Beta-blocker in asthma — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsBeta-blocker in asthmaGPhC CRA

A patient with asthma is prescribed propranolol for tremor and reports worsening wheeze. What is the most appropriate alternative?

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Correct answer: B — Discuss a non-beta-blocker alternative with the prescriber

Non-selective beta-blockers can worsen bronchospasm and should be challenged when respiratory symptoms worsen. In this vignette, "Discuss a non-beta-blocker alternative with the prescriber" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS