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MART regimen — GPhC CRA MCQ

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HardRespiratory TherapeuticsMART regimenGPhC CRA

A 31-year-old’s asthma plan specifies low-dose budesonide/formoterol MART. She takes her maintenance doses as prescribed but still reaches first for an old salbutamol inhaler when symptoms occur. Which counselling point is correct?

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Correct answer: B — Use budesonide/formoterol for symptoms and stay within the prescribed maximum

In MART, the same ICS/formoterol inhaler supplies regular maintenance and symptom relief. Formoterol has a rapid onset and each reliever dose also treats airway inflammation. The patient should follow the product-specific maximum and the action-plan threshold for seeking help; scheduled maintenance is not omitted merely because reliever doses were needed.

Reference: NICE NG245, Asthma diagnosis, monitoring and chronic management: https://www.nice.org.uk/guidance/ng245/chapter/Recommendations