In a patient with eosinophilic asthma that is controlled daily in between exacerbations, but has very symptomatic exacerbations which lead to ER visits and steroid bursts about 2 to 3 times per year, would you consider starting a biologic agent for prevention of exacerbations even though outside of flares patient is controlled?
1 Answer
Mednet MemberInvited Expert
Allergy & Immunology · University of Washington School of Medicine
Answered on · Updated on
A pragmatic approach to a patient like this is consideration of SMART (Single Maintenance And Reliever Therapy) with a single inhaler containing inhaled corticosteroid (ICS) and formoterol.
Although controlled most of the time, the exacerbation profile suggests suboptimal control of inflammation at ...
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