امرأة عمرها ٣٥ سنة عندها ربو، تراجع العيادة. تقول إنها تستخدم بخاخ سالميتيرول (موسع طويل المفعول) وحده مرتين يومياً منذ شهور لأنه يريحها، ولا تستخدم أي كورتيزون استنشاقي، وتصحو ليلاً بالكحة مرتين أسبوعياً. ما التصرف الصحيح؟

A 35-year-old woman with asthma says she has used salmeterol (a long-acting bronchodilator) alone twice daily for months because it helps, with no inhaled corticosteroid, and wakes coughing twice a week. What is the correct action?

1. Stop it and use daily salbutamol only
2. Increase the number of puffs during an acute attack
3. Encourage him to continue because it prevents attacks
4. Tell the prescriber; a LABA is not used alone in asthma

Answer: D) Tell the prescriber; a LABA is not used alone in asthma. LABA monotherapy in asthma is linked to severe attacks and deaths, so it is given with an inhaled steroid. It is also not for acute attacks.