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Beta-blocker in asthma — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsBeta-blocker in asthmaGPhC CRA

A patient with asthma has a new prescription for propranolol for migraine prevention. They use salbutamol several times monthly. What is the most appropriate alternative?

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

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Correct answer: D — Discuss a non-beta-blocker migraine preventive with the prescriber

Non-selective beta-blockers can worsen bronchospasm and reduce beta-agonist response. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

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