A table of specific step-down options. This table includes practical advice about stepping down once asthma
has been well controlled for 2–3 months, including choosing an appropriate time (no respiratory infection,
not travelling, not pregnant). Step-down options based on the patient’s current treatment are listed, with
related evidence levels.
Treatment of modifiable risk factors. Not all risk factors require, or respond to, a step-up in asthma
treatment. This table summarises interventions and evidence levels for modifiable risk factors, such as
weight reduction for obesity, and smoking cessation strategies.