Question

A 45-year-old with asthma on low-dose ICS has persistent symptoms 4 days/week and 1 nighttime awakening/week. What step-up is recommended?

Accepted Answer

Use single maintenance and reliever therapy (SMART) with ICS-formoterol

Answer

Add long-acting muscarinic antagonist only

Answer

Switch to leukotriene receptor antagonist monotherapy

Answer

Use SABA only as needed

Answer

Increase to high-dose ICS-LABA with oral steroids

Practice question

A 45-year-old with asthma on low-dose ICS has persistent symptoms 4 days/week and 1 nighttime awakening/week. What step-up is recommended?