Question

An adult with moderate persistent asthma has frequent SABA use and two exacerbations in 6 months while on medium-dose ICS plus PRN albuterol. Best next step per US guidance?

Accepted Answer

Implement SMART using ICS-formoterol as both controller and reliever

Answer

Add daily LAMA and continue SABA PRN

Answer

Switch to high-dose ICS plus SABA PRN

Answer

Add leukotriene receptor antagonist and continue SABA PRN

Answer

Add theophylline

Practice question

An adult with moderate persistent asthma has frequent SABA use and two exacerbations in 6 months while on medium-dose ICS plus PRN albuterol. Best next step per US guidance?