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LABA without ICS in asthma — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsLABA without ICS in asthmaGPhC CRA

A 29-year-old man with asthma brings a prescription for salmeterol inhaler. His record shows salbutamol but no inhaled corticosteroid. He says he has been waking with wheeze. What is the most appropriate action?

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Correct answer: E — Contact the prescriber because LABA monotherapy is inappropriate in asthma

Long-acting beta2 agonists should not be used without inhaled corticosteroid therapy in asthma because this increases risk of poor outcomes. The patient also has symptoms suggesting poor control. The pharmacist should contact the prescriber to ensure an appropriate ICS-containing regimen is used.

Reference: BNF; NICE CKS