From the Journals
Clinical Guidelines

VA DOD Updates Asthma Framework

The 2025 US Department of Veterans Affairs and US Department of Defense asthma guideline introduces 21 evidence-based recommendations for primary care, redefining stepwise treatment, comorbidity management, and reliever strategy.

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  • 1

    2025 guidelines emphasize the use of ICS for asthma management.

  • 2

    Single-device therapy significantly reduces severe exacerbations.

  • 3

    Avoids SABA-only therapy; focuses on ICS-containing options.

  • 4

    Weight loss recommended for obese patients with asthma.

  • 5

    Systematic review based on emerging evidence leading to 21 recommendations.

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    Comorbidities must be managed to improve asthma control.

  • 7

    Regular spirometry use is not routinely recommended.

Original Source(s)

VA DOD Updates Asthma Framework

The 2025 US Department of Veterans Affairs and US Department of Defense asthma guideline introduces 21 evidence-based recommendations for primary care, redefining stepwise treatment, comorbidity management, and reliever strategy.

  • by Kathryn Wighton

  • February 17, 2026

  • 4 min

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