5th May 2024

A 45-year-old man with a history of asthma reports increased use of his salbutamol inhaler, needing it more than three times a week.

A 45-year-old man with a history of asthma reports increased use of his salbutamol inhaler, needing it more than three times a week. He currently uses a low-dose inhaled corticosteroid (ICS) twice daily. His asthma symptoms include frequent nocturnal awakenings and limitations in daily activities.

What is the most appropriate step to manage his asthma?