“…Although this suggests that low frequency of ICS use may not be an explanation for a higher level of prednisolone prescribing, it is not possible to draw firm conclusions; the association between infrequent ICS use and lower cumulative prescribing of OCS may, for example, simply reflect some patients avoiding doctors. A Dutch pharmacy database study including patient review found that nearly one‐half of patients with asthma and potentially harmful OCS exposure did not adhere to prescribed ICS, and more than half had problems with their inhaler technique 7 …”