Question

A 14-year-old with moderate persistent asthma has frequent exacerbations on low-dose ICS with as-needed albuterol. What controller/rescue strategy is recommended?

Accepted Answer

Use ICS-formoterol as both maintenance and reliever (SMART)

Answer

Continue low-dose ICS and add montelukast only

Answer

Switch to ICS-salmeterol plus SABA as needed

Answer

Use SABA only with dose escalation during colds

Answer

Switch to theophylline

Practice question

A 14-year-old with moderate persistent asthma has frequent exacerbations on low-dose ICS with as-needed albuterol. What controller/rescue strategy is recommended?