Which medication is advised as needed for adolescents and adults with intermittent asthma?

For adolescents and adults with intermittent asthma, short-acting beta-2 agonists (SABAs) are the recommended "as-needed" medication. SABAs, such as albuterol, provide quick relief from acute asthma symptoms by relaxing the muscles of the airways, allowing for easier breathing. They are essential in managing intermittent asthma because they address symptoms promptly and effectively during episodes of wheezing, coughing, or shortness of breath.

In contrast, oral corticosteroids are generally used for short-term management of more severe asthma exacerbations rather than for routine use. High-dose inhaled corticosteroids (ICS) are usually reserved for more persistent asthma and are not recommended as needed. Long-acting beta-2 agonists (LABAs) are intended for regular daily use in combination with an ICS to control asthma symptoms over time and should not be used alone as a rescue medication due to the risk of worsening symptoms if used without an appropriate anti-inflammatory therapy. Thus, the use of SABAs on an as-needed basis aligns with the guidelines for treating intermittent asthma.