An 8 year old girl has a frequent cough at night and mild exercise-induced wheeze for 3 months. She has asthma and takes low-dose inhaled corticosteroids twice daily and a short-acting bronchodilator as required. She takes her treatment as recommended. Her inhaler technique is good.
Which is the most appropriate next step in her treatment?
- Add leukotriene receptor antagonist
- Add oral modified release theophylline
- Add short course of oral corticosteroid
- Increase dose of inhaled corticosteroid
- Increase frequency of short acting bronchodilator
A. Add leukotriene receptor antagonist
NICE Asthma Guidance