QuestionSBA
QuestionChoice
The GP should be careful not to prescribe propranolol for this patient with known asthma and presenting symptoms of anxiety-related palpitations and nausea. Propranolol is a non-selective beta-blocker and can potentially worsen asthma symptoms by causing bronchoconstriction due to its effects on beta-2 receptors in bronchial smooth muscle. Beta-blockers are contraindicated with salbutamol and should not be prescribed, especially in primary care.
10024070
a
Propranolol
QuestionChoice
Ranitidine is an H2 receptor antagonist used to reduce stomach acid production. Whilst it can be used for nausea relief, it does not have a direct effect on asthma symptoms.
10024073
d
Ranitidine
QuestionChoice
Lorazepam is a benzodiazepine medication used to treat anxiety and does not have a direct impact on respiratory function, although overdoses can cause respiratory depression. It can be prescribed for anxiety without significant risk to asthma control.
10024071
b
Lorazepam
QuestionChoice
Diphenhydramine is an antihistamine often used to relieve allergy symptoms and can cause drowsiness. It does not have a direct impact on asthma symptoms and can be used for nausea relief in some cases.
10024074
e
Diphenhydramine
QuestionChoice
Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat anxiety and depression. It does not have direct effects on respiratory function and can be prescribed without significant concern for asthma symptoms.
10024072
c
Sertraline
Concept
Chapter
2693
5729
Drug Interactions
Topic
287
Asthma
17212
A 22-year-old girl is a known asthmatic. For this, she uses a salbutamol inhaler. She has presented to the GP for anxiety-related palpitations and nausea.

Based on this information, which of the following drugs should the GP be careful not to prescribe?
a