What is your approach to de-escalation of asthma inhaler therapy in the setting of negative bronchoprovocation testing when patients are averse to deprescribing?
At times due to limited testing resources, inhaler therapy is started based on clinical suspicion of asthma and bronchoprovocation testing is done later for diagnostic support. If testing is negative, some patients may still have resistance to de-escalation of therapy.
1 Answer
Mednet Member
Pulmonology · Saint Josephs Health Woodland Park
Answered on
I discuss the reason we are doing the bronchoprovacation test and what the results would mean. This makes it easier for patients to de-escalate therapy and seek an alternative diagnosis for their symptoms.
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