SMART regimen misunderstanding — GPhC CRA MCQ
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Correct answer: D — Use 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