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MART inhaler counselling — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsMART inhaler counsellingGPhC CRA

A 72-year-old woman taking budesonide/formoterol as maintenance and reliever therapy asks why she has no salbutamol inhaler. Her asthma plan says one inhalation twice daily and one extra inhalation when symptomatic. She is otherwise well. What would you advise the patient?

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

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Correct answer: A — Use budesonide/formoterol as both preventer and reliever as set out in the plan

Some asthma regimens use an ICS-formoterol inhaler as both maintenance and reliever therapy. This should be explained carefully because it differs from traditional SABA reliever plans. The patient should follow the written plan and seek urgent help if reliever need escalates or symptoms are severe.

Reference: BTS/NICE/SIGN asthma guideline; BNF