A 1-year-old boy was admitted to the hospital due to a severe asthma attack. The staff intended to prescribe him Betnesole (betamethasone), a steroidal drug for asthma treatment. Instead, he was mistakenly prescribed Betistine (betahistine), which treats vertigo symptoms. MedAware alerted the care team to the mistake, noting that the prescribed medication did not match the patient profile.

Additionally, Betahistine is contraindicated for pediatric use and not recommended for use in asthmatic patients.