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Community pharmacy UTI supply — GPhC CRA MCQ

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EasyClinical TherapeuticsCommunity pharmacy UTI supplyGPhC CRA

A 25-year-old woman presents to the pharmacy with symptoms of an uncomplicated lower urinary tract infection — dysuria and frequency for two days. She is not pregnant, has no fever, and has no drug allergies. She asks if the pharmacist can help. What is the most appropriate action?

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Correct answer: BSupply nitrofurantoin 100 mg modified-release twice daily for three days under the community pharmacy UTI service

Under the NHS community pharmacy UTI service (pharmacy first), pharmacists can supply nitrofurantoin for uncomplicated lower UTI in non-pregnant women aged 16-64 following a clinical assessment. Nitrofurantoin 100 mg MR twice daily for three days is first-line. Trimethoprim is second-line. Co-amoxiclav is not appropriate for uncomplicated UTI. The service allows treatment without GP referral for straightforward cases.

Reference: NICE NG109 UTI; NHS Community Pharmacy UTI Service