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Propranolol in asthma — GPhC CRA MCQ

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EasyRespiratory TherapeuticsPropranolol in asthmaGPhC CRA

A woman with asthma and previous wheeze triggered by beta-blockers presents a new prescription for propranolol for migraine prevention. What is the most appropriate alternative?

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Correct answer: E — Discuss changing propranolol to a non-beta-blocker option if clinically appropriate

Propranolol is non-selective and can worsen bronchospasm in asthma; an alternative should be discussed with the prescriber. This makes discuss changing propranolol to a non-beta-blocker option if clinically appropriate the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF interactions; NICE CKS