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Salbutamol overuse — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsSalbutamol overuseGPhC CRA

A patient requests a third salbutamol inhaler in six weeks. They have no preventer inhaler on their medication record and report night-time wheeze twice weekly. What is the most appropriate alternative?

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

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Correct answer: D — Supply if clinically appropriate and refer for urgent asthma review

Frequent SABA use and night symptoms suggest poor asthma control and increased exacerbation risk. Immediate symptom relief may still be needed, but the pharmacist should arrange prompt clinical review and discuss anti-inflammatory treatment. Refusing without safety-netting would be unsafe. Antihistamines do not address uncontrolled asthma.

Reference: BNF; NICE CKS