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Asthma reliever overuse — GPhC CRA MCQ

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EasyRespiratory TherapeuticsAsthma reliever overuseGPhC CRA

A 24-year-old patient asks for a salbutamol inhaler. The PMR shows three salbutamol inhalers in 8 weeks and no inhaled corticosteroid. They wake with wheeze twice weekly. What is the most appropriate action?

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Correct answer: A — Refer for asthma review and assess inhaler technique

Frequent SABA use and nocturnal symptoms suggest poor asthma control and higher exacerbation risk. The patient needs clinical review and inhaler technique assessment rather than repeated reliever supply alone. Oral corticosteroids should not be supplied for self-start use without an agreed plan.

Reference: NICE CKS; BTS/NICE/SIGN asthma guideline