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LABA without ICS in asthma — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsLABA without ICS in asthmaGPhC CRA

A prescription for salmeterol inhaler is received for a 36-year-old with asthma. The patient has no inhaled corticosteroid on their record and says salbutamol is the only other inhaler used. What is the most appropriate action?

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Correct answer: E — Query the prescription because LABA monotherapy is unsuitable in asthma

Long-acting beta2 agonists should not be used without inhaled corticosteroid therapy in asthma because of safety concerns. Salmeterol is not a reliever for acute symptoms. The pharmacist should check the intended regimen and ensure an appropriate preventer strategy is in place. COPD prescribing differs, but the stem identifies asthma.

Reference: BNF; NICE CKS