A patient with previous anaphylaxis to cow’s-milk protein, but no lactose intolerance, is prescribed Flixotide Accuhaler. Which excipient assessment

Question

A patient with previous anaphylaxis to cow’s-milk protein, but no lactose intolerance, is prescribed Flixotide Accuhaler. Which excipient assessment is correct?

Accepted Answer

The lactose contains milk protein, so the prescription requires an alternative

Answer

Only oral lactose products are relevant to cow’s-milk-protein allergy

Answer

Dietary lactose tolerance excludes a reaction to the Accuhaler excipient

Answer

An antihistamine before each dose makes the excipient clinically acceptable

Answer

The milk protein is removed when the blister is pierced before inhalation

Spacer device technique — GPhC CRA MCQ

A patient with previous anaphylaxis to cow’s-milk protein, but no lactose intolerance, is prescribed Flixotide Accuhaler. Which excipient assessment is correct?