<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 48-year-old man with a long history of mild persistent asthma on daily fluticasone therapy has been using his albuterol inhaler every day for the past month and presents requesting a refill. He denies any recent upper respiratory infections, but he says he has felt much more short of breath throughout this time frame. He works as a landscaper, and he informs you that he has been taking longer to complete some of his daily activities on the job. The vital signs include: temperature 36.7C 98.0F, blood pressure 12674 mm Hg, heart rate 74min, and respiratory rate 14min. His physical exam reveals mild bilateral wheezes and normal heart sounds. What changes should be made to his current regimen?? A: Add ciclesonide to current regimen, B: Add salmeterol to current regimen, C: Discontinue fluticasone and instead use salmeterol, D: Add cromolyn to current regimen, E: Discontinue fluticasone and add ipratropium to current regimen,  <response>: This is a patient with mild persistent asthma who is using his albuterol inhaler more frequently and experiencing increased shortness of breath, indicating his asthma is not well controlled on his current regimen of daily fluticasone. The choices involve adding or switching to another controller medication to improve asthma control. Ciclesonide and salmeterol are both good options to add to fluticasone to improve control. Cromolyn is a less potent controller medication and would not be the best choice here. Discontinuing the fluticasone and switching to only salmeterol or ipratropium would remove the anti-inflammatory effect of the inhaled corticosteroid, which is important for controlling asthma, so those options are not recommended.B: Add salmeterol to current regimen 