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SMART regimen misunderstanding — GPhC CRA MCQ

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EasyRespiratory TherapeuticsSMART regimen misunderstandingGPhC CRA

A 29-year-old woman is prescribed budesonide/formoterol as maintenance and reliever therapy. She also has an old salbutamol inhaler at home and asks which inhaler to use when wheezy. What would you advise the patient?

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Correct answer: DUse budesonide/formoterol for maintenance and symptom relief as directed

In MART/SMART regimens, the ICS/formoterol inhaler is used for regular maintenance and as reliever because formoterol has rapid onset. Using an old SABA instead can undermine the regimen and reduce anti-inflammatory reliever benefit. The maximum daily dose and action plan should be clear.

Reference: NICE CKS; BNF