Way forward is not obvious at asthma crossroads

doi:10.1136/bmj.39339.481667.3A

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Syed F Hussain, consultant respiratory physician

Kettering General Hospital, Kettering, Northamptonshire NN16 8UZ

Syed.Hussain{at}kgh.nhs.uk

Barnes argues that using a combination inhaler (budesonide plus formoterol) as rescue therapy improves asthma control.1 Several studies support the use of budesonide/formoterol in the SMART (Symbicort (budesonide/formoterol) maintenance and reliever therapy) regimen.2 3 They have shown longer time to first exacerbation, reduced rate of severe exacerbations, and less inhaled corticosteroid dose, although …