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No medication

START. Evaluation period *. ACQ. today. starts after treatment step up. Optimal control period. starts after one ACQ ≤ 0.5. Evaluation period. No medication. No. >. 28. days. change. Yes. Optimal control. ≤ 0.5. 0. 5. –. 1. 0. 1. 0. –. 1. 5. ≥ 1.5. period. >. 28.

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No medication

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  1. START Evaluation period * ACQ today starts after treatment step up Optimal control period starts after one ACQ ≤ 0.5 Evaluation period No medication No > 28 days change Yes Optimal control ≤ 0.5 0 . 5 – 1 . 0 1 . 0 – 1 . 5 ≥1.5 period > 28 days Yes No ACQ previous All ACQs in optimal control period ≤ 0 . 5 ≤ 0.5 0 . 5 – 1 . 0 Yes No No medication Immediate Immediate step up Step down Step up change step up + contact asthma nurse Reset optimal Reset evaluation control period period

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