EasyRespiratoryAsthma - initiation of controller therapyca-mccqe1ca-ccfp
A 14-year-old boy with known asthma reports daytime symptoms 3-4 times per week and uses his salbutamol inhaler on most of those days. He wakes at night with cough twice per month and has had one mild exacerbation in the last year requiring oral steroids. He is currently using only a salbutamol metered-dose inhaler as needed. According to Canadian Thoracic Society asthma guidelines, what is the most appropriate controller strategy?