Question

A 39-year-old with allergic symptoms and intermittent wheeze is started on low-dose ICS; short-term quadrupling ICS at first signs of worsening is requested. NAEPP 2020 stance?

Accepted Answer

Do not recommend short-term ICS dose increases for worsening symptoms

Answer

Recommend quadrupling ICS for all exacerbations

Answer

Switch to SABA-only therapy

Answer

Add chronic oral steroids

Answer

Stop ICS entirely

Practice question

A 39-year-old with allergic symptoms and intermittent wheeze is started on low-dose ICS; short-term quadrupling ICS at first signs of worsening is requested. NAEPP 2020 stance?