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Asthma SABA overuse — GPhC CRA MCQ

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HardRespiratory TherapeuticsAsthma SABA overuseGPhC CRA

A 22-year-old woman with asthma buys her third salbutamol inhaler in two months. She wakes at night twice weekly with wheeze and uses beclometasone only when symptomatic. Her peak flow is 78% of personal best today. What is the most appropriate action?

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

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Correct answer: E — Check inhaler technique, reinforce regular inhaled corticosteroid use and refer for asthma review.

Frequent SABA use and nocturnal symptoms indicate poor asthma control and increased exacerbation risk. The pharmacist should check technique, address adherence to preventer therapy and arrange timely clinical review. Salbutamol escalation alone does not treat airway inflammation.

Reference: NICE CKS; BNF