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Beta-blocker in asthma — GPhC CRA MCQ

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HardRespiratory TherapeuticsBeta-blocker in asthmaGPhC CRA

A 58-year-old man with asthma has been issued propranolol 40 mg twice daily for tremor. He had an asthma admission last year and currently uses budesonide/formoterol. What is the most appropriate alternative?

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Correct answer: B — Contact the prescriber to consider a non-beta-blocker option for tremor

Non-selective beta-blockers such as propranolol can cause bronchospasm and reduce response to beta2 agonists. A previous asthma admission increases risk. The prescriber should consider an alternative treatment for tremor. The pharmacist should not independently alter or substitute the prescription.

Reference: BNF; NICE CKS