KCRS Letter

**Diagnosis** 1. Asthma - Mild persistent asthma 2. Allergic Rhinitis - Seasonal allergic rhinitis **Medications** - Salbutamol inhaler 100mcg, 2 puffs as required - Beclometasone dipropionate inhaler 100mcg, 2 puffs twice daily - Cetirizine 10mg once daily **Investigations** - FEV1: 85% predicted - FVC: 90% predicted - Eosinophil count: 0.4 x10^9/L - FeNO: 35 ppb **History/Presentation** "The patient presents today with a history of intermittent wheezing and shortness of breath, particularly during the spring and autumn months. They report that their symptoms are triggered by pollen and other allergens. They have been using their salbutamol inhaler more frequently over the past week. They deny any recent chest infections or hospitalisations. They report that they have been compliant with their medication regimen, but their symptoms have not been well controlled." **Plan** 1. Increase beclometasone dipropionate inhaler to 200mcg twice daily. 2. Review inhaler technique. 3. Schedule a follow-up appointment in 4 weeks. **Action for GP** 1. Please continue to prescribe current medications. 2. Advise patient to seek immediate medical attention if symptoms worsen. 3. Inform patient of follow-up appointment.