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An 8-year-old with persistent asthma is on low-dose ICS (step 2) but has symptoms >2 days/week and nighttime awakenings 3-4 times/month. Per NAEPP 2020 focused update, what is the preferred step-up therapy?
Switch to long-term oral prednisone
Double the ICS dose
Add oral montelukast
Low-dose ICS-formoterol used as both daily controller and reliever (SMART)
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Low-dose ICS-formoterol used as both daily controller and reliever (SMART)
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