We had a patient in clinic at some point in the last few months on albuterol only... was having nighttime symptoms that places him in the moderate persistent asthma category. Despite the convenience of Singulair, we chose inhaled corticosteroids.
"Inhaled corticosteroids improve asthma control more effectively in children and adults than any other single long-term controller medication." (Evidence Rating: A)
Pollart SM, Elward KS: Overview of changes to asthma guidelines: Diagnosis and screening. Am Fam Physician 2009;79(9):761-767. (http://www.aafp.org/afp/2009/0501/p761.html)
15. Pedersen S, O'Byrne P. A comparison of the efficacy and safety of inhaled corticosteroids in asthma. Allergy. 1997;52(39 suppl):1–34.
16. Hawkins G, McMahon AD, Twaddle S, Wood SF, Ford I, Thomson NC. Stepping down inhaled corticosteroids in asthma: randomised controlled trial. BMJ. 2003;326(7399):1115.
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