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Asthma SABA overuse — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsAsthma SABA overuseGPhC CRA

A 24-year-old woman with asthma asks for another salbutamol inhaler. Pharmacy records show three salbutamol inhalers supplied in the last eight weeks and no inhaled corticosteroid for six months. What is the most appropriate action?

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

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Correct answer: ESupply if appropriate and refer for urgent asthma review

Frequent reliever use suggests poor asthma control and increased risk of exacerbation. The immediate need for a reliever should be considered, but the pattern requires prompt clinical review and optimisation of preventer treatment. Stopping reliever treatment would be unsafe. Oral corticosteroids require appropriate clinical assessment.

Reference: NICE CKS; BNF