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MediumRespiratoryUncontrolled adult asthma step-upau-amcau-racgpau-racp

A 68-year-old woman in a rural town has poorly controlled asthma with frequent night-time symptoms despite high-dose inhaled corticosteroid monotherapy. She uses salbutamol several times per day. According to the Australian Asthma Handbook, which step-up option is preferred?

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