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SABA overuse — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsSABA overuseGPhC CRA

A 19-year-old man asks for another salbutamol inhaler. The PMR shows he has had five salbutamol inhalers in the last four months and no preventer inhaler. He says he wakes with wheeze twice a week. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: D — Supply if clinically appropriate and refer for urgent asthma review

Frequent SABA use and night symptoms suggest poorly controlled asthma and increased exacerbation risk. The immediate need for reliever treatment must be balanced with referral for prompt clinical review. The patient may need anti-inflammatory treatment and an updated asthma action plan.

Reference: NICE/BTS/SIGN asthma guideline; BNF