Phenelzine decongestant — GPhC CRA MCQ
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Correct answer: A — Phenelzine with sympathomimetics can cause hypertensive crisis
MAOIs have significant interactions with sympathomimetics and tyramine-rich foods. 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