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LABA monotherapy in asthma — GPhC CRA MCQ

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HardRespiratory TherapeuticsLABA monotherapy in asthmaGPhC CRA

A 28-year-old woman with asthma presents with a new prescription for salmeterol inhaler. Her record shows salbutamol inhaler use but no inhaled corticosteroid. She has had two night-time wheeze episodes this week. What is the most appropriate action?

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Correct answer: A — Contact the prescriber because LABA should be used with inhaled corticosteroid treatment in asthma

Long-acting beta2 agonists should not be used as monotherapy in asthma. They should be used with inhaled corticosteroid treatment because airway inflammation must be addressed. Salmeterol is not for rapid relief of acute bronchospasm. The prescription should be clarified before supply.

Reference: BNF; NICE CKS