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LABA without ICS in asthma — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsLABA without ICS in asthmaGPhC CRA

A 41-year-old woman with asthma presents a prescription for salmeterol inhaler. Her repeat record shows salbutamol but no inhaled corticosteroid. She says she stopped her preventer last year. What is the most appropriate action?

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Correct answer: A — Query the prescription because LABA should not be used in asthma without ICS

LABA monotherapy in asthma is unsafe and should be used with inhaled corticosteroid therapy. Salmeterol is not a reliever for acute symptoms. The pharmacist should clarify the intended regimen before supply.

Reference: BNF; NICE CKS