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WebReview after 4 to 8 weeks and stop if ineffective (NICE states addition of LTRA more cost effective compared to addition of LABA) Consider Maintenance and Reliever Therapy (MART) If concordance is a potential issue consider DuoResp Spiromax MART® or Fostair MART® therapy or Symbicort SMART®; review Increase ICS dose accordingly within … WebMD. 1,338 satisfied customers. My 17 year old son has chronic bronchitis and uses daily. My 17 year old son has chronic bronchitis and uses daily Symbicort 80/4.5 two puffs twice … WebMild symptoms may only consist of tachycardia, shivering, diaphoresis (sweating), mydriasis (dilated pupils), myoclonus (intermittent tremor or twitching), as well as overresponsive … how to host a mario kart tournament