A 27-year-old woman is reviewed in the asthma clinic. She curr | FreeMedSite

A 27-year-old woman is reviewed in the asthma clinic. She currently uses salbutamol inhaler 10Omcg prn combined with beclometasone dipropionate inhaler 400mcg bd. Despite this she is having frequent exacerbations of her asthma and recently required a course of prednisolone. What is the most appropriate next step in management?

A. Add a leukotriene receptor antagonist
B. Add tiotropium
C. Add salmeterol
D. Start to take the salbutamol regularly, 2 puffs qds
E. Switch beclometasone to fluticasone

Respiration