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Beta-blocker and asthma — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsBeta-blocker and asthmaGPhC CRA

A 35-year-old woman with asthma presents a new prescription for propranolol 40 mg twice daily for migraine prevention. She uses salbutamol several times per week and had an exacerbation last month. What is the most appropriate action?

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Correct answer: B — Query the prescription because non-selective beta-blockade may worsen asthma

Non-selective beta-blockers such as propranolol can precipitate bronchospasm and blunt beta-agonist response. In a patient with active asthma symptoms, the prescription should be queried. The pharmacist should not attempt to offset the risk by advising extra reliever use.

Reference: BNF; NICE CKS