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MediumRespiratoryPersistent asthma step-up therapyau-amcau-racgpau-racp

A 45-year-old woman with moderately severe persistent asthma has been using low-dose inhaled budesonide twice daily plus as-needed salbutamol. She has two exacerbations in the last year requiring oral prednisolone. According to the current Australian Asthma Handbook recommendations for adults, which is the preferred next step?

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