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Methotrexate counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareMethotrexate counsellingGPhC CRA

A patient starting methotrexate for rheumatoid arthritis asks about tablets and folic acid. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: B — Take methotrexate once weekly on the agreed day and take folic acid as prescribed

Weekly dosing and monitoring are central methotrexate safety messages. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; MEP