AKT-0820

AKT-0820

A 10-year-old girl comes in for a follow-up appointment. She was diagnosed with asthma two years ago by her primary care physician. She is currently taking a salbutamol inhaler, using 2 puffs 3 times a day, and a low-dose beclomethasone inhaler. She also takes oral montelukast. Despite this treatment, she still experiences a nighttime cough and needs to use her blue inhaler most days. Unfortunately, the addition of montelukast has not provided much relief. On examination today, her chest is clear with no wheezing and a near-normal peak flow.

What is the next step in managing her asthma?