Question

A 55-year-old man with long-standing asthma has frequent daytime symptoms and nocturnal waking despite adherence to low-dose ICS. What is the next preferred step?

Accepted Answer

Add a long-acting beta-2 agonist to the inhaled steroid

Answer

Add oral theophylline

Answer

Switch to leukotriene receptor antagonist only

Answer

Start oral prednisolone 10 mg daily long term

Answer

Add a long-acting muscarinic antagonist as monotherapy

Practice question

A 55-year-old man with long-standing asthma has frequent daytime symptoms and nocturnal waking despite adherence to low-dose ICS. What is the next preferred step?