A 24-year-old female comes for review. She was diagnosed with - TopicsExpress

A 24-year-old female comes for review. She was diagnosed with asthma two years ago and is currently using a salbutamol inhaler 100mcg prn combined with beclometasone dipropionate inhaler 200mcg bd. Despite this her asthma is not well controlled. On examination her chest is clear and she has a good inhaler technique. What is the most appropriate next step in management? A. Increase beclometasone dipropionate to 400mcg bd B. Switch steroid to fluticasone propionate C. Trial of leukotriene receptor antagonist D. Add salmeterol E. Add tiotropium

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