Asthma classification*Symptom frequencyLung functionMedications required to maintain long-term control
Mild intermittentDaytime: 2 days per week or less PEF or FEV1: 80 percent or more of predicted function
  • No daily medication needed

Nighttime: 2 nights per month or less
Mild persistentDaytime: more than 2 days per week, but less than 1 time per day PEF or FEV1: 80 percent or more of predicted function
  • Low-dosage inhaled corticosteroid delivered by nebulizer or metered-dose inhaler with holding chamber, with or without a face mask, or by dry-powder inhaler in children 5 years and younger

Nighttime: more than 2 nights per month
Moderate persistentDaytime: daily PEF or FEV1: 60 to 80 percent of predicted function
  • Children 5 years and younger: low-dosage inhaled corticosteroid and long-acting beta2 agonistor medium-dosage inhaled corticosteroid

  • Children older than 5 years: low- to medium-dosage inhaled corticosteroid and long acting inhaled beta2 agonist.

Nighttime: more than 1 night per week
Severe persistentDaytime: continual PEF or FEV1: 60 percent or less of predicted function
  • High-dosage inhaled corticosteroid and long-acting beta2 agonist

Nighttime: frequent