For more severe forms of asthma or during acute phases, which medication is commonly used?

• A. Inhaled corticosteroids
• B. Short-acting beta agonists only
• C. Systemic antibiotics
• D. Antihistamines

Answer: (A)

Reducing airway inflammation is the key to controlling more severe or worsening asthma. Inhaled corticosteroids provide anti-inflammatory effects directly in the lungs with minimal systemic exposure, making them the standard long-term controller for persistent and severe asthma. By dampening inflammatory cell activity and mucus production, they lessen airway hyperresponsiveness, reduce symptom frequency, and cut the risk of exacerbations, leading to better overall lung function over time. While a quick-relief inhaler is used for immediate relief during attacks, inhaled corticosteroids address the underlying inflammation that drives these episodes. Antibiotics and antihistamines don’t target the core inflammatory process of asthma and are not routine treatments for its management; systemic corticosteroids may be added in acute, severe flares, but the medication commonly used for ongoing control in severe asthma is an inhaled corticosteroid.