A 9-year-old boy with known asthma presents with recurrent night-time cough and exercise limitation despite daily low-dose inhaled corticosteroid. His...

Question

A 9-year-old boy with known asthma presents with recurrent night-time cough and exercise limitation despite daily low-dose inhaled corticosteroid. His technique is correct and adherence is good. According to the Australian Asthma Handbook, what is the most appropriate next step in controller therapy?

Accepted Answer

Add a long-acting beta₂-agonist in a combination inhaler with inhaled corticosteroid

Answer

Increase short-acting beta₂-agonist use as needed

Answer

Switch to long-acting beta₂-agonist monotherapy

Answer

Stop inhaled corticosteroid and try montelukast alone

Answer

Add regular oral prednisolone

au-amc MCQ (SBA): Paediatric asthma step-up therapy