z

one

med

icin

es:

Add

:

Cha

nge:

If th

e ch

ild is

in th

e ye

llow

zon

e m

ore

than

24

hour

s or

is g

ettin

g w

orse

, fol

low

red

zon

e an

d ca

ll th

e do

ctor

righ

t aw

ay!

R

ed Z

one

If br

eath

ing

is ha

rd a

nd fa

st, ri

bs s

ticki

ng o

ut, t

roub

le w

alki

ng, t

alki

ng, o

r sle

epin

g.G

et H

elp

Now

Take

res

cue

med

icin

e(s)

now

Resc

ue M

edic

ine:

Alb

uter

ol/

Leva

lbut

erol

p

uffs

ever

y

Take

:

If th

e ch

ild is

not

bet

ter

right

aw

ay, c

all 9

11Pl

ease

cal

l the

doc

tor a

ny ti

me

the

child

is in

the

red

zone

.