 If control remains inadequate…
{"Image DocumentName": "Step 4: Persistent poor control", "Image ImageDescription": "If control remains inadequate\u2026 At high doses of inhaled steroid via MDI, a spacer should be used. No controlled trials indicating which of these is the best option, although the potential for side effects is greater with theophyllines and \u03b22 agonist tablets. If a trial of add-on therapy is ineffective, stop the drug (or in the case of increased dose of inhaled steroid, reduce to the original dose). Before proceeding to step 5, consider referring patients with inadequately controlled asthma, especially children, to specialist care.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}