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Newly diagnosed asthma AIR therapy — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsNewly diagnosed asthma AIR therapyGPhC CRA

A 19-year-old patient has newly diagnosed asthma and asks for a blue salbutamol inhaler because their friend uses one. They have symptoms twice weekly and no exacerbation today. What is the most appropriate alternative?

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Correct answer: E — Discuss an inhaled corticosteroid/formoterol reliever approach with the prescriber

NICE/BTS/SIGN guidance favours anti-inflammatory reliever therapy with low-dose ICS/formoterol for many people aged 12 years and over with newly diagnosed asthma. SABA-only treatment is not recommended because it treats bronchoconstriction without airway inflammation. Oral corticosteroids are not used as daily long-term treatment for mild asthma. Codeine is not appropriate for wheeze.

Reference: NICE NG245; BNF