What is the recommended strategy to reduce asthma exacerbations?

• A. Use spacer devices for inhalers
• B. Avoid inhaled corticosteroids
• C. Skip asthma management
• D. Use only systemic steroids

Answer: (A)

Delivering inhaled medications effectively is the main idea. A spacer attached to an inhaler improves how much drug actually reaches the lungs, rather than depositing in the mouth or throat. This makes inhaled corticosteroids and bronchodilators work more consistently, leading to better airway control and fewer asthma flare-ups. Spacers are especially helpful for people who have trouble coordinating inhalation with actuation, including children and those with poor technique, and they also reduce local side effects like thrush. In contrast, avoiding inhaled corticosteroids or relying only on systemic steroids would not reduce exacerbations and would worsen overall control.