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Oral cytotoxic handling — GPhC CRA MCQ

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HardDispensing and SupplyOral cytotoxic handlingGPhC CRA

A patient prescribed capecitabine tablets asks the pharmacy to cut them in half because she finds them large. The prescription is for a cytotoxic medicine. What is the legal classification/requirement?

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Correct answer: E — Do not cut the tablets and contact the oncology team for administration advice

Capecitabine is a cytotoxic medicine and tablets should not be cut or crushed unless specialist instructions and safe handling arrangements exist. Altering tablets can expose patients or carers to hazardous powder and affect dosing. The oncology team should advise on alternatives or supportive strategies. Safe handling counselling is important.

Reference: BNF; MEP