A 28-year-old woman with asthma attends the pharmacy for a medication use review. She is using her salbutamol inhaler four times a week and has been

Question

A 28-year-old woman with asthma attends the pharmacy for a medication use review. She is using her salbutamol inhaler four times a week and has been waking at night with wheeze once a week. She is not currently taking a preventer inhaler. What is the most appropriate recommendation?

Accepted Answer

Start a regular low-dose inhaled corticosteroid such as beclometasone 200 micrograms twice daily

Answer

Continue with salbutamol as needed and review in three months

Answer

Start a long-acting beta-agonist inhaler such as salmeterol 50 micrograms twice daily

Answer

Switch salbutamol to ipratropium bromide for better symptom control

Answer

Start a leukotriene receptor antagonist such as montelukast 10 mg at night

Asthma stepwise management — GPhC CRA MCQ

A 28-year-old woman with asthma attends the pharmacy for a medication use review. She is using her salbutamol inhaler four times a week and has been waking at night with wheeze once a week. She is not currently taking a preventer inhaler. What is the most appropriate recommendation?