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Atorvastatin liver enzymes — GPhC CRA MCQ

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ModerateRenal and Hepatic ImpairmentAtorvastatin liver enzymesGPhC CRA

A patient with unexplained persistent transaminase elevation presents a prescription for high-dose atorvastatin. What monitoring is required?

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Correct answer: EQuery the prescription and clarify liver status before dispensing

Active liver disease or unexplained persistent transaminase elevation affects statin suitability. 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