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Severe Asthma Clinic

What is Asthma?

Asthma is a chronic inflammatory disorder of the airways. It is the most common chronic lung condition in Singapore which affects both adults and children. 

Common symptoms of asthma include:

  • Wheezing
  • Shortness of breath
  • Chest tightness
  • Cough

While there is no known cure for asthma, it can be controlled with proper treatment and management plan.

What is Severe Asthma? 

Asthma that remains uncontrolled despite:

  • Maximal inhaler therapy
  • Optimisation of all other treatable factors and comorbidities

Poor asthma control is indicated by the presence of any of the following:

  • Frequent symptoms such as shortness of breath, wheezing, coughing, waking up at night with difficulty breathing, and/or limitation of daytime activities
  • Use of fast acting reliever medications such as salbutamol inhaler or additional doses of budesonide-formoterol several times a week.
  • Recurrent hospital admissions, emergency department visits, and/or visits to primary care provider requiring oral steroids for flare-ups
  • Frequent use of oral steroids for flare-ups
  • Impaired lung function 

Our Multidisciplinary Team 

Core

Supporting                    

Pulmonologists

Asthma nurses/coordinators

Pharmacists

Physiotherapists (including speech therapist)

Psychologist

Medical Social Worker

Smoking Cessation counsellor

Other specialties: Allergist, ENT specialist, Dermatologist, Rheumatologist, Endocrinologist, Gastroenterologists, Psychiatrist, etc.

 

Doctors:

  • Clin Assoc Prof Mariko Koh Siyue
  • Adj Asst Prof Tiew Pei Yee Jessica
  • Dr Puan Youxin 

Asthma nurses/coordinators:

  • Ms Tan Li Leng, Karen
  • Ms Noor Syifa Bte Shamsuddin
  • Ms Tiang Poh Ching

Pharmacists:

  • Dr Ong Kheng Yong
  • Ms Vivian Tan
  • Ms Low Kai Xin

Physiotherapists:

  • Ms Sophie Cheah

Resources

Leaflets:

Webpages:

More resources for asthma:

As you seek comprehensive support for your medical needs, it's beneficial to explore a variety of resources. These resources aim to complement the care provided by SGH and empower you with a broader understanding of your condition and available treatment options. 

Resources from Primary Care Pages:

Add-on medications for treatment of severe asthma: 

  • Leukotriene receptor antagonists (Montelukast)
  • Long acting muscarinic antagonist (LAMA)
  • Macrolide antibiotics (Azithromycin or Clarithromycin)
  • Biologics (Monoclonal antibodies)
  • Low dose oral corticosteroids (Prednisolone)