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  2. Single maintenance and reliever therapy
    • According to 2 sources
    The use of a single inhaler containing the combination of an inhaled corticosteroid (ICS) and formoterol, a specific long-acting bronchodilator, for both maintenance and quick relief therapy (single maintenance and reliever therapy [SMART or MART]) is recommended by both the Global Initiative for Asthma and the National Asthma Education and Prevention Program Coordinating Committee in steps 3 and 4 of asthma management.
    In 2020, the National Asthma Education and Prevention Program (NAEPP) published Focused Updates to Asthma Management Guidelines for US clinicians (2020 NAEPP Asthma Update) 1 that preferentially recommended the use of a combination inhaled corticosteroid (ICS)-formoterol inhaler for both maintenance and quick symptom relief (single maintenance and reliever therapy [SMART; also called MART]) at steps 3 and 4 in children aged 4 years or older and in adults.
     
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