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Beta-blocker in asthma — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsBeta-blocker in asthmaGPhC CRA

A 29-year-old woman with asthma is prescribed propranolol for migraine prevention. She uses salbutamol several times a week. What is the most appropriate alternative?

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

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Correct answer: B — Discuss a non-beta-blocker migraine preventive option with the prescriber

Non-selective beta-blockers such as propranolol can precipitate bronchospasm and reduce response to beta₂ agonists. A safer migraine preventive should be considered in a patient with active asthma symptoms. The pharmacist should contact the prescriber.

Reference: BNF; NICE CKS