A patient with asthma reports increased use of her rescue inhaler. What is the most appropriate next step in treatment?

Increased use of a rescue inhaler in a patient with asthma typically indicates that their asthma is not well-controlled and that they may benefit from stepping up their treatment. The most appropriate next step in managing this situation is the introduction or increase of inhaled corticosteroids, such as beclomethasone. Inhaled corticosteroids help to reduce airway inflammation, decrease the frequency of asthma exacerbations, and improve overall control of asthma symptoms over the long term.

Inhaled corticosteroids are the cornerstone of asthma management and are effective in preventing symptoms when used regularly. By addressing the underlying inflammation in the airways, they optimize asthma control and minimize the need for rescue medication. This proactive approach aligns with guidelines that recommend increasing controller medications in response to worsening asthma symptom patterns.

While oral prednisone may offer a rapid reduction in inflammation, it is generally reserved for acute exacerbations and is not ideal for routine management due to potential side effects. Oral theophylline is not commonly used as a first-line agent due to its narrow therapeutic index and the availability of more effective treatments. Salmeterol, a long-acting beta agonist, is often prescribed alongside inhaled corticosteroids but is not suitable as a mono-therapy for step-up treatment due to