A 7-year-old child has a diagnosis of persistent asthma and…
A 7-year-old child has a diagnosis of persistent asthma and has been using a low-dose inhaled corticosteroid (ICS) daily for the past 3 months. The parent reports the child continues to have daytime symptoms 4 days per week and awakens with coughing twice per month despite good medication adherence and proper inhaler technique. What is the most appropriate next step in pharmacologic management?
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