Abstract
The most frequent chronic respiratory condition is asthma. Despite substantial advancements in asthma diagnosis
and care the majority of Indians with asthma continue to have poor control. Control can be achieved in the majority
bof individuals, however with the use of avoidance strategies and suitable medications therapies. For the vast
majority of patients, imhaled corticosteroids (ICS) constitute the standard of therapy. Most individuals who fails
to establish control with ICS medication prefer combination ICS/ long acting beta2 - agonists inhalers. Biologic
medicines that target immunoglobulin E or interleukin 5 have just recently been added to the asthma therapy
arsenal, although they may be useful in certain cases of difficult to control asthma. Allergen specific immunotherapy
has the potential to be a disease modifying therapy for many asthma patients, but it should only be recommended
by allergy specialists. Regular monitoring of asthma control using objective testing methods such as Spirometry, if
possible are key components of asthma care, in addition to avoidance tactics and medicines. Whenever possible;
writing asthma action plans; monitoring treatment obstacles and therapy adherence ; and reviewing inhaler device
technique. This article contains an overview of current evidence as well as guidelines for diagnosing and treating
asthma in adults and children.