In 2023, the Medicines and Healthcare Products Regulatory Agency (MHRA) approved the use of a dual (Inhaled corticosteroid/ Formoterol) combination treatment to be used as a reliever therapy for people aged 12 and over with the therapy choice situated early in the asthma treatment pathway as an alternative to its current use as a preventer or MART therapy sitting later in traditional treatment pathways.

In the UK, this new therapy option does not yet sit within an approved national guideline as NICE last updated its treatment pathway in 2020.  We await a new national asthma guideline but do not anticipate this new joint approach between NICE, BTS and SIGN to publish until 2024.

In the meantime, PCRS has looked to the latest Global Initiative for Asthma (GINA) approach to asthma treatment to see how this new approach fits and we have developed a simple algorithm for healthcare practitioners to see where this new treatment option sits.