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Propranolol in asthma — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsPropranolol in asthmaGPhC CRA

A woman with asthma controlled on budesonide/formoterol is prescribed propranolol for tremor. She still uses salbutamol with exercise. What is the most appropriate alternative?

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

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Correct answer: E — Query propranolol because bronchospasm may worsen

This scenario assesses Propranolol in asthma in a UK pharmacy practice context. Non-selective beta-blockers can precipitate bronchospasm and reduce response to beta2 agonists in asthma. The best answer is Query propranolol because bronchospasm may worsen because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; NICE CKS