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Propranolol in asthma — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsPropranolol in asthmaGPhC CRA

A woman with asthma using salbutamol weekly presents a new prescription for propranolol for migraine prevention. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Query the prescription because propranolol may worsen bronchospasm in asthma

Non-selective beta-blockers can precipitate bronchospasm and reduce response to beta-agonists. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS