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Asthma SABA overuse — GPhC CRA MCQ

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EasyRespiratory TherapeuticsAsthma SABA overuseGPhC CRA

A 24-year-old woman buys her third salbutamol inhaler in 2 months. She wakes with wheeze twice weekly and has no preventer inhaler on her repeat record. Her PEFR today is 430L/min, close to her usual best. What is the most appropriate alternative?

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Correct answer: B — refer for review and initiation of inhaled corticosteroid treatment

Frequent SABA use and nocturnal symptoms indicate poor asthma control and the need for preventer therapy. An inhaled corticosteroid is the usual foundation of regular asthma treatment. A LABA should not be used without inhaled corticosteroid cover. Oral prednisolone is reserved for exacerbations and is not the appropriate response to ongoing SABA overuse with stable observations.

Reference: BNF; NICE CKS: Asthma