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Rate control in asthma — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsRate control in asthmaGPhC CRA

A patient with symptomatic atrial fibrillation and asthma requiring salbutamol requests a new beta-blocker prescription after a hospital clinic letter. What is the most appropriate alternative?

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Correct answer: E — Diltiazem modified-release after prescriber assessment

A rate-limiting calcium-channel blocker may be preferred when beta-blocker therapy is unsuitable due to asthma. 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