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MediumRespiratoryChronic asthma step-up therapyau-racgpau-amc

A 36-year-old woman with known asthma uses low-dose budesonide inhaler regularly and salbutamol as needed. Over the past month she has required her reliever on most days and wakes with wheeze twice a week. Spirometry shows FEV₁ 70 percent predicted. According to a stepwise approach, which is the most appropriate adjustment to her preventer therapy?

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