If inhaled corticosteroids are appropriate for children aged under 12 years who have chronic asthma, the least expensive product that is suitable for the individual child should be used.

If both an inhaled corticosteroid and a long-acting beta-2 agonist are needed, then a combination device that contains both medicines may be used. The decision to use a combination device should be based on the individual child and their asthma. If a combination device is chosen, the least expensive device that is suitable for the individual child should be used.

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.