A 48-year-old woman with longstanding poorly controlled asthma uses her salbutamol inhaler daily and wakes twice per week with wheeze. She has been on...

Question

A 48-year-old woman with longstanding poorly controlled asthma uses her salbutamol inhaler daily and wakes twice per week with wheeze. She has been on medium-dose inhaled corticosteroid alone. According to the stepwise management approach, what is the most appropriate next step?

Accepted Answer

Add a long-acting beta2 agonist (LABA) in combination with her inhaled corticosteroid

Answer

Increase inhaled corticosteroid to high dose alone

Answer

Switch to leukotriene receptor antagonist monotherapy

Answer

Cease inhaled corticosteroid and use SABA only

Answer

Add daily oral prednisolone

au-amc MCQ (SBA): Asthma step-up therapy

A 48-year-old woman with longstanding poorly controlled asthma uses her salbutamol inhaler daily and wakes twice per week with wheeze. She has been on medium-dose inhaled corticosteroid alone. According to the stepwise management approach, what is the most appropriate next step?