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Levetiracetam missed doses — GPhC CRA MCQ

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EasyCNS TherapeuticsLevetiracetam missed dosesGPhC CRA

A patient with epilepsy missed two doses of levetiracetam and asks whether to take extra tablets. What is the most appropriate alternative?

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

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Correct answer: AFollow missed-dose advice and avoid extra doses without prescriber advice

Missed antiepileptic doses increase seizure risk but catch-up overdosing can cause harm. 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