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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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  • 1

    The VA and DoD released a 2025 guideline for asthma management, emphasizing anti-inflammatory strategies over symptom-driven therapies.

  • 2

    The updated guideline recommends inhaled corticosteroid-containing reliever strategies, moving away from short-acting beta-agonist-only therapy.

  • 3

    Single-device maintenance and reliever therapy (SMART) significantly reduced severe asthma exacerbations by about one-third in trials.

  • 4

    Management of comorbidities, such as obesity and gastroesophageal reflux disease, is highlighted to improve asthma control.

  • 5

    The guideline suggests a combination of ICS and rapid-onset LABA for asthma control and relief, streamlining treatment approaches.

Original Source(s)

VA DOD Updates Asthma Framework

  • by Kathryn Wighton

  • February 17, 2026

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