Question

A 24-year-old woman with moderate persistent asthma uses budesonide 400 mcg/day and salbutamol as required. She has daytime symptoms 4-5/week and wakes twice weekly. What is the preferred next step?

Accepted Answer

Add a long-acting beta₂-agonist (LABA) in a combination inhaler

Answer

Increase ICS to high dose ICS monotherapy

Answer

Add a leukotriene receptor antagonist (LTRA)

Answer

Add theophylline

Answer

Oral prednisolone course and review

Practice question

A 24-year-old woman with moderate persistent asthma uses budesonide 400 mcg/day and salbutamol as required. She has daytime symptoms 4-5/week and wakes twice weekly. What is the preferred next step?