A 68-year-old woman in a rural town has poorly controlled asthma with frequent night-time symptoms despite high-dose inhaled corticosteroid monotherap...

Question

A 68-year-old woman in a rural town has poorly controlled asthma with frequent night-time symptoms despite high-dose inhaled corticosteroid monotherapy. She uses salbutamol several times per day. According to the Australian Asthma Handbook, which step-up option is preferred?

Accepted Answer

Add a long-acting beta2 agonist in combination with inhaled corticosteroid

Answer

Switch to short-acting beta2 agonist as sole therapy

Answer

Add a long-acting muscarinic antagonist inhaler only

Answer

Start regular oral corticosteroids as maintenance

Answer

Cease inhaled corticosteroid and use leukotriene receptor antagonist monotherapy

au-amc MCQ (SBA): Uncontrolled adult asthma step-up

A 68-year-old woman in a rural town has poorly controlled asthma with frequent night-time symptoms despite high-dose inhaled corticosteroid monotherapy. She uses salbutamol several times per day. According to the Australian Asthma Handbook, which step-up option is preferred?