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Giant cell arteritis — SCE Rheumatology MCQ

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HardVasculitisGiant cell arteritisSCE Rheumatology

Pilocarpine is considered for disabling Sjögren sicca. Which comorbidity is a labelled contraindication rather than a condition requiring only cautious monitoring?

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

Reveal the answer and explanation

Correct answer: E — Asthma requiring frequent rescue bronchodilator use

Explanation lettering: C = shown as A · A = shown as C

E is correct. Salagen is contraindicated in uncontrolled asthma and clinically significant uncontrolled cardiorenal disease, as well as when miosis is undesirable such as acute iritis. Controlled asthma, cardiovascular disease, chronic bronchitis and biliary disease call for careful benefit–risk assessment and monitoring rather than constituting the same absolute labelled bar.

Reference: Salagen 5 mg film-coated tablets SmPC: https://www.medicines.org.uk/emc/product/1370/smpc