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MediumRespiratoryStep-wise asthma managementau-amcau-racgp

A 45-year-old man with long-standing asthma uses budesonide/formoterol twice daily and salbutamol metered dose inhaler as needed. Over the last month he has been using salbutamol every day and waking twice a week with wheeze. Peak expiratory flow has fallen to 70% of his personal best. What is the most appropriate step in his maintenance therapy?

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