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Beta-blocker in asthma — GPhC CRA MCQ

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HardRespiratory TherapeuticsBeta-blocker in asthmaGPhC CRA

A 35-year-old woman with asthma is prescribed propranolol 40 mg twice daily for anxiety. She uses budesonide/formoterol maintenance therapy and had an ED attendance for wheeze 2 months ago. What is the most appropriate alternative?

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

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Correct answer: E — Discuss a non-beta-blocker option with the prescriber

Non-selective beta-blockers can precipitate bronchospasm and blunt the response to beta2 agonists. The recent ED attendance makes this clinically significant. The pharmacist should query the prescription and discuss safer options for anxiety management with the prescriber.

Reference: BNF; NICE CKS