Question

A 47-year-old woman with moderate persistent asthma uses budesonide-formoterol maintenance therapy. She experiences weekly symptoms despite adherence. What is the best adjustment according to US-focused guidance?

Accepted Answer

Use budesonide-formoterol as single maintenance and reliever therapy (SMART).

Answer

Add daily tiotropium and keep SABA as reliever.

Answer

Switch to high-dose ICS alone.

Answer

Add montelukast as the sole change.

Answer

Use as-needed SABA only.

Practice question

A 47-year-old woman with moderate persistent asthma uses budesonide-formoterol maintenance therapy. She experiences weekly symptoms despite adherence. What is the best adjustment according to US-focused guidance?