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Warfarin labelling — GPhC CRA MCQ

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ModerateDispensingWarfarin labellingGPhC CRA

A pharmacist dispenses a prescription for warfarin tablets. The patient currently takes warfarin 3 mg daily but the prescription states 'as directed'. The label must include specific directions. What is the most appropriate wording for the dispensing label?

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

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Correct answer: ETake one tablet daily or as directed by your anticoagulant clinic

When a prescription states 'as directed' for warfarin, the label should include practical directions that are as helpful as possible to the patient. The wording 'Take one tablet daily or as directed by your anticoagulant clinic' provides a clear default direction while acknowledging that the dose may be adjusted by the clinic. Simply writing 'as directed' on the label is not considered adequate labelling practice. The patient's anticoagulant record (yellow book) should also be referenced.

Reference: MEP; GPhC Standards