The incidence of pediatric asthma has been increasing continuously in worldwide. Consistent management and therapy for the pediatric asthma were required because of huge social cost with exacerbated pediatric asthma. Smoking cessation of parent and management of the pediatric obesity are one of critical requirements for the secondary prevention. For initiation of the medical therapy, pediatric asthma has to be classified by age and severity. Even though ICS (Inhaled corticosteroids) is a key player in treatment of asthma, inappropriate application of ICS would bring under therapeutic effect. Thus providing proper using ICS device to the child or parents is important. In addition to that pharmacist should be able to recommend appropriate auxiliary apparatus in applying ICS with considering age and convenience. Finally, continuous monitoring the efficacy of medication and treatment should be performed by healthcare providers including pharmacist.

Keywords: Asthma, Pediatric asthma, Obesity, Smoking, Inhaled corticosteroids